M C2001000 11/97 U.S. ARMY MEDICAL DEPT.

CENTER & SCHOOL AMEDD NONCOMMISSIONED OFFICERS ACADEMY 91B TECHNICAL TRAINING Battalion Aid Station Operations (BAS) (12 Periods) COURSE PRESENTED TO: 6-8-C40 (91B), Basic Noncommissioned Officers Course (91B Tech Tng) PLACE: Classroom. REFERENCES: ARTEP 7-94 MTP for the Infantry Battalion Headquarters and Headquarters Company and Combat Support/Combat Service Support Platoons. FM 8-10, Health Service Support in a Theater of Operations. RELATED SOLDIERS MANUAL/MOS TASK(S): Supervise the Operations of a Battalion Aid Station (BAS) (SL 4) IAW AR 611-201 and approved prioritized task list. STUDY ASSIGNMENT: None. STUDENT UNIFORM AND EQUIPMENT: TOOLS, EQUIPMENT, AND MATERIALS: PERSONNEL: Uniform of the Day. ANNEX L

One instructor (91B or 91C) and one assistant instructor (91B or 91C). Prepare for Combat (Annex A), Establish Communications (Annex B), Establish Platoon Area of Operations (Annex C), Prepare Landing and Pickup Zones (Annex D), Displace Aid Station (Annex E), Perform Triage (Annex F), Treat Casualties (Annex G), (Annex H), Request/Issue/Receive Class VIII Supplies, Prepare and Evacuate Casualties (Annex I), Evacuate Casualties (Annex J), Request Support for Mass Casualty Evacuations (Annex K) None.

INSTRUCTIONAL AIDS:

TROOP REQUIREMENTS:

TRANSPORTATION REQUIREMENTS: None. RISK ASSESSMENT LEVEL:Low. SAFETY REQUIREMENTS: None. M C2001000 11/97 METHOD OF INSTRUCTION: I. INTRODUCTION (5 minutes). 1. Opening Statement: Medical evacuation of wounded patients begins at the unit level. The combat medic is the first individual in the Health Service Support chain who makes medically substantiated decisions based on medical MOS specific training. Since Army divisions do most of the actual fighting, it is important that unit and division level medical/evacuation support overlap with the support found farforward from the Battalion Aid Station (BAS) to the Division rear boundary. Battalion Aid Stations and Conference (1 periods), Practical Exercise. (11 periods)

M C2001000 1197 Division Treatment Stations must operate in close proximity to enemy action, therefore, the medical personnel who work in these areas will often find themselves treating and evacuating patients under direct fire. A key element in the medical system is the need for responsive and rapid patient evacuation to ensure that evacuation is responsive to patient needs. Proficient AMEDD NCOs/Officers are the key figures in mission success. B. Objectives 1. Terminal Learning Objective Establish, maintain, and move a Battalion Aid Station (BAS) IAW cited references. 2. Enabling Learning Objectives a. b. c. d. e. f. g. 3. Given a list, select the elements of a Battalion Aid Station IAW cited references. Given a list, select the personnel aspects within a platoon headquarters IAW cited references. Given a list, select the mission of an ambulance squad IAW cited references. Given a list, selection the mission of a treatment squad IAW cited references. Given a casualty situation, select the method of evacuating a wounded patient from the forward edge of battle area (FEBA) to the Battalion Aid Station (BAS) IAW cited references. Given a list, select the characteristics of a BAS when providing medical support in a deliberate attack IAW cited references. Given a list, select the passage lines movement rearward of the BAS and withdrawal of the BAS IAW cited references.

Class Procedure and Lesson Tie-in: This block of instruction relates to materials already discussed on Health Service Support. It familiarized the senior medical NCO with the operations of a BAS.

II. EXPLANATION (90 minutes) OBJECTIVE 1: Given a list, select the elements of a Battalion Aid Station IAW cited references. A. Organization: Elements of a BAS. 1. 2. 3. 4. Platoon Headquarters. Battalion Medical Platoon. Ambulance Squad. Treatment Squad.

OBJECTIVE 2: Given a list, select the personnel aspects within a platoon headquarters IAW cited references. B. Platoon Headquarters Personnel. 1. Patient/evacuation control.

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a. b. c. d. e. f. 2.

Medical Platoon Leader (LT 67B). Physician Assistant (WO 61H). Medical Platoon Sergeant (SFC 91B). Evacuation NCO (SSG 91B). Treatment NCO (SSG 91B). Ambulance/Aid driver (PFC/SPC 91B10).

Battalion Medical Platoon. a. b. Provides complete command and control of medical treatment/evacuation of the sick and wounded. The platoon headquarters consistently provides patient administrative aid and treatment records as required.

OBJECTIVE 3: Given a list, select the mission of an ambulance squad IAW cited references. C. Ambulance Squad. 1. Evacuation 1. b. 3. Four combat medical personnel and two medical NCOs (91B) with medical evacuation vehicles. Combat/NBC readiness at all times. Mission: Evacuate patients and transport medical personnel and materials from the BAS to the Forward Line of Troops (FLOT). The ambulance aid/NCO must establish and plot safe direct routes from enemy line, and be tactically proficient in all medical and soldiering skills. The ambulance squad is prepared to establish the landing zone (LZ) and conduct MEDEVAC request. Combat medical personnel, including MOS 91B, must be combat and NBC ready at all times. The unit medic is the first link in the formal medical care system. The medic must provide the prioritize patient care, be totally proficient in radio communication, able to establish and set up LZ and MEDEVAC request.

d.

2.

