Polish Royal Medical Service

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Royal Medical Service
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Minister of Defense	Antoni Macierewicz
Chief of General Staff	General Henryk Szumski
General Commander	General Franciszek Gągor
Inspector of the Medical Service	Lt General Narcyz Bialik
Headquarters	Warsaw

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Active Personnel: 2,000

Planned Personnel: 5,000

Personnel Makeup

Doctors: 250
Surgeons: 250
Anesthesiologists: 250
Nurses: 1,250

 

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Unit	Location	Personnel (Doctors)	Personnel (Surgeons)	Personnel (Anesthesiologists)	Personnel (Nurses)
1st Field Medical Unit	Various Frontlines	40	40	40	100
2nd Field Medical Unit	Various Crisis Zones	40	40	40	100
1st Combat Support Medical Team	Nationwide (Various Units)	20	20	20	60
2nd Combat Support Medical Team	Nationwide (Various Units)	20	20	20	60
1st Rehabilitation and Recovery Unit	Warsaw	10	10	10	40
2nd Rehabilitation and Recovery Unit	Lublin	10	10	10	40
1st Medical Evacuation Unit	Warsaw, Szczecin, Gdańsk	10	10	10	40
2nd Medical Evacuation Unit	Warsaw, Szczecin, Gdańsk	10	10	10	40
Central Military Hospital	Warsaw	20	20	20	162
Military Hospital of Lublin	Lublin	10	10	10	142
Military Hospital of Szczecin	Szczecin	10	10	10	142
Military Hospital of Gdańsk	Gdańsk	10	10	10	142
Veteran Care Center	Nationwide	10	10	10	40
Royal Pharmacy Corps	Warsaw	10	10	10	20
Psychological Operations Unit	Nationwide	10	10	10	10
Medical Research Institute	Warsaw	10	10	10	112

 

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Kingdom of Poland Ministry of National Defense Royal Medical Command​

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Field Medical Units & Combat Support Medical Teams Operational Doctrine​

Document Code: RMC-FMU-CSMT-OPD-01 Effective Date: August 2006 Supersedes: N/A Classification: RESTRICTED (Operational)​

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1. INTRODUCTION​

This doctrine outlines the structure, roles, responsibilities, and operational guidelines for the 1st and 2nd Field Medical Units (FMUs) and 1st and 2nd Combat Support Medical Teams (CSMTs) of the Kingdom of Poland. It ensures medical readiness and support for both domestic and international missions under the authority of the Royal Medical Command (RMC).

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2. MISSION STATEMENT​

Field Medical Units (FMUs): Deliver intermediate-level care in proximity to conflict zones or disaster areas, capable of stabilizing patients, performing surgical interventions, and coordinating medical evacuation.

Combat Support Medical Teams (CSMTs): Provide immediate life-saving care directly to front-line units and ensure rapid casualty triage and evacuation.

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3. ORGANIZATION & STRUCTURE​

3.1. Personnel Composition​

Unit	Doctors	Surgeons	Anesthesiologists	Nurses
1st Field Medical Unit	40	40	40	100
2nd Field Medical Unit	40	40	40	100
1st Combat Support Medical Team	20	20	20	60
2nd Combat Support Medical Team	20	20	20	60

3.2. Operational Assets​

• Jelcz P882 D.53 Modular Medical Trucks
• Rosomak MEDEVAC Armored Vehicles
• Tatra 815 Utility Trucks
• Honker 4x4 Light Vehicles

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4. PEACETIME OPERATIONS​

4.1. Objectives​

• Maintain 100% personnel medical licensure and certification
• Conduct regular drills, exercises, and joint operations with PRLF
• Collaborate with civilian hospitals and emergency services
• Provide disaster relief within national territory

4.2. Readiness Standards​

• FMUs: Deployable within 72 hours
• CSMTs: Deployable within 24 hours

4.3. Logistics & Training​

• Weekly unit status reports to Royal Medical Command
• Monthly simulation and trauma care rotations
• Interoperability training with allied and civil agencies

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5. DEPLOYMENT OPERATIONS​

5.1. Mission Types​

• Wartime battlefield medical operations
• Humanitarian relief and crisis response
• Coalition/national defense missions abroad

5.2. Operational Functions​

Field Medical Units (FMUs)​

• Establish Role 2 or Role 3 field hospitals
• Provide emergency surgeries, diagnostics, recovery
• Coordinate ground/air medevac and field pharmacy
• Deploy with modular units on Jelcz P882 D.53 platforms

Combat Support Medical Teams (CSMTs)​

• Provide front-line Tactical Combat Casualty Care (TCCC)
• Embedded with combat battalions/brigades
• Enable stabilization and triage for rapid evac
• Operate using man-portable gear and Rosomak MEDEVAC vehicles

5.3. Command & Control​

• All units report to Royal Medical Operations Command (RMOC)
• In joint operations, attach under Polish Expeditionary Command or multinational medical task forces

5.4. Legal & Ethical Compliance​

• Full compliance with Geneva Conventions
• Provision of aid to all parties irrespective of allegiance
• Maintain medical neutrality during conflict and crisis

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6. POST-DEPLOYMENT PROCEDURES​

