Medical SOPs

This page is about standard operating procedures for medics. Refer to Medical Procedures for medical information for non-medics. Refer to ACE ADVANCED MEDICAL for information on the injury/medical system functionality and equipment.

On this page:

  1. Medical Roles
  2. Regimental Aid Post
  3. Communication
  4. Medical Evacuations
  5. Triage
  6. Treating casualties

Medical Roles

Combat First Aiders

CFAs are dedicated medics attached to squads.

Duties include:

  • Treatment of wounded
  • Triage of wounded
  • Establishing a casualty collection point and recovery wounded
  • Co-ordination with Guardians for support and medical evacuation
  • Ongoing monitoring of team mates for deterioration or reopened wounds
  • Ensuring adequate supply of medical equipment

CFAs generally manoeuvre alongside the SQL when not moving to or treating casualties.


PJs (‘GUARDIAN’) operate either out of the Regimental Aid Post or attached the CMD element.

Duties include:

  • Establishing and operating the Regimental Aid Post
  • Retrieval of casualties from CFA casualty collection points
  • Organising aeromedical evacuations
  • Medical support to CFAs
  • Medical support to the CMD element

When performing retrievals in all situations PJs should notify CMD of their movements.

Regimental Aid Post

PJs may establish a Regimental Aid Post (RAP) where mission-appropriate or as directed by CMD.

RAPs are preferably established within 500 metres to 1 km of the front line.

PJs will operate out of the RAP to retrieve casualties requiring treatment via land vehicle.

RAPs may be relocated as per CMD direction as the situation requires.

RAPs also operate as a logistical hub. Force resupplies are performed out of the RAP.



Communication between CFAs and PJs is via a dedicated medical channel on frequency LR Ch 4 (43.1). This channel follows formal radio procedures. It is not mandatory for CFAs to operate LR radio packs, as SR radios can be set to LR frequencies.

CFAs request PJ support via Med-Net. Requests should include the total number of expected casualties and their priority (see ‘Triage’ below), casualty collection point and any relevant tactical information.

Medical Evacuations

Medevacs are performed by PJs either via land vehicles or X-RAY.

PJs are to organise aeromedical evacuations via X-RAY with VANDAL. This is done via the CMD short range radio channel. Further information on aeromedical evacuations can be found here. Aeromedical LZs are marked with purple smoke.

PJs operating a Regimental Aid Post will retrieve casualties from casualty collection points via land vehicle. Retrievals are performed as necessary following a request for support from a CFA.

CFAs should summarise injuries, treatment and stability of each casualty transferred to a PJ.

CFAs must have approval from their SQL before transferring casualties to a PJ.

CFAs should consider requesting PJ support during multicasualty incidents and when individual casualties are likely to require PJ retrieval (i.e. gimped). This request is via the med-net.


Casualties are triaged Priority One, Two or Three:

Priority One (P1) – Unconscious casualties unable to perform self aid, requiring intervention from the CFA/PJ.

Priority Two (P2) – Conscious casualties capable of performing self aid if directed by the CFA/PJ.

Priority Three (P3) – Conscious casualties not actively bleeding, requiring only stitching or those that are “gimped”.

P1 casualties require immediate stabilisation and treatment from the CFA. CFAs must consider whether it is appropriate to fully treat the casualty in the field or simply stabilise the casualty prior to retrieval by a PJ (i.e. likelihood of being gimped, consumption of limited resources, etc).

P2 casualties should be treated by the CFA, unless P1 casualties exist. In this case, P2 casualties should be directed to perform self aid.

P3 casualties require PJ support or retrieval as soon as appropriate.

Treating Casualties

Treatment occurs in three stages: Care Under Fire, Tactical Field Care and Tactical Evacuation Care.

Care Under Fire

Performed while still actively engaging enemy forces.

The priority is to return fire and prevent additional casualties.

P2 casualties should be directed to perform self aid and resume fighting.

P1 casualties should be delayed unless tactically feasible or until transition to Tactical Field Care.

Tactical Field Care

Performed outside of an active engagement.

CFAs should perform full treatment on all casualties in order of priority and organise PJ support as appropriate.

CFAs should instruct casualties to remove previously applied tourniquets.

Tactical Evacuation Care

The necessary treatment provided to casualties by PJs during evacuation.


As long as you know the medical system well, and have skilled people working with you, your patients should never die. That not to say people won’t die, if someone was instantly killed there’s nothing you can do, don’t feel bad about it. But if your patient is in a safe position and you know what you’re doing, they won’t die. It’s okay to shoot the enemy when in a medical role, just don’t prioritise it over helping the wounded.  







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