MEDICAL EVACUATION - United States Army

1 ATP MEDICAL EVACUATION July 2019 DISTRIBUTION RESTRICTION: Approved for public release; distribution is unlimited. This publication supersedes ATP , dated 12 August 2014. Headquarters, Department of the army This publication is available at the army Publishing Directorate site ( ), and the Central army Registry site ( ). *ATP RESTRICTION: Approved for public release; distribution is unlimited. *This publication supersedes ATP , dated 12 August army Techniques Publication No. 4- Headquarters Department of the army Washington, , 12 July 2019 MEDICAL EVACUATION Contents Page v INTRODUCTION.

2 Vii Chapter 1 THE army HEALTH SYSTEM AND MEDICAL EVACUATION .. 1-1 Section I army Health System .. 1-1 Section II MEDICAL EVACUATION .. 1-1 Primary Tasks .. 1-3 1-3 MEDICAL EVACUATION 1-4 Section III MEDICAL EVACUATION Versus Casualty EVACUATION .. 1-6 Casualty EVACUATION .. 1-6 Mortuary Affairs .. 1-7 Chapter 2 army MEDICAL EVACUATION .. 2-1 Section I MEDICAL EVACUATION Support .. 2-1 Section II MEDICAL EVACUATION Requests .. 2-2 Ground EVACUATION Request .. 2-4 Joint and Multinational Interconnectivity .. 2-8 Section III MEDICAL EVACUATION Units, Elements, and Platform Considerations.

3 2-9 MEDICAL EVACUATION Support Protocol .. 2-9 MEDICAL EVACUATION Platform Factors .. 2-9 Section IV MEDICAL EVACUATION at Unit Level .. 2- 10 MEDICAL EVACUATION Mission Considerations .. 2- 10 MEDICAL EVACUATION Support from Role 1 and Role 2 MEDICAL Treatment Facilities 2- 12 Section V Exchange of Property .. 2- 14 Section VI Key Activities During Specific Operations .. 2- 14 Key Activities During Operations to Shape .. 2- 14 Key Activities During Operations to Prevent .. 2- 15 Key Activities During Large-Scale Combat Operations .. 2- 15 Key Activities During Operations to Consolidate Gains.

4 2- 16 Contents ii ATP 12 July 2019 Section VII MEDICAL EVACUATION Support for Operations Conducting Offense, Defense, and Stability Tasks .. 2- 16 MEDICAL EVACUATION Support for the Offense .. 2- 16 MEDICAL EVACUATION Support for the Defense .. 2- 19 MEDICAL EVACUATION Support for Operations Dominated by Stability Tasks .. 2- 20 Section VIII MEDICAL EVACUATION Support for army Special Operations Forces .. 2- 20 Section IX MEDICAL EVACUATION in Urban Operations .. 2- 22 Urban Terrain and Environment .. 2- 22 Aeromedical EVACUATION for Urban Operations .. 2- 24 Section X army Support to Civil Authorities.

5 2- 24 Defense Support of Civil Authorities .. 2- 24 MEDICAL EVACUATION Support for Foreign Humanitarian Assistance .. 2- 26 Section XI Other Types of MEDICAL EVACUATION Support Missions .. 2- 27 EVACUATION of Military Working Dogs .. 2- 27 Personnel Recovery Operations .. 2- 27 Shore-to-Ship EVACUATION Operations .. 2- 27 MEDICAL EVACUATION of Detainees .. 2- 28 Section XII MEDICAL EVACUATION in Specific Environments .. 2- 28 Mountain Operations .. 2- 28 Jungle Operations .. 2- 30 Desert Operations .. 2- 31 Operations in Cold Regions .. 2- 32 Chemical, Biological, Radiological, and Nuclear Contaminated Environments.