• Complete after-action reviews and lessons-learned reports within 14 days
• Conduct mental health debriefs and reintegration support
• Equipment reconstitution and restock within 30 days
• Revise training and doctrine based on mission feedback

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7. CONTINUITY & MODERNIZATION​

• Annual doctrine review by Royal Medical Doctrine Board
• Integration of digital health records and telemedicine capabilities
• Transition to containerized hospital modules for enhanced mobility

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Signed:

Gen Franciszek Gągor
Chief Medical Officer
Royal Medical Command
Kingdom of Poland

 

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Royal Medical Service Doctrine: Combat Support Medical Team (CSMT) Vehicle Doctrine​

I. Purpose The purpose of this document is to define the standard vehicle allocation, operational deployment, and logistical framework for Combat Support Medical Teams (CSMTs) within the Royal Medical Service of the Kingdom of Poland. This doctrine shall apply during peacetime training, emergency response, and wartime deployments.

II. Scope This doctrine governs the equipping, deployment, and functional usage of all vehicles assigned to CSMTs to ensure rapid mobility, modular care capacity, and seamless integration into broader military operations.

III. Composition of the CSMT Each CSMT consists of approximately 120 personnel, composed of:

• 20 Doctors
• 20 Surgeons
• 20 Anesthesiologists
• 60 Nurses and Support Staff

IV. Vehicle Roles and Assignments Each vehicle within the CSMT fulfills a specific role aligned with operational goals:

1. Personnel Transport
   • Vehicle: Jelcz 442.32 4x4 Troop Carrier
   • Purpose: Transport of medical staff and support personnel
   • Quantity: 3 per team
2. Field Surgery & ICU Modules
   • Vehicle: Jelcz P882 D.53 8x8
   • Purpose: Housing modular surgical units and intensive care units
   • Quantity: 2 per team
3. Power & Water Supply Unit
   • Vehicle: Jelcz 662D.43 6x6
   • Purpose: Carry water tanks, field generators, and power distribution units
   • Quantity: 2 per team
4. Tactical Ambulance (Armored)
   • Vehicle: Rosomak WEM (Woz Ewakuacji Medycznej)
   • Purpose: Evacuation of wounded from forward positions under fire
   • Quantity: 2 per team
5. Light Ambulance (Non-Armored)
   • Vehicle: Mercedes-Benz Sprinter (Military Specification)
   • Purpose: Rear-area medical transport and civilian casualty movement
   • Quantity: 2 per team
6. Medical Supply & Cargo
   • Vehicle: STAR 266M2 or Jelcz 442.32 Cargo Configuration
   • Purpose: Transport of medical consumables, equipment, tents, and field gear
   • Quantity: 2 per team
7. Command and Communications Node
   • Vehicle: Jelcz 662D.43 with Integrated C4I Shelter
   • Purpose: Enable real-time coordination with higher command and rear hospitals
   • Quantity: 1 per team

V. Operational Deployment Guidelines

• CSMTs shall remain mobile and modular. Deployment configuration must allow rapid breakdown and reassembly.
• Vehicles must maintain spacing during convoy to reduce vulnerability.
• Ambulances (Rosomak and Sprinter) are prioritized for rapid medevac and casualty throughput.
• Power and water units must be deployed centrally in base layout for efficiency.
• Command vehicle must establish and maintain secure communications with both frontline and strategic command.

VI. Optional Enhancements

• Unmanned Aerial Vehicles (UAVs) for battlefield reconnaissance and medevac site marking
• Drone-based comms repeater kits for operations in communications-degraded areas
• Jelcz-mounted sterilization unit for use in high-casualty environments

VII. Maintenance and Readiness

• All vehicles shall be maintained to high operational readiness standards.
• Field repair kits and mobile mechanic teams must accompany each CSMT.
• Fuel and spare parts logistics to be integrated into rear-echelon planning.

VIII. Conclusion The effectiveness of a CSMT relies on high mobility, advanced modular medical capability, and integrated logistics. Proper vehicle assignment and doctrinal usage of these platforms ensure that the Kingdom of Poland's medical personnel are ready to save lives under any conditions.

 

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Field Medical Unit Vehicle Doctrine​

Kingdom of Poland
Ministry of Defense
Royal Medical Command​

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1. Overview​

The Field Medical Unit (FMU) is a critical part of the Kingdom of Poland's military medical support system, responsible for providing immediate medical care, stabilizing casualties, and evacuating them from the battlefield or crisis zones to higher-level medical facilities. This doctrine outlines the role, operation, and vehicle assignments for the FMU in peacetime and combat operations. The vehicles supporting the FMU must ensure rapid mobility, effective casualty evacuation, and the delivery of medical supplies to frontlines in both conventional warfare and peacekeeping missions.

The vehicles detailed within this doctrine are allocated to specific roles within the Field Medical Units, ensuring seamless operations on the battlefield. These vehicles provide direct medical support, enable rapid evacuation, and supply medical infrastructure where it is most needed.

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2. Vehicle Requirements and Roles​

The FMU requires various vehicles for specialized functions, such as casualty evacuation, logistics support, and command and control operations. These vehicles must be capable of performing multiple roles under the dynamic conditions of a battlefield or crisis zone.

