Tidbits from "Air Evacuation and its Effect on Theater and Zone of Interior Hospitalization Requirements" (1947)

Page 5

a. The European theater has been selected for the study of the effect of air evacuation on the evacuation policy and hospital requirements in the theater. The average strength of the ETO during the period January 1945 to June 1945 ( incl ) approximated 2,946,725.

[Historical Review, WWII, Apend P, p. 58]

The daily admission rate in the ETO averaged 1.9 per 1000 per day for non-battle casualties and 0.47 per day per 1000 for battle casualties.

[FM 101-10, Chap 5, par 513 c and d, pp. 55-56.]

Based on the above criteria it could be assumed that the average number of casualties for a one month period would approximate 162,000 non-battle casualties and 41,548 battle casualties. The disposition of the battle casualties based upon experience factors of WW II would be as follows:

4% (1,662) die after reaching the hospital.
15% (6,232) recover in 15 days,
19% (7,894) recover in 30 days.
17% (7,063) recover in 60 days.
11% (4,570) recover in 60 to 90 days.
20% (8,300) recover in 90 days.
14% (5,820) invalided home.

[FM 101-10, Chap 5, par 513 d, pp. 56.]

Page 8

To obtain some idea of the evacuation requirements, assume the distance casualties were evacuated from the ETO to debarkation hospitals in the ZI to be an average of 3000 miles. The following table shows the requirements for the various means evacuation for each of the various policies.

Means Required for Evac to ZI

Evac Pol

Bat Cas

Hosp Ship Required

Troop Ship Required

C-54 Acft. Required

C-74 Acft. Required

120

5,820

15.1

14.5

10.7

3.5

90

14,020

36.4

34.9

25.9

8.5

60

18,590

48.2

47.5

34.4

11.3

30

25,635

66.5

64.0

47.4

15.6

Note:

1. Hosp ship @ 500 per trip round trip every 39 days or average of 385 patients per month.

2. Troop ship @ 540 patients per trip, round trip every 39 days for average of 400 patients per month.

3. C-54 Airplane @ 36 patients per trip, round trip every 2 days for average of 540 patients per month.

4. C-74 Airplane @ 109 patients per trip, round trip every 2 days for average of 1635 patients per month.

Pages 1 to 3 of Annex 2

Annex 2. Comparison of Means of Evacuation

1. Performance of the various means of evacuation may be compared by the following methods:

a. Time element of evacuation as established in Draft FM 101-10, Chap 5, par 516, p. 61.

“Ambulance, motor, during combat, in division area: 5 miles and return in one hour.”
Aircraft:
Liaison airplane (L-5) -- 50 miles one way in one hour.
Cargo airplane (C-47) --100 miles one way in one hour.

b. In a pamphlet, "Patient Air Evacuation," published by the Office of the Surgeon, Air Transport Command, the claim is made that 1½ C-54 airplanes per day will evacuate 6 times the number of patients that a hospital ship can with a savings of 34% in medical personnel and at the same time will carry more than 450 tons of high priority supplies back to the combat area on return trips.

c. The average performance capabilities of the various means of evacuation represented in units of litter patients/miles per hour with each "Unit" represented as 1000 patient/miles.

Type

Capacity

MPH

Units

L-5 Airplane

1

90

0.09

R-4 Helicopter


80

0.16

C-47 Airplane

24

145

3.48

C-46 Airplane

24

165

3.96

C-82 Airplane

34

165

5.61

C-54 Airplane

36

200

7.20

C-97 Airplane

83

217

18.01

C-74 Airplane

109

211

22.99

Hosp Ship

500

20

5.00

Hosp Train

300

10

3.00

Ambulance: 3/4 ton

4

15

0.06

2. Comparison of the efficiency with which an L-5 airplane, R-4 helicopter and a 3/4 ton ambulance can perform an evacuation mission of moving 20 litter patients a distance of 20 miles.

Type

No. Patients *

No. Trips

Total Miles

MPH*

Total Time

Gal Fuel

Units

L-5

1

20

800

50

20:00

200

0.002

R-4

2

10

400

50

10:00

150

0.004

3/4 ton Amb

4

5

200

10

20:00

44

0.002

* Draft FM 101-10, par 515

** Draft FM 101-10, 516

3. Comparison of the efficiency with which transport type aircraft and a hospital train perform an evacuation mission of moving 300 patients a distance of 100 miles.

Type

No. Patients

No. Trips

Total Miles

MPH

Total

Gal. Fuel (*)

Units

C-47

24

12.5

2,500

145

23:30

2,140

1.28

C-46

24

12.5

2,500

165

22:25

3,800

1.34

C-82

34

8.8

1,764

165

15:05

2,675

1.92

Hosp Train

300

1.0

200

10

22:00

2,100

1.36

* Pamphlet, "Cargo Aircraft" Chart on page 26.

NOTE:

15 minutes have been added to each trip for loading, unloading and refueling.
2 hours added to train time for loading and unloading.

4. Comparison of the efficiency with which transport type aircraft and a hospital ship can perform an evacuation mission of moving 500 patients a distance of 1000 miles.

Type

No. Patients

No. Trips

Total Miles

MPH

Total Time

Fuel in Gallons

Unit

C-82

34

14.7

29,400

165

207:35

44,500

2.41

C-54

36

14.0

26,000

200

168:00

51,905

2.98

C-97

83

6.0

12,000

217

67:20

26,500

7.43

C-74

109

4.6

9,200

211

52:50

23,600

9.45

Hosp Ship

500

1.0

2,000

20

110:00

40,000

4.54

* Draft FM 101-10, par 515

NOTE:

Two hours added to time for each plane trip for loading unloading and refueling.
Ten hours added to total time for hospital ship's trip to allow for loading and unloading patients.

5. Fuel consumption per hour for the various means of transportation referred to above.

Type

Gal-per-hour

L-5

10

R-4

15

C-47

125

C-46

250

C-82

250

C-54

375

C-97

480

C-74

540

Hosp Train

120 (est)

Hosp Ship

200 (est)

Ambulance

2.2 (est)