Shock not responding to intravenous (IV) therapy.
Head injuries with signs of increasing intracranial pressure.
b. Urgent Surgical. Evacuation is required for patients who must receive far
forward surgical intervention to save life and stabilize for further evacuation. This
Decreased circulation in the extremities.
Open chest and/or abdominal wounds with decreased blood pressure
Penetrating wounds (gunshots, shrapnel)
(5) Burns on hands, feet, face, genitalia or perineum, even if under 20
percent of total body surface area.
c. Priority. Priority category casualties usually consist of the more serious
delayed casualties. These casualties need to be evacuated within four hours or their
status will probably be upgraded to urgent. Examples of casualties in this category
include casualties with:
(1) Chest injuries, such as rib fractures without a flail segment (three or more
adjacent ribs broken in two or more places).
Brief periods of unconsciousness.
Abdominal injuries with no decreased blood pressure.
Eye injuries that do not threaten eyesight.
Soft tissue injuries and fractures (open or closed).
d. Routine. Routine category usually consists of the less serious delayed
casualties and minimal casualties requiring additional medical treatment and/or
evaluation. The evacuation of these casualties can be delayed for up to 24 hours without
serious deterioration of their conditions. Casualties in the expectant category are also
placed in this category when evacuation means are limited. Examples of casualties in
this category include casualties with: