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d. Level IV. In level IV care the patient is treated in a hospital staffed and equipped for general and
specialized medical procedures.
6-3. BATTLEFIELD CASUALTY EVACUATION STRUCTURE
Evacuation of casualties on the battlefield begins with the individual unit. The tiered MEDEVAC system
begins at company level. Each successive level provides more life sustaining care. Utility helicopters will
interact with this system to ensure that casualties are moved from the fight to medical aid as quickly as
FM 1-113 Chapter 6
6-2
possible. Figure 6-1 shows the division medical structure.
a. Company Level Care. Company first sergeants and Xos are normally given responsibility to
coordinate CASEVAC for the company. The first sergeant ensures that combat lifesavers have the
required equipment on hand, and that company transportation, if available, is prepared to move
casualties.
b. Battalion Level Care. Each maneuver battalion contains a medical platoon. If the situation dictates,
the battalion aid station may split into two treatment teams. One team is headed by the battalion
surgeon and the other by the battalion physician's assistant. These two teams, called the MAS and FAS
can operate independently for up to 24 hours. The medical platoon has an ambulance section that has
the responsibility of going forward to the maneuver companies and picking up casualties. They
transport these casualties from the company collection point to the battalion MAS or the battalion FAS.
Battalions may be augmented with a team from the ambulance section of the brigade FSMC.
Legend: See the glossary for acronyms and abbreviations.
Figure 6-1. Division medical structure
(1) The MAS consists of the battalion surgeon, medics, and ambulances. At this location patients
are evaluated, treated for immediate life sustaining care, and stabilized for transport to a higher
level treatment facility. Equipment assigned to the MAS will vary depending on the type of
battalion.
(2) The FAS is set up identical to the MAS, except that the primary care provider at the FAS is
the battalion PA. It is equipped just as the MAS is and provides the same function.
(3) The MAS and FAS provide the battalion with two Level I medical care facilities. They
normally operate in a "leapfrogging" mode. As the battle moves, the MAS and FAS will move to
remain in support of the battalion. As one facility sets, the other will move forward of it
(leapfrogging). This allows the maneuver battalion to sustain the tempo of the attack without loss
of medical care. Additionally, if the battalion loses one aid station they continue to have a
medical treatment facility.
FM 1-113 Chapter 6
6-3
c. Brigade Level Care. Casualties are moved from the battalion MAS and FAS to the FSMC located at
the BSA. Battalion assets are responsible for transferring patients from the battalion aid stations to
AXPs, where responsibility is passed to the brigade medical assets.
(1) Ambulance exchange point. An AXP is a location where casualties are transferred from the
battalion to the brigade ambulances. AXPs will be designated in the OPORD under the service
support annex. AXPs will be activated and deactivated based on the current situation on the
battlefield. The brigade medical company will position ambulances from the ambulance platoon
at the AXPs to accept casualties from the battalion. Evacuation will then be to the BSA.
(2) Brigade forward support medical company. The FSMC is located in the BSA. It is a level II
treatment facility. The FSMC will establish an LZ within the BSA specifically for casualty
movement operations.
d. Division Level Care. The division medical care consists of the MSMC. This level II facility is
located in the DSA. Like the medical company in the BSA, this company will establish a casualty LZ
located in the vicinity of the medical hospital.
6-4. UTILITY AND CARGO HELICOPTER CASUALTY EVACUATION CAPABILITIES
a. UH-60s. UH-60s can provide CASEVAC support to the brigade and division. The number of
casualties that can be transported by the UH-60 varies depending on aircraft con-figuration, such as
seats in or seats out and other equipment that may be on board the aircraft. Additionally, the severity of
the wounds of the casualties, as determined by the company combat lifesavers or battalion medics, may
determine the ACL for the UH-60 for particular missions. UH-60s can expect to be used as far forward
as possible to evacuate casualties to the battalion aid stations (MAS/FAS) or the FSB medical
company.
b. CH-47s. CH-47s can be used for CASEVAC using several different configurations.
(1) Seats folded. With seats folded up, the number of casualties that can be transported is
dependent on the type of casualty (ambulatory versus litter) and the severity of the injuries and
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