FM 3-34.22 - Army Electronic Publications & Forms - U.S. Army

Sustainment Support for Engineer Operations
the combat medic, assisted by first aid (self-aid or buddy aid), advanced first aid (combat lifesaver), and
the supporting Role 1 MTF (battalion aid station or treatment team). When Role 1 MTF capability is not
present in a unit, it is provided on an area support basis by the supporting Role 1 or Role 2 medical unit or
element. The engineer company receives Role 1 medical support from the BSTB or BSMC. The engineer
company receives Role 2 medical support from a BSMC or an area support medical company, depending
on its unit of attachment.
Combat Lifesavers
8-64. Combat lifesaver and buddy aid are crucial to sustaining HSS. The combat lifesaver is almost always
the first person on the scene to begin the process of providing enhanced first aid to wounded and injured
personnel. The combat lifesaver is a nonmedical Soldier trained to provide enhanced first aid and
lifesaving procedures beyond the self-aid or buddy aid level. The combat lifesaver is not intended to take
the place of medical personnel, but to slow the deterioration of a wounded Soldier’s condition until
medical personnel arrive. Each squad-, crew-, or equivalent-size deployable unit has at least one Soldier
who is trained and certified as a combat lifesaver.
Medical Evacuation
8-65. The vehicle commander is responsible for ensuring that injured crewmen receive immediate first aid
and for reporting casualties. Vehicle commanders coordinate with the 1SG and senior medic for ground
evacuation. The evacuation of injured Soldiers is categorized into two types—
� MEDEVAC is the use of ground or air ambulances to evacuate from the point of injury to an
MTF while providing en route care.
� CASEVAC is the use of nonmedical vehicles or other means for patient movement without
providing en route care.
8-66. Medical evacuation elements use the most expedient means available for the MEDEVAC of sick,
injured, or wounded Soldiers. The use of air ambulance is METT-TC-dependent and may not always be
available. Based on mission requirements, the combat aviation brigade, general support aviation battalion
(GSAB) determines where to position the forward support medical evacuation teams (FSMTs) and the
number of HH-60 Black Hawk aircraft in support of a BCT. The brigade aviation element (BAE) and BCT
surgeon coordinate the use and positioning of the FSMT. They integrate air ambulance support
(coordinating AC2 requirements, establishing clear lines of authority to launch a MEDEVAC, and
identifying pickup zones (PZs) and LZs. (See FM 4-02.2 for more information on MEDEVAC.)
8-67. Planners must anticipate the potential of high casualty rates and long evacuation distances while
retaining the flexibility to shift nonstandard evacuation assets to support mass casualty or CASEVAC as
required.
Role 2 Medical Support
8-68. Capabilities at the BSMC duplicate those found at Role 1 MTFs and expand available medical
services by adding operational dental, laboratory, X-ray, patient-holding, behavioral health, and
preventive-medicine capabilities. EMT and ATM are continued. If necessary, additional emergency
measures are instituted; however, these measures do not exceed those dictated by immediate needs. The
forward surgical team (FST) from echelons above division may collocate with the BSMC and provide
emergency resuscitative surgical support. The BSMC examines and evaluates casualty wounds and the
general physical condition to determine treatment and evacuation priorities. The BSMC provides sick-call
services, area medical support, and ground ambulance MEDEVAC support for the engineer company.
PERSONNEL SERVICES
8-69. Personnel services are those sustainment functions related to Soldier welfare, readiness, and quality
of life. The BCT S-1, augmented from higher headquarters, plans and coordinates human resources,
financial management, legal, and religious support. (See FM 1-0, FM 3-90.6, and FMI 1-0.01 for more
information on personnel services in the BCT.)
11 February 2009 FM 3-34.22 8-15