The Navy and Marine Corps do not have the dedicated equipment or personnel to properly transport their wounded from the point of injury to definitive care. Years of fighting in the desert, where other service assets are readily available to fill this critical role, have hidden the problem from senior naval leaders. But in a high-end war at sea, for instance in the Pacific, this gap in capability will become acute and could cost the lives of Marines and sailors.
1. U.S. Marine Corps, Field Medical Training Battalion Manual, 1-127.
2. U.S. Joint Chiefs of Staff, Joint Publication 4-02: Joint Health Services, 28 September 2018, I-5. Naval Tactics and Training Publication 4-02.2M, Marine Corps Reference Publication 3-40A.7 (Formerly 4.-11.1G), 2-2 through 2-4, and 4.1.2.
3. Hannah Pham, Yana Puckett, and Sharmila Dissanaike, “Faster On-Scene Times Associated with Decreased Mortality in Helicopter Emergency Medical Services (HEMS) Transported Trauma Patients,” paper presented at the American Association for the Surgery of Trauma 76th Annual Meeting, Baltimore, MD, 9–12 September 2017.
4. U.S. Navy, NTTP 3-50.1: Navy Search and Rescue Manual, 7–4, 7.3 Medical Direction.
5. U.S. Navy, “UH-1Y NATOPS,” NAVAIR Instruction 01-110HCG-1.
6. Bhadra Sharma, “U.S. Military Wraps Up Relief Effort for Nepal Earthquake,” The New York Times, 21 May 2015.
7. U.S. Marine Corps, “Marine Aircraft Group 39 Mission Essential Task List,” “HMLA (Core) Mission Essential Task List,” “MAW (Core) Mission Essential Task List,” “VMM (Core) Mission Essential Task List.”
8. U.S. Navy, Navy Air Tactics, Techniques, and Procedures Publication (NTTP 3-22.3); U.S. Navy, “NAVMC 3500.14D: Aviation Training and Readiness,” 2–82, EVAC-3206.
9. NTTP 3-50.1, 7–4, 7.3.