Medevac Market Snapshot
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MEDEVAC MARKET SNAPSHOT SUMMARY The wars in Iraq and Afghanistan have considerably First Responders have been able to reduce the incidence advanced Battlefield Medicine and Medical Evacuation of death from extremity haemorrhage, with more and (MEDEVAC) methods. Although the lethality of weapons improved tourniquets and survival rates from such as IEDs has increased, new medical equipment and haemorrhagic wounds, especially to the trunk and head strategies have radically improved survival rates. (which are not amenable to tourniquets), have been In the U.S.A, the U.S. Marine Corps now claims a improved by haemostatic gauze. The QUIKCLOT Combat greater than 98% survival rate for all casualties treated at Guaze is the U.S. DoD standard first-line treatment for a Role III medical facility, which is a Division level or above life-threatening haemorrhages. unit. Such facilities specialise in diagnostics, specialist The EZ-IO Intraosseous Vascular Access System surgical and medical care, among other care capabilities. provides immediate vascular access to injured soldiers, by In addition, pre-deployment Trauma training has using the body’s largest non-collapsible vein, the increased the readiness level of medical teams prior to intraosseous (inside the bone) space. Essential fluids and their arrival in-theatre. The Trauma Casualty Care Course drugs can be safely and quickly inserted by special needle is now mandatory for all U.S. Navy/Marine Corps medical directly into the bone. staff. Smart Phone Type Applications for the early diagnosis Also, the Authorized Medical Allowance Lists (AMALs), of Traumatic Brain Injuries are now becoming available. Authorized Dental Allowance Lists (ADALs) and Individual The Field Anaesthesia System (FAS) is an expeditionary Warfighter Medical Kits are reviewed on a 4 year cycle to anaesthesia system, weighing less than 10lbs, that establish modernization requirements. delivers vaporised isoflourane and sevoflourine and More effective treatment of suspected traumatic brain replaces draw over vaporisers. injury, resulting from IED explosions, has been achieved Other new technologies being developed or with better practice guidelines. The incidence of considered include haemostatic devices to assist in the Hypothermia during casualty evacuation has been control of junctional haemorrhage as well as fresh frozen decreased by employing new patient wrapping and plasma substitutes that require no refrigeration. packaging techniques. The following information is not intended to provide an exhaustive account of the market today, but rather an overview of some of the key developments. All information is subject to change. MEDEVAC 2014 2 DEFENCE IQ JULY 2014 29 - 30 October, London, UK www.MEDEVACEVENT.com TACTICAL AMBULANCES & MORE There are many Specialist Tactical Ambulance Vehicles Germany including the Oshkosh M-ATV Tactical Ambulance, BAE’s The Eagle IV BAT is the light protected medical vehicle of RG33L, Navistar’s MAXXPRO Plus, the MPV/VTMM 4x4 the Bundeswehr. The mgSanKfz medium protected and VLRA. vehicle and sg-SanKfz heavy protected military vehicle, based on the Boxer (first handed over in 2012. 72 to be AMPV delivered by 2016 – air transportable in A400M) are also There are to be five versions of the Armoured Multi- operated as ambulances. Purpose Vehicle (AMPV) including a Medical Evacuation The DURO/YAK BAT Variant is to be replaced by Vehicles (MEV) and a Medical Treatment Vehicle (MTV); mgSanKfz. BV206 S BATs are used for mountain troops. Medical Evacuation Vehicles (MEV): Replaces M113 The Fuchs BAT is being upgraded to TPz Fuchs 1 A8 BAT AMEV. Requirements are for 3 crew and able to have standard. either 6 ambulatory patients, 4 litter patients, or 3 ambulatory patients and 2 litter patients. It must also UK have medical equipment sets and environmental cooling. In the UK, a small number of battlefield ambulance Tasks include conducting medical evacuation from the variants are being improved to Mastiff 2 capabilities. point of injury to an aid station and medical resupply 335 Medical Evacuation Regiment, British Army are the replenishment. 790 are planned. U.K.’s specialist ground medical evacuation unit, including Medical Treatment Vehicle (MTV): Replaces M577A3 Ground Specialist Medical Evacuation Team (GSMET) Medical Vehicle. Requirements are for 4 crew and one Capability, which needs to be fully sustainable. litter patient, as well as medical equipment sets and environmental cooling. Tasks include serving as the Other Selected National MEDEVAC Resources forward aid station, main aid station, and the battalion aid station. 216 are planned. Czech Republic Pooling and sharing of National Medical Capabilities is Belgium seen as essential. MEDEVAC Assets include Ground The ambulance version of the Dingo II has been operated Ambulances, Sokol W3A and MI-171S Helicopters, by the Belgian Medical Component since 2009. This C.295M Transport Aircraft and A319CJ aircraft for vehicle has the capacity for 3 stretcher patients, or 4 Strategic MEDEVAC. sitting wounded or 2 stretchers plus 2 sitting wounded. It is well-equipped with medical equipment and has served Poland in both Lebanon and Afghanistan. There is a Polish Military Institute of Medicine and a Polish Field Hospital was deployed to Ghazni in Afghanistan. 