The mortality rate of patients evacuated from the battlefield to a medical facility was reduced from 8.1 percent in World War I to 2.5 percent in Vietnam, and the casualty fatality rate of 27 percent in World War II reduced to 17 percent in Vietnam. The experience of American military forces over the last century illustrates the efficacy of early rescue and rapid transport of the patient to a facility for stabilization. But for the term casevac, according the UN medical SOP, is used for evacuation victims from the point of injury, or a casualty collection point, to a medical facilities and we called air casevac and use usually helicopter. According our Indonesian Air Force SOP (Standard Operating Procedure), Air Medevac/AME is evacuation patients from one medical facility to higher-level medical facilities using air transportation and accompanied by medical attendants. It can be divided to land medevac, sea medevac and air medevac (AME) or Pengungsian Medik Udara (PMU). The term Medevac usually is used for the evacuation patient from medical facilities to higher level medical facilities. This permits the rapid transport of seriously injured persons, particularly trauma patients, from the scene of the accident to the hospital. The term aero medevac is commonly applied to a vehicle, fixed-wing aircraft, or helicopter used as an ambulance (sometimes called an "air ambulance") provided with definitive medical care in route. Casevac is heavily utilized by the US Marine Corps and manned by US Navy Hospital Corpsman its helicopters are combat aircraft and will, as needed, land in 'hot zones' medevac helicopters would not, due to hostile fire. In this context, casevac refers to the moving of a patient either from the point of injury, or a casualty collection point, to a medical facility or between the different levels of care with en route medical care whereas medevac has limited or no en route care and medical equipment. In modern American military terminology, Medevac is often differentiated from Casualty Evacuation (casevac). Medical evacuation, often termed MEDEVAC or medivac, is the timely and efficient movement and en route care provided by medical personnel to the wounded being evacuated to receiving medical facilities using medically equipped ground vehicles (ambulances) or aircraft (air ambulances). From the “flying ambulances” of Napoleonic times to modern jet aircraft flying intensive care wards, a major part of our experience with the transport of patients over the years derives from military medical care. The movement of seriously ill or injured patients to medical facilities was pioneered and to a large extent perfected by military forces. One of the best choices to rapid and relatively safe evacuation is using air transportation, as known as aero medical evacuation (aero medevac). Therefore, victims should immediately evacuate to a higher-level equipped hospital in the rear. Health facilities on the front lines are generally very limited. The victims should receive good treatment. It is known that a war or even at the low levels conflict, we cannot avoid falling victims or casualties.
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