In the MCIF issue 1/2010 an article was published called “Multinational Approach in Medical support to NATO Operations”. In this article the author, Col Dr Fazekas, explains the need for multinational cooperation and the definition of standards for Multinational Medical Units to ensure minimum quality requirements. This need resulted in the development of the AMedP-27, the NATO Medical Evaluation Manual and the promulgation of its covering STANAG 2650 in 2010.
This paper discusses the principles of tactical aeromedical evacuation (TACEVAC) planning and execution with specific consideration of the command and control arrangements for TACEVAC. UK personnel may be familiar with TACEVAC procedures using UK national aircraft and aeromedical evacuation crews between national medical facilities. Recent operations, most particularly in Afghanistan, have illustrated the requirement to understand TACEVAC within a multi-national context as both our military hospitals have moved patients using other nations aircraft and medical escort crews, and UK aeromedical aircraft and crews have moved other nations’ patients.
This paper discusses the principles of medical evacuation planning and execution with specific consideration of the command and control arrangements for Forward medical evacuation. The current operational context has focused efforts on helicopter medical evacuation as the main evacuation element of the pre-hospital military medical care system rather than the ground ambulance. This paper complements the significant number of papers recently published by RAMC clinical staff on pre-hospital care.
One of the paramount objectives of the medical support of personnel in the field is the provision of mobile medical first aid and subsequent evacuation of casualties in appropriately designed casualty transport vehicles or under the supervision of mobile physician teams (BAT: Bewegliche Arzttrupps) or paramedic teams (SanTrp: Sanitätstrupps).
This article provides an overview and discusses the future of armoured overland casualty transport vehicles employed by the Joint Medical Services of the Bundeswehr (ZSanDstBw: Zentraler Sanitätsdienst der Bundeswehr).
This paper concentrates on the regulation of casualties through the medical system. It considers the casualty flow throughout the system looking at how demand (or access), capacity and evacuation must be balanced. If the balance is broken, either the medical system has been over-resourced, which is inefficient, or the medical system has been overwhelmed, which is ineffective. Finally the paper discusses how the medical system should respond to a casualty surge.