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2.1 Casualty Evacuation Vehicles​

Role:
Casualty evacuation vehicles are designed to transport casualties from the frontlines to a treatment facility while providing essential care en route. These vehicles need to be armored for protection and equipped with medical equipment for stabilization.

Vehicle Requirements:

• Capacity: Able to carry multiple casualties, including medical personnel for treatment.
  
  
• Protection: Armored to protect the occupants from small arms fire and shrapnel.
  
  
• Mobility: Must be capable of navigating difficult terrain and ensuring timely movement.
  
  
• Medical Equipment: Must be equipped with basic medical supplies for casualty stabilization.

Recommended Vehicles:

• KTO Rosomak WEM (Woz Apteczny – Medical Vehicle):
  • Quantity: 12 vehicles
    
    
  • Role: This armored vehicle is designed specifically for casualty evacuation and treatment. It carries up to 5 casualties and is equipped with advanced medical facilities for triage, stabilization, and initial treatment.
    
    
  • Placement: Stationed in areas with heavy combat activity or where rapid evacuation is required. Deployed in support of front-line operations and strategic rear medical hubs.
• KTO Rys:
  • Quantity: 10 vehicles
    
    
  • Role: A smaller, more maneuverable armored vehicle designed for rapid evacuation and triage in urban or confined environments. It can carry 2-3 casualties and is used for light, rapid evacuations in more mobile units.
    
    
  • Placement: Deployed in urban warfare zones, where agility and quick response are critical, and for evacuating casualties from more volatile or congested environments.

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2.2 Field Ambulance Vehicles​

Role:
Field ambulances are used for transporting medical personnel, equipment, and casualties to various points along the evacuation chain, such as forward operating bases (FOBs) or mobile field hospitals.

Vehicle Requirements:

• Cargo Capacity: Adequate room for medical equipment, field kits, and supplies.
  
  
• Armor Protection: Basic armor or ballistic protection.
  
  
• Speed and Agility: Vehicles should be capable of moving through rugged terrain and under fire to quickly respond to frontline needs.

Recommended Vehicles:

• Jelcz P882 D.53:
  • Quantity: 10 vehicles
    
    
  • Role: A large, 8x8 cargo vehicle with ample space for medical logistics and personnel. It can carry medical teams and supplies and support large casualty evacuations.
    
    
  • Placement: Deployed at rear medical facilities or as part of a medical convoy supporting front-line medical operations.
• Iveco M40.12WM
  • Quantity: 15 vehicles
    
    
  • Role: This vehicle is highly mobile, capable of moving swiftly through difficult terrains while transporting small medical teams and supplies.
    
    
  • Placement: Used in more mobile scenarios, where speed is critical for delivering medical teams or supplies quickly.

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2.3 Medical Logistics Vehicles​

Role:
Medical logistics vehicles transport medical supplies, such as medications, equipment, and spare parts, to the frontlines or evacuation points. They ensure that medical infrastructure is replenished and operational.

Vehicle Requirements:

• Cargo Space: Large cargo compartments for medical materials and field equipment.
  
  
• Mobility: Must be capable of accessing remote or difficult areas where medical resources are in high demand.
  
  
• Durability: The vehicle should be able to operate in harsh weather conditions and provide reliable service for extended periods.

Recommended Vehicles:

• Jelcz P882 D.53:
  • Quantity: 5 vehicles
    
    
  • Role: Primary vehicle for transporting medical logistics and supplies.
    
    
  • Placement: Assigned to central medical hubs and resupply points along the evacuation route, ensuring that supplies are distributed to frontline medical teams.
• Tatra 815:
  • Quantity: 5 vehicles
    
    
  • Role: Used for heavier logistical tasks, such as transporting larger medical equipment, field hospitals, or bulk supplies.
    
    
  • Placement: Assigned to remote operational zones where heavy equipment needs to be delivered or medical facilities need to be set up.

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2.4 Command and Communications Vehicles​

Role:
Command vehicles provide leadership and coordination for medical units. These vehicles are equipped with communication systems and allow commanders to manage operations, coordinate with military units, and provide reports to higher command.

Vehicle Requirements:

• Communication Systems: Equipped with secure radios and satellite systems.
  
  
• Command and Control: Space for personnel to monitor and manage medical operations in the field.
  
  
• Mobility: Capable of keeping up with the movement of medical teams and providing leadership in the field.

Recommended Vehicles:

• Jelcz 6x6 or 8x8 Command Vehicles:
  • Quantity: 5 vehicles
    
    
  • Role: Command vehicles with necessary communication systems and space for medical and military commanders to oversee operations.
    
    
  • Placement: Deployed in rear medical bases or forward command posts, depending on operational needs.

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3. Vehicle Integration and Placement​

The vehicles listed above are part of a Field Medical Unit vehicle fleet, which is strategically positioned to maximize efficiency and meet the operational needs of the medical support system. Their placement is based on the anticipated deployment scenarios and the operational structure of the FMU.

