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wounds to the casualties.
(2) Seats down. With seats folded down, the lifting capacity for litter patients will be reduced.
Ambulatory capabilities in this configuration will be 30 seated ambulatory casualties and others
loaded on the floor, as directed by the aircrew.
(3) Litter configuration. CH-47s can be equipped with a litter kit. This kit gives the CH-47 the
capacity to transport 24 litter patients. When set up in the litter configuration, the CH-47 seats are
replaced with six tiers of litters, four litters high.
Note: The litter support kit of the CH-47 consists of the poles and supports only. Litters and tie- down straps
must be provided by the supported unit. The litters must be provided by the medical assets belonging to the
unit the CASEVAC aircraft are supporting.
6-5. BACKHAUL OF CASUALTIES DURING AIR ASSAULT OPERATIONS
a. General. During air assault operations, the AATF staff and aviation battalion plan for the use of
lifting aircraft to backhaul casualties from the LZ. Additionally, the force commander plans for
MEDEVAC aircraft to support his operations. However, flowing MEDEVAC aircraft in during the air
assault may become difficult and conflict with the ongoing operation. In this case, the AATFC and
FM 1-113 Chapter 6
6-4
AMC will plan for CASEVAC operations by the assaulting aircraft. On air assaults with multiple lifts,
the AATF plans for using the lifting aircraft to pick up casualties during successive lifts. On single lift
air assaults, aircraft are designated to remain on standby for CASEVAC operations. These aircraft will
normally stand by at a central location, most likely the PZ, FARP, or established holding area.
b. Mission Planning. The backhaul of casualties on an air assault is a critical mission for the utility
helicopters, and one that requires detailed planning to execute successfully. During the planning stages
of the air assault, the AATF S3, S3 (air), AMC, aviation S3, and LNO must all be involved in the
planning for this operation. If the AATF commander's intent is to backhaul casualties, then the planning
must include the following considerations:
(1) Air assault task force commander's intent. The AATFC must clearly state his intent for
casualty backhaul during the air assault. The AMC must inform the commander of the tradeoff
between using lifting aircraft for backhaul and continuing with the air assault. If the AATF takes
casualties early in an air assault operation, it may become necessary to reduce the amount of
lifting aircraft to accomplish backhaul of casualties. The AATFC should determine the number
of aircraft he can bump from the air assault to pick up casualties. He may decide not to bump any
and conduct all MEDEVAC or CASEVAC after the completion of the air assault, or he may
designate aircraft in each lift (such as the last two aircraft) for backhaul of casualties from the
LZ. It is imperative that the AMC understand the AATFC's intent on casualty backhaul and
advise him on courses of action.
(2) Casualty locations. The AATF should designate an area in the LZ for casualties to be
brought. This will facilitate rapid movement and minimize ground time in the LZ for the aircraft.
Since most air assaults will occur at night, it is critical that the casualty point be designated and
that all members of the AATF know its location. The aircrews, as the arrive at the LZ, will be
able to focus on the casualty point and be prepared to accept casualties.
(3) Signaling. Night operations provide a significant challenge for casualty backhaul operations.
Light signals should be planned so that aircraft arriving at the LZ can be prepared to accept
casualties. For example, a flashlight or chem light coming from the designated LZ casualty
location may indicate that there are casualties to be backhauled. This way the aircrews know that
they must remain on the LZ and be prepared to accept casualties.
(4) Communications. Once established in the LZ, communications on the CAN or a
predesignated radio net can alert the flight of the necessity to backhaul casualties from the LZ.
(5) Designated area for dropping off casualties. The AATF commander must decide where to
transport casualties if they occur during the air assault. During the planning process, the AATFC
should develop a plan for the use of MEDEVAC helicopters. As the lifting aircraft drop off
casualties, they can be loaded on to a MEDEVAC aircraft for transportation to higher level care
facilities. Options include the PZ, the FSMC at the BSA, or another designated area.
Considerations for selecting a casualty collection point should be--
(a) Casualty status. A site should be selected that is secure and has medical personnel
ready to accept casualties.
(b) Aircraft availability. Aircraft conducting casualty backhaul will separate from the
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