Fool’s Gold & Troops’ Blood
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America's Medevac Failure
06 November 2011
This combat video was made in September 2011 in Kandahar Province, Afghanistan. A bomb was planted in our path. A young, highly-liked Soldier named Chazray Clark triggered the blast. Chazray lost an arm and both legs. Despite great pain, Chazray was awake and lucid the entire time.
A tragedy was unfolding. The US military, at the direction of former Secretary of Defense Robert Gates, strives to get our wounded to hospitals within the “Golden Hour.” The military mostly accomplishes this with incredible speed, often under direct enemy fire. They could do much better.
After casualties are sustained, the medical evacuation helicopters typically will not launch until a “9-line” report is transmitted from the field. During this mission, due to the calm discipline of the Soldiers of 4-4 Cav, the 9-line was transmitted in only six minutes. That’s fast.
Bold accounting magic has been used to redefine the Golden Hour. The true starting gun for the biological Golden Hour begins at the moment of injury. The military Golden Hour begins after the 9-line is received. If combat or other circumstance delays the 9-line by 20 minutes, the military Golden Hour becomes 80 minutes. But when we hear a military spokesmen saying that average MEDEVAC times are 50 minutes, what they are really saying is 50 minutes plus the 9-line time, and they won’t mention that 9-line buffer. This audacious deception angers many military people who know about it.
I reported that 65 minutes were used to get Chazray Clark to the hospital. The military rebuked my initial report, saying it took only 59. They took the Golden Hour tax deduction, deceived the public, and did so in writing.
It took 65 minutes. It should have taken 25. There are several reasons why Chazray suffered the additional 40 minutes.
The first reason is the 9-line. Pilots in Afghanistan say there is no need to wait. They should launch immediately upon notification of serious wounds. They can pick up the 9-line in flight.
The bigger reason is a longstanding Army policy to wear Red Crosses on their helicopters. The Army will say that in accordance with the Geneva Conventions they must wear the Red Crosses, and therefore cannot carry machine guns on the helicopters. This is false: neither the Air Force, nor the Marines, nor British wear the Red Crosses, and they go armed. The enemies in Afghanistan do not adhere to the Geneva Conventions. Is the Army saying that the Air Force, Marines and British are in violation of Geneva Conventions by not wearing the Red Crosses? Of course not. But the Army wears the Red Crosses as crucifixes to avoid uncomfortable change.
The helicopters are clearly visible on most nights while the Red Crosses are not. An Afghan said that Taliban would likely consider the Red Cross a sign of Christianity, not MEDEVAC. The enemy constantly tries to shoot down Army Dustoffs, Red Cross and all. By contrast, the Air Force and Marines play smarter games and will come in guns blazing and help kill enemy around the landing zones.
While Chazray lay dying, an unarmed Dustoff helicopter was parked about 2 – 3 minutes away at Forward Operating Base Pasab. After a call, it can take about 7 minutes to launch a Dustoff. And so, 7 minutes plus 3 minutes’ flight could have had Chazray on the bird in just over 10 minutes. The hospital was at Kandahar Airfield (KAF) about 13 minutes away. So 10 minutes to arrive to the LZ, 2 minutes to load Chazray and take off, then 13 minutes to the hospital. This would have put Chazray at the hospital in 25 minutes. Alternatively, armed Air Force Pedro rescue birds were parked farther away at KAF and could have flown the longer distance, picked up Chazray, and had him back in about 35 minutes. Had Pedros or armed Dustoffs been at FOB Pasab, they could have done the job in 25 minutes.
Instead, since the Dustoffs do not have machine guns, the Dustoff waited for the Apache helicopter top cover. Forty minutes were lost due to 9-line procedures and waiting for the Apache. This delay allowed the life to drain out of Chazray. It also allowed the enemy a great amount of time to prepare to attack the unarmed Dustoff helicopter on the open landing zone, along with the Soldiers who were there in the open working hard to save Chazray. (In this case, no attack occurred during LZ operations.)
The military spent much energy refuting my claims in RED AIR and GOLDEN SECONDS. They apparently did not realize I made video. For instance, they tried to undercut the credibility of my reports by saying the Dustoff did not come from Kandahar Airfield, but from FOB Pasab. The video clearly shows on numerous occasions that the Dustoff was coming from KAF. Nevertheless, allowing for battlefield errors, if the Dustoff actually came from Pasab, this does not help their case, but damages it outright. KAF is about 13 minutes away; Pasab only about 3, and so what they accidentally said by trying to undermine my reports was that Chazray could have been to the hospital 10 minutes faster. That is, if the Dustoffs were armed and could depart without gunship cover.
The 9-line procedure must be changed, and Dustoffs must be armed. The “Military Golden Hour” must become a thing of the past. There is only one Golden Hour. All else is Fool’s Gold. This Fool’s Gold is expensive; it’s costing lives of our service members in Afghanistan.
Please watch this important video of the attack and MEDEVAC of Chazray Clark.
Further Reading:
1) RED AIR
2) GOLDEN SECONDS
3) PEDROS
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Comments
If the USAF and the Marines do not wear the Red Cross on their MEDAVAC birds then why in the hell does the US Army?
Something isn't right about this.Politics has no place in getting to our troops who are injured!
Blessings to you for all your hard work! You are the best thing our troops have going for them!
This is not a DUSTOFF crew problem, it is a leadership problem. Could armed DUSTOFF help? Yes, but I say let the DUSTOFF do what it has done for years and fly. We know the risks and we save lives.
It may be a loose description, but I have personally seen it with my own eyes. I don't want to broadcast the full events due to OPSEC.