Battalion Aid Station. a. Personnel and equipment. (1) Eight medical specialists - four 91Bs (E5) and four 91B10 (E3/E4). (2) Four ambulances. (3) Make up four ambulance teams (Heavy Division). 2. Responsible for evacuation/treatment of patients from the Company Aid Post by litter teams or by vehicle evacuation to the BAS. The ambulances can be located far forward with supported maneuver companies or stay with the BAS with patient rotation at the forward treatment squads of the FSB Medical Co approximately 5-8 KM to the rear of the BAS.

M C2001000 1197 OBJECTIVE 4: Given a list, selection the mission of a treatment squad IAW cited references. D. Treatment Squad (BAS). 1. Personnel. a. b. c. d. Consists of one Medical Platoon Leader - Primary Care Physician. Physician Assistant. Medical NCO (SFC 91B). Six medical specialists (SPC 91B10).

QUESTION: Who is responsible for establishing Triage and Patient Sorting Teams? ANSWER: The BAS treatment NCO. 2. 3. The treatment squad works in conjunction with the evacuation sections for maximum usage of the litter carry teams and patient reassessment prior to treatment. The NCOs will supervise the medical treatment and patient administration as the patient flow increases. The NCO must constantly monitor patient flow from the FEBA to the aid station and also provide evacuation of the more seriously injured personnel to the Division Support Medical units. Evacuation at the BAS is usually done by either ambulances or helicopters. Once in a while, a manual carry will be seen during intense combat. If medical evacuation is hindered by the next higher level, the senior medical NCO will coordinate the use of other means, i.e., utilization of nonmedical vehicles such as 2 ton trucks for MASCAL evacuation. The treatment squads primary mission is to: a. b. c. d. Provide emergency and routine medical treatment. Prevent illness. Evacuate the sick and wounded. Assist and support ambulance squads as required.

4.

OBJECTIVE 5: Given a casualty situation, select the method of evacuating a wounded patient from the forward edge of battle area (FEBA) to the Battalion Aid Station (BAS) IAW cited references. E. Movement of Casualty (to BAS). 1. Forward Edge of Battle Area (FEBA) - Platoon Operational Area. a. b. c. Buddy Aid. Combat Lifesaver. Combat Medic. (1) Emergency Medical Treatment (EMT).

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(2) Return to Duty (RTD). (3) Evacuate - air or ground. 2. Evacuation. a. b. Litter or manual carries. Senior aidman sorts to triage category. (1) RTD or radio for further evacuation by the battalion evacuation squad. (2) Battalion evacuation squad. (a) Ground evacuation from FEBA to BAS. (b) EMT en route. 3. Battalion Aid Station (BAS) 4-10 KM from FLOT. a. Patient triaged outside. (1) Expectant patients separated. (2) Patients treated by severity of wounds. (3) Patients logged in. (4) Treatment and stabilization (all treatment annotated on DD Form 1380 Field Medical Card). (5) Secure patient weapons, ammunition, and personal items. b. Additional evacuation. (1) Combat Support Hospital (CSH) - evacuation hospital. (2) Division treatment station (DTS) - vehicle pick up point. (3) Monitor timely forwarding of casualty feeder - report, to battalion headquarters, daily or as required. (4) Monitor the receiving and disposition logbook for completeness, accuracy, and accountability of all patient arrivals at the battalion aid station. (5) Enforce safety procedures. OBJECTIVE 6: Given a list, select the characteristics of a BAS when providing medical support in a deliberate attack IAW cited references. F. Medical Support of the Deliberate Attack (BAS characteristics). 1. Definition: A carefully planned attack coordinated with all concerned elements on the basis of thorough reconnaissance, evaluation of all available intelligence and relative combat strength, analysis of various courses of action, and other factors affecting the situation.

M C2001000 1197 2. Characteristics . a. b. c. d. e. f. BASs are located as far forward as the Battalion Commander will allow. Contact with supported units must be continuous. Mobility of the BAS must be maintained (echeloning is essential). As degrees of density move forward, routes of patient evacuation lengthen. Patient collection points are predesignated along main axis of advance. The BAS must have maximum permissible prescribed loads of medical supplies.

OBJECTIVE 7: Given a list, select the passage lines movement rearward of the BAS and withdrawal of the BAS IAW cited references. G. On the Passage Lines (Movement Rearward) the BAS. 1. 2. 3. 4. Requires detailed planning between medical platoon leader and tactical commander. The BAS develops a coordinated plan to expedite treatment of casualties. The mobility of the BAS must be maintained. Withdrawal of the BAS. 1. Definition: Withdrawal is an operation in which a deployed friendly force disengages from the enemy forces. Withdrawal may be by enemy pressure or it may be conducted without enemy pressure. (1) Consider maximum use of air ambulances to evacuate patients from combat areas. (2) The BAS remains in location as long as practical. (3) Use casualty collection points forward of BAS. (4) Issue litters and additional medical supplies to maneuver combat forces to enable them to assist in collecting, treating, and evacuating casualties. (5) The BAS will be placed predominantly rearward. b. Considerations governing the location of an MTF should include the following: (1) Tactical situation/commanders plan. (2) Expected areas of high casualty density. (3) Security. (4) Protection afforded by defilade. (5) Convergence of lines of drift. H. Questions from Students.

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III. SUMMARY (5 minutes). A. Review of Main Points. 1. 2. 3. 4. 5. 6. 7. 2. Organization - elements of a BAS. Platoon headquarters personnel - patient/evacuation control. Ambulance squad. Treatment squad. Movement of casualty (to BAS). Medical support of the deliberate attack (BAS characteristics). On the passage of lines (movement rearward) the BAS.

Closing statement: Expeditious evacuation of casualties from the front lines to definitive medical care is essential for the AMEDD to accomplish its mission of conserving the fighting strength.

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