The Tactical Evacuation Care Guidelines are now a separate document managed by the Committee on En Route Combat Casualty Care (CoERCCC).
TACEVAC Guidelines can be found in the En Route Care Collection on Deployed Medicine.
* The term “Tactical Evacuation” includes both Casualty Evacuation (CASEVAC) and Medical Evacuation (MEDEVAC) as defined in Joint Publication 4-02.
a. Tactical force personnel should establish evacuation point security and stage
casualties for evacuation.
b. Tactical force personnel or the medic should communicate patient information and status to TACEVAC personnel as clearly as possible. The minimum information communicated should include stable or unstable, injuries identified, and treatments rendered.
c. TACEVAC personnel should stage casualties on evacuation platforms as required.
d. Secure casualties in the evacuation platform in accordance with unit policies, platform configurations and safety requirements.
e. TACEVAC medical personnel should re-assess casualties and re-evaluate all injuries and previous interventions.
Endotracheal intubation may be considered in lieu of cricothyroidotomy if trained.
Most combat casualties do not require supplemental oxygen, but administration of oxygen may be of benefit for the following types of casualties:
(same as Tactical Field Care)
Casualties with torso trauma or polytrauma who have no pulse or respirations during TACEVAC should have bilateral needle decompression performed to ensure they do not have a tension pneumothorax. The procedure is the same as described in Section (4a) above.
CPR may be attempted during this phase of care if the casualty does not have obviously fatal wounds and will be arriving at a facility with a surgical capability within a short period of time. CPR should not be done at the expense of compromising the mission or denying lifesaving care to other casualties.
Communicate with the casualty if possible. Encourage, reassure and explain care.
Communicate with medical providers at the next level of care as feasible and relay mechanism of injury, injuries sustained, signs/symptoms, and treatments rendered. Provide additional information as appropriate