I have nothing but respect for DUSTOFF crews (pilots and medics)...as you said, it is not a DUSTOFF problem, it is a leadership problem. There is nothing more frustrating than wanting to go and not being given the mission.
This is a policy issue not a PEDRO vs Army Dustoff Issue.
This video pissed me off because I know how the crew felt waiting for the clearance sitting on the ramp wanting to do its job only to get the "Blessing" and be to late. That Medic and flight crew was as good as any Pedro but was never given the chance.
all the guys that were there that day were pissed. I was handling radios in a different area, but I could hear the traffic of what was going on
Lets hope the Army steps up and does the right thing now. I have passed it along. The more that know, the more pressure that will be put on the powers that be to fix it. Times have changed. The Army needs to change with them. Sadly, there is no place for the Geneva Convention in this war.
May God continue to bless these VERY brave men and women fighting for our country and bring them home safe..
How will Army PAO discredit this one?
Army bureaucrats are disgraceful.
Now to the Army brass - take action and correct this shameful policy that gets our servicemen killed.
http://www.cbsnews.com/stories/1998/07/08/60minutes/main13503.shtml
The Taliban and Al Queda could give a shit less about "Geneva Conventions." Crosses on Helicopters are nothing more than something for them to line their cross-hairs up on.
Gee, do I sound pissed? You're Goddamn right I am. This is outrageous and a brave American Soldier died when he didn't have to.
Michael, when speaking of SPC Clark, please at least give him the respect of using his rank. Remember always ... "Not for themselves...but for their country." Show some respect.
Thank You
WM
Sorry, my mistake. JAG officers are not on patrol.
We did not ever have this issue before the Army changed things. We did not need guns in the past!
It seems the policy issue changes a year ago when all the AMEDD Aviation assets were transferred form Medical control (AMEDD) and handed over to the Aviation BN control. Before that happened, we never operated under such stupid constraints. This "Change" neutered the Army's MEDAVAC units and made them the "Bastard Children" of the Army's Aviation. The Army aviation BN commanders never liked the Med units but because they were all controlled by AMED they had no say. Lots of history at www.dustoff.org
I experienced this firsthand right as I got ready to retire. In fact this change helped me to decide to retire.
Our military deserves better treatment than this.
https://wwws.whitehouse.gov/petitions/!/petition/stop-requiring-army-medevac-helicopters-afghanistan-paint-red-crosses-their-sides-and-go-unarmed/LdxVQTgn?utm_source=wh.gov&utm_medium=shorturl&utm_campaign=shorturl
I've said in other threads on this site, Michael's main target is the correct one. Too many times a med bird had to sit on the tarmac ready to roll while an apache keeps breaking (they're very high maintenance) or has to be refueled after being pulled from another mission for this.
Thank you for helping me help you. (After all, you might be picking up one of my buddies any day.)
Some do wait for 9-lines, though I have heard many times that others launch on partials, as you say. A Dustoff pilot told me that it often depends on the courage of the person who issues the launch order. I know for a fact it doesn't rest on the courage of Dustoff crews. Everyone knows that Dustoff men and women would fly into hell without being ordered to.
That's a big one. Often times it's the trust a commander can place in his battle NCO's/CPT's manning the TOC.
inquiries@micha elyon-online.com
(http://smallwarsjournal.com/node/11415 At the end of the text. Almost in the conclusion)
November 15, 2011
"Dear Joseph:
Thank you for your recent letter to Senator Lee. I know he appreciates hearing from concerned citizens of Utah.
I have the opportunity to meet with the Senator on a regular basis and will discuss your concerns with evacuation policies in Afghanistan with him so he may take your comments into account.
For more on what Senator Lee is working on, please follow him on Facebook at www.facebook.com/senatormikelee and on Twitter at www.twitter.com/SenMikeLee.
Please don't hesitate to contact our office if there is anything we can do to be of assistance. Thank you again for writing.
Best,
Peter Blair
Office of Senator Michael S. Lee
(202) 224-5444"
My name is Keyko Clark I am SPC. Chazray Clark's mother, I would like for you to contact me at your earlist convience. Here is my email address ###########@### #. I look forward to hearing from you. Thank you for reporting the truth and not letting the military scare you to silence. Respectfully, Keyko Clark
I applaud those guys and their professionalism . I damn near lost it after doing cpr on a comrade for 20 min before he died waiting for a freaking ambulance in Canada. They said it was only 18 minutes.
I am still angry.
It was 10 years ago and I'm still angry.
He was a good cop.
I try and emulate him.
That video reminds me of how angry bean counters really make me.
Thanks for your hard work -keep doing what you are doing.
Horrified by this. My understanding (not having read everything on the subject) is that if a helicopter / aircraft / ship / vehicle carries the Red Cross, then it cannot be armed, not that you can only use Red Cross marked 'transport' for medevac. So, from the UK perspective, we have fewer resources, whic may be called upon to fulfil a number of roles. Therefore, marking helicopters with Red Crosses would mean that, at other times, they could not be used to transport trooops / supplies around unless the Red Crosses were removed.
Much more straightforward to be able to get Medevac in and out as quickly as possible. If the will is there from the crews involved to use unmarked helicopters then it should be so.
http://www.michaelyon-online.com/thoughts-from-a-dustoff-pilot.htm
15 minutes ago, FOX news had about a 5-10 minute segment on Army Medevac. During the positive interview with Todd Aiken, R-MO, House Armed Services Committee, your picture was flashed up, Chazray Clark's photo was flashed up, and segments of your night time video of the Medevac process from when Chazray lost his life were shown.
It's getting attention over here!!
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