1. Field Medical Units (FMU) are typically deployed in support of front-line operations. The KTO Rosomak WEM and KTO Rys vehicles provide casualty evacuation and triage services, while Jelcz P882 D.53 and Tatra 815 vehicles handle logistics and supply operations.
   • Total number of vehicles per FMU deployment: 50 vehicles.
2. Medical Convoys will be established to carry medical logistics, evacuate casualties, and deliver medical personnel and equipment to different zones. These convoys will be mobile and responsive to evolving battlefield conditions.
   • Total number of vehicles per medical convoy: 10-20 vehicles.

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4. Operations and Deployment Procedures​

The Field Medical Units and their assigned vehicles will follow established operational procedures during both peacetime readiness and deployment:

4.1 Pre-deployment Operations:

• Vehicles undergo routine maintenance to ensure that all systems are fully operational.
  
  
• Personnel are trained in vehicle operation, especially in combat environments where speed and adaptability are critical.

4.2 Deployment Operations:

• Vehicles are deployed to strategic locations based on operational requirements, ensuring that casualty evacuation routes and supply chains are established.
  
  
• Casualty evacuation vehicles like the KTO Rosomak WEM will be stationed at forward medical posts, while Jelcz P882 D.53 and Tatra 815 vehicles are positioned for resupply and reinforcement of forward teams.

4.3 Post-deployment Procedures:

• Vehicles undergo post-operation maintenance, checking for any damage or mechanical issues.
  
  
• Medical units conduct debriefs to evaluate operational success and refine future deployment strategies.

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5. Conclusion​

The integration of advanced vehicles such as the KTO Rosomak WEM, KTO Rys, Jelcz P882 D.53, and Tatra 815 ensures that the Kingdom of Poland’s Field Medical Units maintain a high level of readiness, mobility, and effectiveness during combat and crisis operations. These vehicles play a crucial role in casualty evacuation, medical logistics, and command and control operations, ensuring that the Kingdom of Poland can provide critical medical support in any operational environment.

 

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Modular Container Design for Mobile Field Hospitals​

Purpose:
The modular containers are designed to be compatible with the Jelcz P882 D.53 vehicle, which serves as the transport base for these mobile field hospitals. These containers will allow for flexible and scalable medical operations in the field, providing comprehensive healthcare services from triage and emergency care to surgical operations, recovery, and stabilization of casualties.

Each container will serve a specific medical function, and they will be able to be deployed and stacked efficiently on the Jelcz P882 D.53 chassis. The modules will be easy to transport, durable, and capable of maintaining a controlled environment for medical operations.

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1. Modular Container Specifications​

1.1 General Design Principles​

• Dimensions: Each modular container will fit within the standard cargo capacity of the Jelcz P882 D.53, ensuring ease of loading, unloading, and transport. The dimensions of each module will be 6 meters long, 2.5 meters wide, and 2.5 meters high (L x W x H).
  
  
• Construction: High-strength, lightweight, weather-resistant materials (e.g., aluminum alloy or reinforced composite materials) for durability and ease of handling.
  
  
• Transport Compatibility: Designed to be stackable, with a secure latching system for safe transportation.
  
  
• Mobility: Equipped with reinforced handles or lifting points to allow for easy offloading using cranes or forklift trucks when deployed.
  
  
• Interconnectivity: Modules will include waterproof, dustproof, and insulated connections for electrical power, water, and ventilation, ensuring self-sufficiency in the field.
  

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2. Individual Module Designs​

2.1 Triage and Initial Care Module​

• Purpose: The Triage Module serves as the first point of contact for casualties, where initial assessments, stabilization, and minor treatments are performed.
  
  
• Key Features:
  
  • Triage Stations: 4-6 triage beds equipped with basic monitoring and medical supplies.
    
    
  • Storage: Cabinets for medical equipment, such as bandages, oxygen tanks, IV fluids, and pain relievers.
    
    
  • Workstations: Desk space for medical personnel to assess and categorize casualties by severity.
    
    
  • Air Ventilation System: To ensure airflow and maintain a hygienic environment.
    
    
  • Lighting: Bright LED lights for examining casualties, adjustable according to needs.
    

2.2 Surgical and Emergency Treatment Module​

• Purpose: This module is fully equipped for performing emergency surgeries, trauma care, and advanced medical procedures.
  
  
• Key Features:
  
  • Operating Tables: 1-2 adjustable operating tables with sterilized covers.
    
    
  • Sterilization Area: Autoclaves and disinfecting equipment for sterile procedures.
    
    
  • Medical Supplies: Cabinets and shelves for surgical instruments, dressings, anesthesia supplies, and medications.
    
    
  • Lighting: Overhead adjustable surgical lights to ensure optimal working conditions.
    
    
  • Ventilation: Surgical-grade air filtration system for maintaining a sterile environment.
    
    
  • Backup Power: Backup power systems to maintain equipment in case of power failure.
    

2.3 Recovery and Observation Module​

• Purpose: This module is designed for post-operative care and patient monitoring after surgery or trauma treatment.
  
  
• Key Features:
  
  • Recovery Beds: 4-6 beds for recovering patients with IV drips and monitoring equipment.
    
    
  • Monitoring Stations: Medical-grade monitors to check vitals such as heart rate, blood pressure, and oxygen levels.
    
    
  • Comfort Features: Adjustable beds for patient comfort, privacy partitions, and space for attendants.
    
