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JTF HSS LAYDOWN

JTF HSS LAYDOWN. Current total joint force: 12,585 Clark AB: Level I HSS: FLAS (GMO, 3 HMs ) USAF Aid Staion (3 Mos /4 Paramedics ) Camp Aguinaldo/ Villamor AB: Level I HSS EMPU 6 Tacloban: Aussie Field Hospital Role 3 US BAS Role 1 CRG Role 1 Guiuan : Level I HSS:

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JTF HSS LAYDOWN

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  1. JTF HSS LAYDOWN Current total joint force: 12,585 Clark AB: Level I HSS: FLAS (GMO, 3 HMs) USAF Aid Staion (3 Mos/4 Paramedics) Camp Aguinaldo/VillamorAB: Level I HSS EMPU 6 Tacloban: Aussie Field Hospital Role 3 US BAS Role 1 CRG Role 1 Guiuan: Level I HSS: Sea Based: GW: Role 2 surgical; casevac ASH: Role 2 non-surg ATLS 1 1 2 2 3 4 5 6 5 4 6 3 CASEVAC NODES Role 2 or higher

  2. OPERATION DAMAYAN CASEVAC COMM FLOW Is injury in southern AO? Does PT need to leave AO? JFLCC CE MEDICAL REGULATOR TO CONTACT ISOS AND UTILIZE HN MTF NO 1 9 Line POI: HM/PltCdr calls in 9 line to JTF MED REG If injury is in southern AO, MEDREGO relays 9 line to CASEVAC COORD CASEVAC COORD coordinates lift to TACLOBAN AF CASEVAC COORD relays request for lift to Manila to MEDREGOwho coordinates pick up and delivery from Tacloban to Manila via ISOS or stratlift MEDREGO coordinates ground transportation in Manilla to HN MTF If required, MEDREGO coordinates evac out of RP to Okinawa via ISOS (ISOS will provide TPMRC located in Okinawa first right of refusal to transport patient. If TPMRC unable to support, ISOS will provide transportation. 1 YES; Direct Comms to: 5 2 POI 2 UPON arrangement of transportation to TACLOBAN AF, CASEVAC COORDINATORS will: Contact JFLCC MEDREG to arrange transportation to Makati Medical 3 4 4 JFLCC CASEVAC COORD: MEU MED PLNR JFMCC CASEVAC COORD: FST MRCO Coordinate patient movement to appropriate level of care within AO JFLCC CE: MEDICAL REGULATOR JFLCC CASEVAC COORDINATOR AT TACLOBAN AF 3 5 YES: Coordinate transport to Tacloban for flight NO Report status to JFLCC CE MEDREG

  3. OPERATION DAMAYAN CASEVAC CEBU (with alternate options) PRIMARY SECONDARY MAKATI Medical Center 8888 999 Level III CIVILIAN MEDICAL CARE ANYWHERE IN THE PHILIPPINES URGENT OR NON URGENT CALL: 02.687.0909/0999 ISOS 1:30 USNH Okinawa/USA Tripler Medical Center Level IV :35 :45 Fleet Surgical Team (Level II emergency stabilization) Israeli Defense Force Role III field hospital Located in Northern Cebu is additional option for LLE beyond listed capabilities LLE HSS: Australian (CIV) Role II field hospital TACLOBAN AIR FIELD 09166739342 USS George Washington CVN 73 Level II Surgical Capability 3:00* :XX** 3:00* * = Round trip flight times ** = POD unknown Cebu

  4. OPERATION DAMAYAN CASEVAC Tacloban PRIMARY SECONDARY MAKATI Medical Center 8888 999 Level III CIVILIAN MEDICAL CARE ANYWHERE IN THE PHILIPPINES URGENT OR NON URGENT CALL: 02.687.0909/0999 ISOS USNH Okinawa/USA Tripler Medical Center Level IV 1:30 Israeli Defense Force Role III field hospital Located in Northern Cebu is additional option for LLE beyond listed capabilities LLE HSS: Australian (CIV) Role II field hospital TACLOBAN AIR FIELD 09166739342 Tacloban

  5. OPERATION DAMAYAN CASEVAC Guiuan (with alternate options) PRIMARY SECONDARY MAKATI Medical Center 8888 999 Level III CIVILIAN MEDICAL CARE ANYWHERE IN THE PHILIPPINES URGENT OR NON URGENT CALL: 02.687.0909/0999 ISOS 1:30 USNH Okinawa/USA Tripler Medical Center Level IV :45* :45 Fleet Surgical Team (Level II emergency stabilization) Israeli Defense Force Role III field hospital Located in Northern Cebu is additional option for LLE beyond listed capabilities LLE HSS: Australian (CIV) Role II field hospital TACLOBAN AIR FIELD 09166739342 USS George Washington CVN 73 Level II Surgical Capability :35* :XX** :30* Guiuan * = Round trip flight times ** = POD unknown

  6. OPERATION DAMAYAN CASEVAC Ormoc City (with alternate locations) PRIMARY SECONDARY MAKATI Medical Center 8888 999 Level III CIVILIAN MEDICAL CARE ANYWHERE IN THE PHILIPPINES URGENT OR NON URGENT CALL: 02.687.0909/0999 ISOS 1:30 USNH Okinawa/USA Tripler Medical Center Level IV :15 :45 Fleet Surgical Team (Level II emergency stabilization) Israeli Defense Force Role III field hospital Located in Northern Cebu is additional option for LLE beyond listed capabilities LLE HSS: Australian (CIV) Role II field hospital TACLOBAN AIR FIELD 09166739342 USS George Washington CVN 73 Level II Surgical Capability :60* :XX** :60* * = Round trip flight times ** = POD unknown Ormoc City

