UNITED STATES ARMY MEDICAL DEPARTMENT UNIU.S. ARMY SCHOOL OF AVIATION MEDICINE / MEDICAL EVACUATION PROPONENCY DIRECTORATE MEDEVAC STANDING ORDERS AND TREATMENT PROTOCOLS

INTRODUCTION:
This document has been prepared for use by MEDEVAC commanders and their subordinate unit flight
surgeons, emergency medical services (EMS) physician advisors and flight medical aidmen (FMA), who
are engaged in the conduct of aeromedical evacuation (MEDEVAC) and air medical transport (AMT)
operations. By their nature, such operations may be wide in scope, involving the care of service members
and military beneficiaries, as well as civilian emergency patients under the Military Assistance to Safety
and Traffic (MAST) program.
In accordance with TC 1-212 and its subsequent additions, the MEDEVAC commander is charged with
“establishing written unit medical standing orders and treatment protocols. These protocols should be in
cooperation with the unit's wartime mission, peace operations, local EMS, and flight surgeon's directives.”
This product has been developed and disseminated in an effort to support individual MEDEVAC units in
establishing or intermittently reviewing the aforementioned unit protocol manuals. This template, which
reflects current military emergency medical treatment doctrine and which has undergone aviation and
emergency medicine peer review, provides a concise yet thorough basis from which individual MEDEVAC
units may construct local standing orders / treatment protocol manuals based upon local resources and
mission requirements. Also, by providing a uniform starting point, it is hoped that this template will
encourage greater standardization among all MEDEVAC units with regard to basic medical care and
services rendered, thus establishing a uniform standard of high quality en route care for wounded, injured
and ill patients, both military and civilian.
Original development and field testing of this template is credited to personnel serving with the 571st
Medical Company (AA), Fort Carson, Colorado. Its format includes subparagraphs delineating standing
orders and treatment protocols at both basic and advanced life support levels of care, making this document
uniquely adaptable to units with a wide range of capabilities and mission requirements. It was adapted for
general use and received peer review by military emergency medicine and aviation medicine subject matter
experts from Brooke Army Medical Center (BAMC), the United States Army School of Aviation Medicine
(USASAM), and the Office of Consultants to the Surgeon General.
It is our sincerest hope that this document will aid MEDEVAC commanders, their medical advisors and
flight medical aidmen in the conduct of their mission: to provide dedicated and unhesitating service to our
fighting forces. In closing, we wish you Godspeed, a safe journey and a good outcome for the patients in
your care.