    
  • Air Conditioning & Ventilation: A controlled environment with adjustable air conditioning to ensure comfort for patients and medical personnel.
    
    
  • Storage: Space for recovery medications, fluids, and medical supplies.
    

2.4 Laboratory and Diagnostics Module​

• Purpose: This module is for processing samples, diagnostics, and basic laboratory work, ensuring that casualties receive quick and accurate diagnostic information.
  
  
• Key Features:
  
  • Medical Equipment: Includes a blood analyzer, microscope, X-ray equipment, and other diagnostic tools.
    
    
  • Sample Storage: Refrigerators for preserving blood samples, tissue, or urine samples.
    
    
  • Workbenches: Areas for preparing and analyzing samples with built-in lighting and power supply.
    
    
  • Ventilation System: To ensure that hazardous materials are handled safely.
    
    
  • Storage: Cabinets and racks for lab supplies, chemicals, and protective gear.
    

2.5 Supply and Storage Module​

• Purpose: This module will serve as a mobile storage unit for medical supplies, pharmaceuticals, and medical equipment needed by other modules.
  
  
• Key Features:
  
  • Shelving: Adjustable shelves for organizing medical supplies such as bandages, IV fluids, surgical instruments, and medications.
    
    
  • Refrigeration: A small refrigerated area for storing perishable medical items (e.g., vaccines, blood products).
    
    
  • Capacity: Designed to carry large quantities of consumable medical supplies, ensuring the FMU remains well-stocked during operations.
    
    
  • Easy Access: Doors and hatches to allow medical teams to quickly access the supplies they need.
    

2.6 Command and Communication Module​

• Purpose: This module serves as the command center for coordinating medical operations, ensuring effective communication between the medical team and other units.
  
  
• Key Features:
  
  • Communication Equipment: Satellite communication, radios, and secure communication devices.
    
    
  • Command Stations: Workstations for medical officers and logistics staff to oversee operations, track casualties, and coordinate with other military units.
    
    
  • Power Supply: Backup generators and power systems to ensure communication systems remain operational.
    
    
  • Data Storage: Space for computers and electronic records for keeping track of casualties and medical operations.
    

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3. Vehicle and Deployment Considerations​

3.1 Jelcz P882 D.53 Vehicle Adaptation​

• Loading and Unloading: The Jelcz P882 D.53 will be fitted with a hydraulic lift system to facilitate easy loading and unloading of the modules, allowing the vehicles to be quickly prepared for deployment.
  
  
• Modular Loading Configuration: The containers will be designed to be stacked on the Jelcz P882 D.53 with secure locking mechanisms to prevent movement during transport.
  
  
• Supporting Infrastructure: Each container will be equipped with weatherproof electrical connections and modular plumbing systems that can be easily hooked up to the Jelcz vehicle’s power and water systems when deployed.
  

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4. Deployment Procedures​

• Peacetime Deployment:
  In peacetime, the modular containers will be pre-configured and maintained at centralized logistical hubs, awaiting deployment to areas in need of medical support during military operations, humanitarian missions, or disaster relief efforts.
  
  
• Combat and Crisis Deployment:
  When deployed in a combat or crisis zone, the modular containers are rapidly offloaded from the Jelcz P882 D.53 and set up in a safe, accessible area. The triage, surgical, and recovery modules will be positioned for immediate casualty care, while the supply and command modules will ensure continuous operation and coordination.
  
  
• Field Operation:
  Throughout operations, the modular containers will be connected to each other for shared electrical power, water, and communication, ensuring smooth, uninterrupted medical services. Medical teams will rotate in and out of the modules, conducting patient care, triage, and surgical operations as needed.
  

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5. Conclusion​

The modular container system for the Jelcz P882 D.53 provides a highly adaptable and scalable solution for the Kingdom of Poland’s mobile field hospitals. These modular units can be rapidly deployed in combat and humanitarian environments, ensuring that the medical support system remains efficient, flexible, and capable of responding to casualties and medical emergencies anywhere in the world. The use of robust and highly specialized modules ensures the highest quality of care while maintaining mobility and operational effectiveness in dynamic, unpredictable environments.

 

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Royal Medical Services (RMS) - Air Evacuation Doctrine

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1. Introduction​

The Royal Medical Services (RMS) is committed to providing efficient and effective medical evacuation (MEDEVAC) for casualties in both peacetime and wartime. The primary objective of the Air Evacuation Doctrine is to provide rapid and safe transportation of injured or ill personnel from the point of injury to advanced medical care, reducing casualty evacuation times, and improving survival rates. This doctrine outlines the principles, procedures, and roles involved in air medical evacuation operations.

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2. Purpose and Scope​

The purpose of this doctrine is to:

• Provide clear guidelines and standard operating procedures (SOPs) for conducting air evacuation operations within the RMS framework.
• Ensure that all personnel, from medical teams to air crews, understand their roles and responsibilities in MEDEVAC operations.
• Integrate air evacuation into the larger framework of the Royal Medical Command (RMC), coordinating with other services and organizations for seamless evacuation and medical care.

