[Music] when the casualty occurs a series of steps and efforts are made to make sure the casualty gets the care they need casualty organization and transportation is a critical step to avoiding further injury or death today we will go over the concepts of casually evacuation or cavac and medical evacuation or metac and the casualty collection point a medac is an evacuation platform that is designated equipped manned and marked to conduct evacuation of patients with in route Medical Care they are protected by the Geneva Convention and are not considered to be Battlefield targets conversely they cannot be used to conduct other missions other than metac while marked kavac is the evacuation of casualties aboard non-med vehicles or aircraft without dedic ated INR Medical Care it could also include Movement by litter or other carry methods this kind of movement is likely to occur close to the point of injury especially in cases of less significant casualties by its nature medac platforms are restricted by their ability to Traverse terrain and their limited number and cannot reliably be the first movement vehicle kazac has inherent restrictions First enot Care is not not likely to be available as unit medical staff should stay with the unit to provide continuing life saving support however units May desde to task a provider for the transport when they see fit second casbac platforms do not feature medical equipment to provide or continue care and Route third most Army platforms are not designed to carry casualties so even when in root care is available it may not be effective fourth there may be competing requirements for the kazac platform so units need to understand where platforms are and what they are tasked with in some situations commanders May task platforms to be on standby not available for other taskings finally cavac platforms are not afforded Geneva Convention protections and are considered Targets on the battlefield though this also means that the platform can protect itself with mounted Cru served weapons as the commander sees fit there are three levels of CAC distinguished by their planning and resourcing first is dedicated casbac where there are Vehicles identified and reserved for the mission this will also include dedicated Crews and Equipment who are not tasked with other missions this level should be used when casually rates are expected to exceed local Medevac capacities and should be rehearsed second is designated casbac where vehicles and crews are identified to conduct the evacuation Mission as a secondary task in a contingency the crew must be briefed of this task and they should be prepared to conduct it third is platform of opportunity where any given platform can perform the mission this is high risk as the platform may not be prepared for the role resulting in additional injury or mortality in some situations though it is preferable to transport casualties from the point of injury to the point of care that is rarely feasible the first stop in the initial litter carry is usually the casualty collection point or CCP the CCP is a pre-coordinated point at Echelon where leaders will Evacuate the patients at their Echelon the CCP should be managed by a medic or combat Lifesaver who will triage casualties for care and transportation they should be planned at locations that are convenient for both air and ground transportation but not too far from Mission locations from the CCP casualties are either cazac to the next level CCP a field Hospital an ambulance exchange point or will be directly medevaced CCP operations should be a standard operating procedure event for every unit trained and rehearsed with frequency the location of the CCP should be known by every Soldier and where possible evacuation to the CCP should be rehearsed before admission where possible unit should manage Transportation process to maximize the use of metac for higher priority patients and use kavac for milder cases it is important to Trias Transportation wisely to provide effective and efficient care additionally remains of deceased casualties should not be transported by medac or cavac there are six to eight ground medac ambulances supporting the typical infantry battalion of 500 soldiers and 15 metac aircraft at the Aviation Brigade supporting the vision of over 15,000 soldiers this difference in number is significant demonstrating the importance of kvac and CCP operations in large scale combat operations for more on casualty and medical evacuation I encourage you to review ATP 4-22 and 4-21 3 both available on Army pubs army.mil