  7. OPERATION DAMAYAN CASEVAC CLARK AB PRIMARY SECONDARY MAKATI Medical Center 8888 999 Level III ISOS USNH Okinawa/USA Tripler Medical Center Level IV ISOS :20 Sacred Heart Medical Center 045-624-5606 Level III CIVILIAN MEDICAL CARE ANYWHERE IN THE PHILIPPINES URGENT OR NON URGENT CALL: 02.687.0909/0999 ISOS Clark AFB Level I

  8. OPERATION DAMAYAN CASEVAC CAMP AQUINALDO AND VILLAMOR AB PRIMARY SECONDARY MAKATI Medical Center 8888 999 Level III ISOS USNH Okinawa/USA Tripler Medical Center Level IV :20 :20 CIVILIAN MEDICAL CARE ANYWHERE IN THE PHILIPPINES URGENT OR NON URGENT CALL: 02.687.0909/0999 Camp Aquinaldo Level I Villamor AB Level I

  9. OP DAMAYAN PATIENT MOVEMENT CONOPS • All patients requiring emergency care within AO of Tacloban and Cebu will be evacuated via stratlift air to Role 2 HSS elements located afloat and ashore. Due to effects of typhoons on routes and roadways, ground transportation may not be advisable. Use of tactical vehicles and stratlift will be necessary to support patient evacuation to ground based or sea based Role 2 facilities. Within the AO of Tacloban and Cebu the JTF approved Role 2 facilities will include: USMC Shock Trauma Platoon, USN Fleet Surgical Team aboard amphibious shipping, USN surgical team aboard USS George Washington (CVN-73), and an Australian (civilian) field hospital (to be used in cases of LLE). Coordination with the Australian field hospital use will be done through JFLCC LCE BAS/STP unit in Tacloban. Additionally, a Role 3 Israeli Defense Force (IDF) field hospital is located in Bogo City (north of Cebu) and has also been approved for JTF forces use (pending assignment of US DoD LNO). • All patients requiring emergency care within AO of Camp Aquinaldo, Villamor AB, and Clark AB will be evacuated to nearest requisite echelon of care via ground transportation provided by HN MTF coordinated through ISOS. Tactical vehicles use should only be used as a last resort. • AIR CASEVAC. CASEVAC by air will be requested for urgent patient movement. Air CASEVAC (R/W) will be available IVO Tacloban, Villamor AB, and Clark AB. RW assets aboard naval shipping (USS George Washington and amphibious shipping), 1st MAW Det (Clark) and MEU ACE assets provide organic air evacuation service support to the JTF and subordinate elements. • AEROMEDICAL EVACUATION out of JTF AO will be requested via JTF SGN and coordinated using ISOS unless dedicated AE assets are assigned. • RETURN TO DUTY (RTD). Patients that are not expected to return to duty within 72 hours will be strategically evacuated from the AO. Patients will be evacuated directly to the closest U.S. military or HN MTF capable of providing a higher level of treatment. Depending on medical condition, the patient may alternatively be returned to the sourcing Command. Patients requiring higher levels of care will be stabilized prior to evacuation. • MEDICAL REGULATING. Overall medical regulating will be the responsibility of the JTF SGN. JFLCC will be tasked to provide patient movement and medical regulating for JTF forces. JFLCC medical regulators (located in the JFLCC CE) will oversee all patient movement and medical regulating responsibilities. JFLCC will appoint CASEVAC coordinators IVO Tacloban airfield. JFMCC will appoint a CASEVAC coordinator IVO Tacloban AO. The JFLCC and JFMCC coordinators shall be collocated aboard amphibious shipping. JFLCC and JFMCC coordinators IVO Tacloban will coordinate patient movements in that AO and coordinate with JFLCC CE medical regulators for movement/regulating to Makati Medical and out of theater (via ISOS) as required.

  10. OP DAMAYAN CASEVAC Plan • For CASEVAC, send 9-line CASEVAC request to JFLCC Medical Regulator in JFLCC CE for disposition. If patient is in southern AO, coordination will be transferred to JFLCC and JFMCC CASEVAC coordination cell located on amphib shipping. For CASEVAC issues in northern AO, JFLCC Medical Regulator will coordinate. The JFLCC Medical Regulator can be reached at: +XXXXXXXXXXX. • Evacuate by HN MTF ground ambulance (obtain by calling ISOS) in most cases in northern AO (Clark AB, Manilla) and by RW/FW stratlift in southern AO (Tacloban, Cebu, Guiuan). • JFLCC/JFMCC CASEVAC coordinators will coordinate patient movement to appropriate HSS components and report/request higher level of care movement to JFLCC Medical Regulator. • JFLCC Medical Regulator will oversee all patient movements and coordinate all movements needed from the southern AO to Makati medical and out of AO as needed. This coordination will done using stratlift and ISOS as needed. • Suspected snake bites will be evacuated to XXXXXXXXXX for evaluation and administration of anti-venin. • U.S. blood will be staged at XXXXXXXXX in XXXXXXXXXXX AO.

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