This doctrine applies to all personnel within the Royal Medical Command, including:

• Air Medical Evacuation Teams (AMET)
• Aircraft crews
• Medical personnel on the ground
• Logistical and command staff

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3. Air Evacuation Objective​

The primary objective of Air Evacuation (Air EVAC) operations is to provide rapid, safe, and efficient transport of casualties from forward areas to medical facilities. The goals are to:

• Minimize casualties' evacuation time: Ensuring that critically injured personnel are evacuated from the point of injury to the nearest capable medical facility within the golden hour (the first 60 minutes after injury).
• Ensure continuity of care: Maintaining high standards of care throughout the evacuation process, from the moment the casualty is stabilized on the battlefield to their arrival at the hospital.
• Enhance the survivability of casualties: By evacuating casualties to definitive care as quickly as possible, the likelihood of positive outcomes and survival is increased.

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4. Air Evacuation Platforms​

The following aircraft and platforms will be used for air evacuation operations:

1. PZL W-3 Sokół (Helicopter)
   • Role: Primary MEDEVAC helicopter for casualty evacuation.
   • Capabilities:
     • Transport up to 4-6 stretchered casualties.
     • Capable of operating in difficult terrain and environments.
     • Equipped with necessary medical equipment for in-flight care.
   • Deployment Locations: Deployed to combat zones, remote areas, and areas where road access is limited or non-existent.
2. Mi-8 Helicopter (Airborne)
   • Role: Heavy-duty air evacuation for large numbers of casualties.
   • Capabilities:
     • Transport up to 12 stretchered casualties or a mix of stretchered and walking patients.
     • Larger internal space for specialized medical teams, equipment, and multiple casualties.
     • Dual role as a combat support and medical evacuation platform.
   • Deployment Locations: Used in areas where rapid evacuation is necessary, typically in conjunction with ground forces in high-intensity combat zones.
3. C-130 Hercules (Fixed-Wing Aircraft)
   • Role: Strategic air evacuation for bulk casualty transport over longer distances.
   • Capabilities:
     • Can transport a larger number of casualties and medical personnel.
     • Equipped for in-flight stabilization and treatment of casualties.
     • Able to operate in austere environments (e.g., rough airstrips).
   • Deployment Locations: Ideal for evacuating casualties from forward operating bases (FOBs) to larger medical facilities further from the frontlines.

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5. Roles and Responsibilities​

1. Air Medical Evacuation Team (AMET)
   • Composition:
     • Flight Medical Officer (FMO): A medical officer responsible for overseeing medical care on board.
     • Paramedics/Combat Medics: Provides trauma care, triage, and stabilization during flight.
     • Aircraft Crew: Includes pilots, flight engineers, and medical loadmasters, trained to support air evacuation operations.
     • Ground Support Personnel: Medical personnel on the ground who prepare casualties for evacuation.
2. Aircrew
   • Pilot: Responsible for flying the aircraft and ensuring a smooth, rapid flight to the designated medical facility.
   • Co-Pilot: Assists with flight navigation, communication, and emergency procedures.
   • Flight Engineer/Loadmaster: Assists in the loading and unloading of casualties, ensuring that medical equipment is safely secured and ensuring the aircraft's stability during flight.
3. Ground Medical Teams
   • Role: To provide initial triage, stabilize casualties for transport, and prepare them for transfer to the MEDEVAC aircraft.
   • Triage Officer: Coordinates the triage of casualties and determines the priority for evacuation based on the severity of injuries.

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6. Procedures for Air Evacuation Operations​

1. Requesting Air Evacuation
   • When casualties are identified on the battlefield, Medical Evacuation (MEDEVAC) requests are submitted to the Royal Medical Command (RMC) or relevant Command and Control (C2) center.
   • A request must include the number of casualties, the severity of injuries, and the required evacuation priority.
   • The request is then assessed, and a suitable platform (e.g., PZL W-3, Mi-8, or C-130) is allocated based on the nature of the evacuation.
2. Casualty Preparation and Stabilization
   • Casualties are stabilized as much as possible at the point of injury.
   • Once the AMET team arrives on-site, they perform further stabilization and prepare the casualties for air evacuation.
   • Critical patients will be prioritized, and those who can walk will be moved to the aircraft first to reduce waiting times.
3. Flight Procedures
   • Once the casualties are on board the aircraft, the flight medical team ensures they are securely fastened and that all necessary medical equipment is within reach.
   • In-flight care is provided during transit to the field hospital or evacuation hospital. If needed, the medical team provides advanced trauma care, monitoring vital signs, and administering medication.
4. Landing and Offloading
   • Upon arrival at the destination, casualties are offloaded efficiently using a ground medical team for further treatment.
   • The AMET ensures the continuity of care, passing on the medical information and patient status to the medical personnel at the receiving facility.
5. Post-Evacuation Procedures
   • After the casualties have been transferred, the aircraft is restocked with necessary medical supplies, and the AMET prepares for the next mission.
   • Debriefing takes place to evaluate the effectiveness of the operation, lessons learned, and improvements for future missions.

