At the initiation of the conflicts after 9/11, Army Aeromedical Evacuation units were staffed with one medical provider for en route care.
Because medics were not trained in en route care, another medical provider, ie, physician, physician assistant, or critical care nurse, would have to accompany the patient during medical evacuation.
That is the foundation for our en route care of providing that initial stabilization forward.
The Army and the Navy do not do that strategic and operational en route care.
Joint doctrine provides that battlefield casualties flow through five phases of treatment: first responder, forward resuscitative surgery, theater hospitalization, en route care
, and care outside the theater.
Many advances in medical care have been and are continuing to be made as a result of wars and conflicts--management of shock, psychology of combat stress, blood transfusions, resuscitation, behavioral health, and en route care
just to name a few.
By 2006, the Army developed the Joint En Route Care
Course (JECC) to provide "concise, realistic, relevant, and current training on en route trauma transport to care providers involved in" medical evacuation operations.
In their article, MAJ Scott Davis and COL Linda Connelly look at Army Nursing involvement with airborne en route care
, developing their discussion from an historical perspective.
En route care
occurs between levels II and III, and beyond--level III to level III, and out of theater, involving Air Force evacuation airplanes.
The intratheater patient movement and en route care
during medical evacuation occurs at the battlefront (tactical), between echelons of care (level II and level III) within the theater (operational), and during intertheater transfers (strategic).
Such initiatives included reevaluation of the initial fluid resuscitation of burn casualties, as well as continued resuscitation during en route care
19) A rugged, hands-free, high-fidelity voice recorder was considered as an effective entry-level mechanism for capturing the PCCR data that compose the DA 7656/TCCC card, as well as follow-on treatment interventions at forward resuscitative surgery and during en route care