Forums / Strategies, Tactics & Training / Treating wounds, pt. 2, Casualty Evacuation

7 years 43 weeks ago, 11:03 AM


runawaygun762's picture

Vice President
Join Date:
Nov 2008
Richland, MO, United States

CASEVAC (Casualty Evacuation), differs from MEDEVAC (Medical Evacuation) in that a casevac is done using nonstandard means. This is really nothing more than a technicality and you won't be thrown in jail for saying medevac when you threw a casualty into the back of your pickup truck.

Evacuating a casualty may be as simple as giving them a helping hand into your vehicle, or it may be as complex as improvising a backboard to load them into the cargo area of an SUV or bed of a truck.

Your first consideration should of course be whether to evac a casualty or not. A couple things will help you with this decision.

1- The tactical situation. If you are being engaged, or are engaging a threat, taking that threat out is priority number one. Trying to get a person out of there while you have rounds hitting around you may be heroic or cool in the movies, but it'll eventually end up meaning more casualties

2- Presence of emergency services. If cops already have a cordon, unless they know you, the likelihood of them letting you out of an outer cordon during an active shooter event is low. Even after the event is over, most emergency services people have the idea that they are the only ones able to handle casualties, and a cop or medic will probably not want you to leave their area with an injured person.

Once you've made the decision to evac a casualty, try to have at least one other person available. One person to drive, one person to begin lifesaving steps. It won't do much good to make a ten minute drive to the hospital if the casualty dies of his/her injuries in nine minutes.

For the driver: STAY CALM!!! Do not drive like someon's life depends on it. Doing that will cause you to speed and drive recklessly. You may make it quickly, or you may get in a wreck, causing more casualties. Your casualty may be screaming bloody murder, but if you remain calm, that will go a long way toward keeping him/her reassured, which is a step in controlling.preventing shock.

Call ahead. 911 is fine, ER direct line is good to. Explain what you have coming in, what your ETA is, and any symptoms you or your assistant have noted (Rapid, shallow breathing, uneven pupils, approximate heart rate, things like that. I'll get into that during Evaluating a Casaualty). Describe what kind of vehicle you are in, and ask where you should park before getting there. Driving up to the front of the ER may be familiar, but they may also tell you to move directly to the ambulance entrance.

"I have always been a soldier. I have known no other life. The calling of arms, I have followed from boyhood. I have never sought another." From The Virtues of War, by Steven Pressfield.

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