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7. Air Evacuation Doctrine Key Principles​

1. Speed and Efficiency: The priority is to evacuate casualties quickly to minimize the time between injury and treatment. Air evacuation must be conducted as quickly and smoothly as possible to maximize patient survival chances.
2. Safety and Stability: Patient safety is paramount. Aircraft must be configured to handle casualties efficiently, and medical personnel must ensure that the patients are stabilized and properly monitored during flight.
3. Coordination: The success of air evacuation depends on effective communication and coordination between medical units, flight crews, ground support, and Command and Control centers. All units must be synchronized to avoid delays and ensure optimal care.
4. Flexibility and Adaptability: Evacuation operations must be flexible enough to accommodate various types of casualties and unpredictable battlefield conditions. Medical evacuation platforms must be ready to adapt to any situation, whether it involves mass casualty incidents or the urgent transport of high-priority cases.

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8. Conclusion​

The Air Evacuation Doctrine is a critical component of the Royal Medical Services' ability to save lives and deliver effective medical care on the battlefield. By maintaining a well-trained Air Medical Evacuation Team, ensuring rapid response times, and coordinating efficiently with ground and air forces, the RMS can provide the best possible care for its personnel during combat operations. This doctrine ensures that all air evacuation operations are conducted with professionalism, precision, and dedication to saving lives.

 

[ManBear]

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Example Call for CASEVAC (Casualty Evacuation) – Battle of Noumea (2004)​

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1. Background Information​

A CASEVAC (Casualty Evacuation) request is initiated when there are casualties on the battlefield, and immediate evacuation to a medical facility is necessary. This request is typically made by the unit commander or medical officer, depending on the severity of the casualties, and is transmitted to the appropriate Command and Control (C2) center. The response is coordinated with available air and ground assets to ensure a rapid and safe evacuation.

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2. Scenario​

In this example, a Combat Infantry Unit from the Kingdom of Poland’s Royal Army, deployed in support of a peacekeeping mission during the Battle of Noumea in 2004, has sustained casualties after a heavy skirmish with insurgent forces. The request for CASEVAC will be made by the Unit Medical Officer (UMO) to the nearest Royal Medical Command (RMC) Command and Control Center (C2).

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3. Example CASEVAC Call​

Unit: 1st Combat Infantry Battalion
Location: Grid Reference: 45T 312540, 547671 (approximate coordinates)
Date/Time: 06 June 2004, 1000 hours

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Transmission Begins:


Medical Officer (MO):
"Royal Medical Command, this is 1st Combat Infantry Battalion, Alpha Company, Medical Officer Lieutenant Kowalska, over."


Royal Medical Command (RMC) Response:
"1st Combat Infantry Battalion, this is Royal Medical Command. Proceed with your CASEVAC request. Over."


MO:
"Royal Medical Command, we have 4 casualties, all sustained from small arms fire and mortar rounds during a skirmish with insurgent forces near the western outskirts of Noumea. Current location is Grid Reference: 45T 312540, 547671, approximately 5 kilometers north of Forward Operating Base Alpha. The casualties include the following:

• Private Adam Nowak – Gunshot wound to the chest, unconscious, in critical condition, immediate air evacuation needed.
• Sergeant Jakub Lewandowski – Shrapnel wounds to the legs, conscious but in severe pain, priority evacuation.
• Private Marcin Zielinski – Mild shrapnel wounds to the arm, conscious, walking wounded, can move under his own power.
• Private Tomasz Wójcik – Mild concussion, disoriented, conscious, walking wounded, can move under his own power.

We need immediate air evacuation for Private Nowak (critical) and Sergeant Lewandowski (priority). Private Zielinski and Private Wójcik can be transported by ground vehicle. Over."


RMC Response:
"1st Combat Infantry Battalion, this is Royal Medical Command. We have allocated PZL W-3 Sokół helicopter for air evacuation of Private Nowak and Sergeant Lewandowski. Estimated 20-minute ETA to your location. Private Zielinski and Private Wójcik will be evacuated by Jelcz P882 D.53 ground vehicle, ETA 45 minutes. Over."


MO:
"Royal Medical Command, 1st Combat Infantry Battalion copies. We will proceed with preparations for air evacuation of the critical and priority casualties. The location is secure for extraction. Over."


RMC Response:
"1st Combat Infantry Battalion, we acknowledge. Keep us updated on casualty conditions. Out."

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4. Execution​

The Unit Medical Officer (MO) confirms that the evacuation request has been processed.

• Ground Medical Teams prepare Private Zielinski and Private Wójcik for transport by the Jelcz P882 D.53 ground vehicle.
• Air Medical Evacuation Team (AMET) prepares for the PZL W-3 Sokół helicopter’s arrival to evacuate the critical and priority casualties.
• PZL W-3 Sokół helicopter arrives at the designated pickup point, where airborne medical personnel begin preparing the casualties for flight. The team provides immediate care in-flight.
• The Jelcz P882 D.53 transports Private Zielinski and Private Wójcik to Field Hospital Bravo, a mobile medical facility located at a nearby secured area.

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5. Final Update from the Field​

Unit Medical Officer (MO):
"Royal Medical Command, this is 1st Combat Infantry Battalion, Alpha Company. Air evacuation completed for Private Nowak and Sergeant Lewandowski. Both casualties have been transferred to Field Hospital Alpha for further treatment. Private Zielinski and Private Wójcik are stable and on the way to Field Hospital Bravo by ground vehicle. All casualties are in transit. Over."