2 Blackhawks were available for MEDEVAC. MEDEVAC 2014 29 - 30 October, London, UK 3 DEFENCE IQ JULY 2014 www.MEDEVACEVENT.com NOTABLE DEVELOPMENTS MILITARY AIRBORNE MEDEVAC USA DUSTOFF is the referred term for US Army helicopters conducting MEDEVAC operations. Using UH-60 Blackhawk, today’s DUSTOFF units now have certified paramedics on-board to provide immediate medical response to critical casualties while en-route to the nearest military hospitals. The USAF’s HH-60 is well known for its medical evacuation (MEDEVAC) role, as well as its combat search and rescue functions. However, the US Army also operates dedicated MEDEVAC models. The UH-60Qs include a 6 patient litter system, on-board oxygen generation, medical suction system, and other advanced medical capabilities. They are complemented by more recent HH-60Ls, and the entire fleet will eventually be recapitalized using new HH-60M MEDEVAC models. In July 2012, Sikorsky announced the delivery of the 500th H-60M Series Black Hawk helicopter. The deliveries comprised 400 UH-60M utility and 100 HH-60M MEDEVAC helicopters. HH-60G Pave Hawks are operated by the 920th RQW and 943rd RQG of the Air Force Reserve. In June 2014, the US Air Force awarded Sikorsky and Lockheed Martin a $1.3 billion contract for the Combat Rescue Helicopter programme. The deal is for 112 Sikorsky Black Hawks, outfitted with Lockheed mission equipment, replacing the HH-60G. BRAZIL The Brazilian Navy is set to receive 16 EC725 helicopters, while the Army is to receive 16 and the Air Force, 18. The helicopter can perform aeromedical transport among other missions. COLOMBIA Colombian Army MEDEVAC operates MI-17 and UH-60L Helicopters, and have had a keen interest in building its aeromedical evacuation capabilities in light of counter-terrorism operations, particularly when it comes to dealing with IED injuries. A TACEVAC gap still exists. SAR efforts have had to become C-SAR capable due to militant activity. The C-SAR unit, established in 2000, now has 100 personnel and is able to reach locations that have been previously inaccessible. Rescue figures in 2012 were higher than any previous year (1,137 people rescued). MEDEVAC 2014 4 DEFENCE IQ JULY 2014 29 - 30 October, London, UK www.MEDEVACEVENT.com NOTABLE DEVELOPMENTS MILITARY AIRBORNE MEDEVAC UK DENMARK SWEDEN Unlike the United States, which establishes specific units within The Royal Danish Air Force Forward In 2013, the Swedish Air Force SAE ISAF MEDVEAC the US Army Aviation and the USAF to conduct such operations, Aeromedical Evacuation (FAE) is similar unit replaced its Supa Pumas in Afghanistan with the RAF has opted to adopt ad hoc units like the MERT units to the UK MERT System. An FAE team of Black Hawks. Fifteen of the aircraft were procured established in Afghanistan. 4 people is planned and a training and a minimum of three operational helicopters programme is under way. However, final have been required at any given time. The Swedish MERTs (Medical Emergency Response Teams) consist of 4 RAF approval is awaited from Tactical Air Air Force has also been taking delivery of 18 paramedics and a nurse, 4 Quick Reaction Force personnel Command Denmark (TACDEN) and also upgraded NHIndustries NH90 Tactical Transport drawn from the RAF Regiment and the crews of either RAF the Danish Government. The first teams Helicopters (TTH) – designated the HPK 14D – Merlin or Chinook deployed helicopters. These Merlin or were planned to deploy to Afghanistan which are fitted for SAR and medevac operations. Chinook helicopters are escorted (in Afghanistan) by a Westland in 2014. Apache attack helicopter operated by U.K. Army Aviation. C-17 Airlifters of 99 Squadron at RAF Brize Norton can be fitted 690 Squadron at Aalborg provides in a MEDEVAC configuration, including an operating theatre and MEDEVAC presently, using C-130J and have been used for evacuations from Afghanistan. CL-604 aircraft. A vast area needs to be covered, including Greenland. GERMANY IRELAND The Heeresflieger (Army Aviation) in The Irish Air Corps operates Germany has 8 NH-90 TTHs fitted with an AW139 – the nation’s only MEDEVAC equipment. They are operated by air ambulance. Transporthubschrauberregiment 10 at Fassberg and have been used in Afghanistan. FRANCE 6 EC725R2 Caracals and 11 Pumas of EH1/67 based at Cazaux are tasked with a MEDEVAC role. NETHERLANDS NH-90s are operated by 860 ITALY Squadron at De Kooy with MEDEVAC HH-3F Helicopters are currently assigned to MEDEVAC roles, but will as part of their role. be replaced by HH-101s (15). They are operated by the 81st, 82nd, 83rd, 84th and 85th Gruppos of the Italian Air Force. In addition, UH-90As of the Italian Army have a MEDEVAC role. MEDEVAC 2014 5 DEFENCE IQ JULY 2014 29 - 30 October, London, UK www.MEDEVACEVENT.com NOTABLE DEVELOPMENTS MILITARY AIRBORNE MEDEVAC QATAR The Qatar Emiri Air Force is need of a wide rotary fleet upgrade.