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NEWS | May 26, 2022

Idaho Army Guard conducts joint medevac, casualty training

By Crystal Farris, Idaho Army National Guard

BOISE, Idaho – Medics from the Idaho Army National Guard’s Headquarters and Headquarters Battery, 1st of the 148th Field Artillery Regiment, conducted air medical evacuation and casualty treatment training at the Orchard Combat Training Center May 17.

The training was supported by members of Detachment 1, Company Golf, 1st of the 168th General Support Aviation Battalion, and several of its UH-60 Black Hawks, providing 20 field artillery medics practice in air medevac scenarios during their two-week annual training.

“I learned to stay calm and let the training I received in school take over,” said Spc. Regan Esplin, a 1-148th FAR medic. “I love being a medic, all the training that goes with it and everything about trauma medicine because it’s very immediate and the reward is you know how to save someone’s life. These kinds of experiences are crazy, and not a lot of people get paid to treat casualties in a combat environment.”

The event was Esplin’s first annual training with the battalion and a first opportunity to train with flight crews after graduating from the U.S. Army’s 68W Combat Medic Advanced Individual Training in 2021. She administered an IV and assisted other combat medics in stabilizing a patient.

Combat medics and flight teams loaded “patients” into UH-60 Black Hawks for evacuation to a Role 1 treatment facility. The medics offloaded patients from the aircraft and evaluated, treated and stabilized them by administering tourniquets, IVs and ventilators.

“Training with medic and flight teams enables us to see how ready we are to respond to real-world situations and also make sure our newer medics get exposure to those situations in a tactical training environment first,” said Capt. David McDonald, a 1-148th FAR medical provider. “Depending on the situation, we may need to call in air medevac teams to transport our injured over long distances on the battlefield.”

In a tactical environment, the medical unit provides Role 1 care, which is the treatment a patient receives before surgical intervention, including self-aid, buddy-aid, tactical combat casualty care, tactical evacuation and medical evacuation, McDonald said.

When deployed in a tactical environment with the 116th Cavalry Brigade Combat Team, the battalion would coordinate the evacuation of patients to a Role 2 medical station provided by the brigade’s Company Charlie, 145th Brigade Support Battalion. The Role 2 station offers surgeons, nurses, a pharmacy and short-term care.

The training is important to help combat medics become comfortable around aircraft, said 1st Lt. Katherine Smith, executive officer with the medevac detachment. Members of her unit also train with combat medics so they understand each other’s operating procedures.

“Different types of units that work together have to understand how the other operates,” said Smith. “In this case, the 1-148th combat medics need to understand how our pilots come into a landing zone and handoff a patient. What we need to know from them is at what point those medics need our assets to supplement that continuum of medical care.”