RMC Response:
"1st Combat Infantry Battalion, this is Royal Medical Command. Acknowledged. Continue with mission. Out."

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6. Conclusion​

In this example, the CASEVAC request was transmitted clearly and efficiently, detailing the number and condition of casualties, along with their evacuation priority. The Royal Medical Command responded swiftly, assigning the correct evacuation assets based on the available resources and the urgency of the situation.


The coordination between air and ground evacuation assets ensured that all casualties received the appropriate level of care and were transported to the nearest medical facility in a timely manner. This example illustrates the importance of effective communication, rapid asset deployment, and the seamless integration of various transportation methods to provide optimal care for battlefield casualties.

 

[ManBear]

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Example CASEVAC Request Using Nine-Line Method – Polish Special Forces at the Battle of Noumea (2004)​

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1. Background Information​

The Nine-Line method is a standardized format used by military forces for transmitting casualty evacuation (CASEVAC) requests. It is designed to streamline communication and ensure that all critical information is conveyed in a clear and organized manner. This example utilizes the Nine-Line format for a CASEVAC request made by Polish Special Forces (GROM) during the Battle of Noumea (2004).

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2. Scenario​

During a mission in Noumea, a Polish Special Forces (GROM) unit is involved in an assault on an insurgent stronghold. The unit sustains casualties from a well-coordinated ambush, and a CASEVAC is required. The Special Forces Medical Officer (MO) will use the Nine-Line format to request evacuation for the wounded.

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3. Nine-Line CASEVAC Request​

Unit: Polish Special Forces (GROM), Assault Team Bravo
Location: Grid Reference: 45T 312540, 547671 (approximate coordinates)
Date/Time: 06 June 2004, 1045 hours

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Transmission Begins:


MO:
"Royal Medical Command, this is GROM, Assault Team Bravo, Medical Officer Captain Kowalski. Over."


RMC Response:
"GROM, this is Royal Medical Command. Proceed with your CASEVAC request. Over."


MO:
"Royal Medical Command, this is GROM, Assault Team Bravo. Nine-line CASEVAC, Over."

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Line 1 – Location of Pickup Site
"Grid Reference 45T 312540, 547671, approximately 4 kilometers east of Objective Zulu. Over."


Line 2 – Radio Frequency
"Radio frequency: 243.0 MHz, Over."


Line 3 – Number of Casualties by Severity
"3 casualties:
1 critical – Lieutenant Andrzej Malinowski,
1 priority – Sergeant Krzysztof Zawisza,
1 walking wounded – Private Tomasz Nowak. Over."


Line 4 – Special Equipment Needed
"None at this time, Over."


Line 5 – Casualty Nationality
"Polish, Over."


Line 6 – Security of Pickup Site
"Secure, Over."


Line 7 – Method of Marking Pickup Site
"Smoke, Green, Over."


Line 8 – Casualty's Condition
"Lieutenant Andrzej Malinowski – critical (gunshot wound to abdomen, unconscious).
Sergeant Krzysztof Zawisza – priority (shrapnel wounds to chest and leg, conscious, in pain).
Private Tomasz Nowak – walking wounded (mild concussion, disoriented, can walk). Over."


Line 9 – NBC (Nuclear, Biological, Chemical) Contamination
"None, Over."

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4. Execution​

• Royal Medical Command (RMC) responds swiftly and confirms the request. The following actions are taken:
  • A PZL W-3 Sokół helicopter is dispatched for the critical and priority casualties, with an estimated 15-minute ETA.
  • The walking wounded (Private Tomasz Nowak) will be transported by a Jelcz P882 D.53 ground vehicle, with an ETA of 30 minutes.
• Special Forces Medical Officer (MO) communicates with the ground medical team to prepare Private Nowak for transport by the Jelcz P882 D.53.
• The Air Medical Evacuation Team (AMET) prepares for the PZL W-3 Sokół helicopter’s arrival to evacuate the critical and priority casualties. Once the helicopter arrives, the casualties are airlifted to the nearest medical facility.
• Private Tomasz Nowak is safely transported by ground vehicle to the medical facility.

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5. Final Update from the Field​

MO:
"Royal Medical Command, this is GROM, Assault Team Bravo. Air evacuation completed for Lieutenant Malinowski and Sergeant Zawisza. Both casualties transferred to Field Hospital Alpha. Private Nowak has been stabilized and is en route to Field Hospital Bravo by ground vehicle. All casualties are in transit. Over."


RMC Response:
"GROM, this is Royal Medical Command. Acknowledged. Continue with mission. Out."

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6. Conclusion​

In this example, the Nine-Line method is used to efficiently and clearly communicate the CASEVAC request for Polish Special Forces casualties. By including all necessary details such as the pickup location, radio frequency, casualty condition, and security information, the request is processed quickly.


The Royal Medical Command then allocates appropriate air and ground evacuation assets, ensuring that each casualty receives timely medical care, and the mission continues without unnecessary delays. This method of communication, using the Nine-Line format, helps to reduce confusion and ensure a smooth evacuation operation.