MEDEVAC: critical care transport from the battlefield.
In current military operations, the survival rates of critically injured casualties are unprecedented. An often hidden aspect of casualty care is safe transport from the point of injury to a field hospital and subsequently on to higher levels of care. This en route critical care, which is provided by flight medics under the most austere and rigorous conditions, is a crucial link in the care continuum. This article introduces the role and capabilities of US Army MEDEVAC and reflects the author's recent experience in Afghanistan as a flight medic. This article provides an assessment of the operational issues, medical capabilities, and transport experiences to provide a real-world view of critical care transport from the battlefield. The MEDEVAC helicopter environment is one of the most difficult, if not the most demanding, critical care environments. This overview brings to light a small but important piece of the care continuum.
Higgins
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California Army National Guard, Mather, C Company, 1st Battalion, 168th Aviation Regiment, 3754 Femoyer St, CA 95655, USA. ruben.a.higgins@us.army.mil
D055826:Afghan Campaign 2001-; D000346:Afghanistan; D003422:Critical Care / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration; D006801:Humans; D008887:Military Medicine / Q000458:organization & administration*; D008888:Military Nursing / Q000458:organization & administration*; D008889:Military Personnel; D014187:Transportation of Patients / Q000379:methods* / Q000458:organization & administration; D014481:United States; D014947:Wounds and Injuries / Q000451:nursing / Q000628:therapy*