6 2- 32 Battlefield Obscuration .. 2- 34 Chapter 3 MEDICAL EVACUATION RESOURCES .. 3-1 Section I Maneuver Battalion MEDICAL Platoon Ambulance Squad .. 3-1 MEDICAL Treatment Platoon Ambulance Squads .. 3-1 Ambulance or EVACUATION Squad .. 3-1 Ambulance Team .. 3-1 Section II EVACUATION Platoon MEDICAL Company (Brigade Support Battalion) and Ambulance Platoon MEDICAL Company (Area Support) .. 3-2 MEDICAL 3-2 MEDICAL Company (Brigade Support) .. 3-2 MEDICAL Company (Area Support) .. 3-3 Organizations .. 3-3 Ambulance/ EVACUATION Platoon .. 3-3 Ambulance Squad .. 3-3 Section III MEDICAL Company (Ground Ambulance).

7 3-4 Mission .. 3-5 Assignment .. 3-5 Employment .. 3-5 Capabilities .. 3-5 Dependency .. 3-5 Organization and Functions .. 3-5 Section IV MEDICAL Company (Air Ambulance) 15 HH-60 .. 3-6 Mission .. 3-6 Assignment .. 3-6 Employment .. 3-6 Capabilities .. 3-6 Dependency .. 3-7 Organization and Functions .. 3-7 Contents 12 July 2019 ATP iii Section V MEDICAL Company (Air Ambulance) UH-72 Light Utility .. Helicopter .. 3-7 Mission .. 3-8 Assignment .. 3-8 Employment .. 3-8 Capabilities .. 3-8 Dependency .. 3-9 Organization and 3-9 Chapter 4 THEATER EVACUATION POLICY .. 4-1 Establishing the Theater EVACUATION Policy.

8 4-1 Factors Determining the Theater EVACUATION Policy .. 4-2 Impact of the EVACUATION Policy on army Health System Requirements .. 4-3 Chapter 5 OPERATIONAL AND TACTICAL EVACUATION PLANNING .. 5-1 Section I Theater MEDICAL EVACUATION Planning Responsibilities .. 5-1 Joint Planning .. 5-1 MEDICAL Command and Control 5-1 Section II Planning Process .. 5-3 EVACUATION Plans and Orders .. 5-3 Characteristics .. 5-3 Plans and Orders .. 5-3 MEDICAL EVACUATION Planning .. 5-4 Chapter 6 MEDICAL REGULATING .. 6-1 Purpose of MEDICAL Regulating .. 6-1 MEDICAL Regulating Terminology .. 6-1 MEDICAL Regulating for the Echelons Above Brigade.

9 6-4 MEDICAL Regulating Within the Operational Area .. 6-5 MEDICAL Regulating from the Operational Area to Echelons Above Brigade .. 6-5 MEDICAL Regulating Within Echelons Above Brigade .. 6-6 Intertheater MEDICAL Regulating .. 6-6 En Route Patient Staging System .. 6-7 Limitation of the United States Air Force Theater Aeromedical EVACUATION .. System .. 6-8 Originating MEDICAL Facility s Responsibilities .. 6-9 MEDICAL Regulating for army Special Operations Forces .. 6-9 Appendix A GENEVA CONVENTIONS AND THE LAW OF WAR .. A-1 Appendix B EXAMPLE OF THE MEDICAL EVACUATION PLAN AND OPERATIONS .. ORDER.

10 B-1 Appendix C EXAMPLE OF THE MEDICAL EVACUATION REQUEST .. C-1 Appendix D EXAMPLE OF THE MEDICAL EVACUATION ACTIVITIES DURING .. OPERATIONS .. D-1 GLOSSARY .. Glossary-1 REFERENCES .. References-1 INDEX .. Index-1 Figures Figure 2-1. Flow of communication for MEDICAL EVACUATION request .. 2-4 Figure 2-2. Ground EVACUATION request in a maneuver unit .. 2-5 Contents iv ATP 12 July 2019 Figure 2-3. Ground EVACUATION request in the echelon above brigade .. 2-6 Figure 2-4. Aeromedical EVACUATION request .. 2-7 Figure 2-5. Air ambulance zones of EVACUATION .. 2-8 Figure 2-6. Air and ground ambulance EVACUATION in a joint environment.