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The FReeper Foxhole Profiles - Reevaluating the Role of the Dustoff - April 3rd, 2005
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Posted on 04/03/2005 5:18:14 AM PDT by snippy_about_it
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Lord,
Keep our Troops forever in Your care
Give them victory over the enemy...
Grant them a safe and swift return...
Bless those who mourn the lost. .
FReepers from the Foxhole join in prayer for all those serving their country at this time.
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Reevaluating the Role of the Dustoff

Vietnam
While it improved the survival rate and confidence level of troops in Vietnam, medevac often distorted the tactical shape of battles.
By Paddy Griffith
Within the general evolution of the art of war, the conflict in Vietnam was notable for several novel and important features that were destined to become irreversible. Among these were such things as the helicopter gunship, the electronic battlefield and even the hush-hush array of satellite-based surveillance assets. All of these are powerful tactical factors that we today seem to take pretty much for granted, to the extent that from our present perspective, a generation later, we may overlook the significance of their original development. We tend to forget that a large number of the key elements of modern warfare were totally new in 1965, and that it was the Vietnam War that first allowed them to be explored and deployed under the stresses of real and mortal combat.
From the viewpoint of troops on the ground in Vietnam, the innovation that made by far the greatest impact was not directly tactical at all, but actually medical in nature. This was the casualty evacuation helicopter, or "dustoff," which could whisk a wounded man to a well-equipped aid station within minutes, and from there to a base hospital within a few hours. One Vietnam infantry veteran told me: "The troops in my own unit always felt that if we were not killed outright if we were hit, the odds of surviving were in our favor. This added greatly to the confidence factor in any situation."
In historical terms, it represented still another advance in the speed of casualty evacuation and in the treatment of shock, which had significantly improved since the Napoleonic Wars. Until then, unless one was a high-ranking officer, wounded soldiers were not removed from the field until after the battle was over.
In 1792, however, French surgeon Dominique Jean Larrey began to develop horse-drawn, two-wheeled "flying ambulances" for the swift removal of casualtiesprimarily to prevent their being slaughtered by the enemyand he soon discovered that the earlier they were treated, the better their chances of recovery. Even after that fundamentally critical innovation, some 44 percent of the soldiers wounded during the American Civil War failed to survive, but by 1918 the British died-of-wounds figure was down to around 8 percent. In World War II it was 4.5 percent for U.S. troops, and in Vietnam it was as low as 2.6 percent.
Each successive improvement in medevac procedures brought a concrete tactical advantage in terms of troop morale, and in Vietnam the process was brought to practically the highest level it could possibly attain. There was also a political advantage for the U.S. government to take unprecedented care of its conscripted soldiers and lavish upon them a degree of medical succor that had been unknown in any previous war. Fewer losses meant more support back home.
The dustoff, however, did not come cheap. First, it involved a heavy cost in rear-echelon personnel, as well as some long-term cash payouts. More convalescents in the hospital, surviving for longer, meant that more doctors and nurses were needed to look after them, after which more veterans' pensions had to be found. It is a sad fact that the average wounded soldier costs the taxpayer many more dollars than a soldier killed in action, however differently we may rate the psychic or moral costs. Second, the helicopters themselves represented a particularly significant drain on a precious tactical resource.
We must recall that 1965 came only 11 years after the entire French empire had been able to deploy a grand total of only seven helicopters in the Southeast Asia theater. The United States would eventually deploy something like 4,000. But even then the average time available for flying might be only about 10 percent, since as much as 90 percent of any chopper's time had to be devoted to maintenance tasks. Hence, on average, only something like 400 helicopters were reliably available at any moment to cover all the requirements of the U.S. forces in-country, as well as of the ARVN and of the many political and civilian agencies.
If we break this down still further, it is not difficult to understand that only some 70 to 80 helicopters might be available for military use within each corps area. This might translate into only one or two dozen per division. Lifting a single infantry company might normally require some 16 to 20 helicopters, depending on fuel load. Those choppers were supplemented by the necessary accompaniment of gunships, command ships and associated heavy-lift supportor indeed the continuing routine requirement for logistic backup throughout the Army. So by definition, there can rarely have been very many surplus helicopters available for medevac purposes. As Lt. Gen. Harold G. Moore (then the lieutenant colonel commanding the lead battalion) later reported on the start of the November 1965 Ia Drang battle, "my main concern focused on the fact that we would have only sixteen Huey slicks to ferry the battalion into the assault area... .What that meant was that fewer than eighty mennot even one full companywould hit the landing zone in the first wave... ." (In the face of three whole enemy battalions!)
Then again, in December 1969, Lieutenant Michael Lee Lanning experienced a nerve-wracking wait when only three helicopters could be made available to lift his company out of the scene of a bloody battle. "We would have to be extracted in three separate lifts," he recalled. "Turnaround time between each sortie would be about thirty minutes. That meant that before the last group could be picked up, any lingering dinks would have an hour to plan an attack on the remaining eighteen men." All in all, we must conclude that despite the apparently plentiful supply of helicopters available to the U.S. forces in Vietnam, they were still always a relatively rare resource that needed to be managed and husbanded very carefully.
The dustoff suffered from a particular difficulty that has been common to all front-line ambulances throughout history. It was designed to rescue wounded soldiers from as near as possible to the time and place they were woundedwhich by definition would add up to an especially dangerous situation. The dustoff had to fly right into the heart of the battle zone and pluck out shocked, suffering, bleeding and badly damaged combatants who might still be under heavy fire. Yet the medical crew also had to make sure that they themselves managed to survive such fire, so that their rescued casualty could be removed safely to an aid station in the rear.
That made for some urgent personal dilemmas. As one crewman recalled in Moore and Joseph C. Galloway's We Were Soldiers Once
and Young: "The NVA were in the wood line shooting at the helicopter. The medevac pilot kind of froze up on us and was having trouble setting the ship down. We never did come to a complete hover. All aboard had to dive out on the ground from about six feet up in the air. We ran in a crouch."
On some occasions the infantry had particularly bad experiences with dustoff crews. William Shucart reported of the Ia Drang battle: "We were trying to get the medevac ships to come in but they would not. A couple of Huey slicks came down but we were taking fire and the medevacs wouldn't come. When you are taking fire is precisely when you need medevac. I don't know where those guys got their great reputations. I was totally dismayed with the medevac guys. The Huey slick crews were terrific."
Obviously, there was always a serious conflict of interest inherent in the whole business of medevac. On one side, the dustoff crews had to ignore the tactical dangers and go in regardless, and in fact many of them were often among the bravest men to be found anywhere in the military. Yet, on the other hand, they had to carefully calculate their risks and make sure that conditions were relatively safe, or at least safe enough. Otherwise, they would be certain to lose the wounded men they were evacuating as well as their own lives.
Lanning's account of a conversation between him and a pilot was perhaps not atypical: "I held [the wounded and delirious Staff Sgt.] Blyman with one arm and reached for the handset to talk to the medevac pilot with the other. 'Listen,' I said, 'I need a hook and a cable.'
"'What's the situation?' he asked.
"I told him we were receiving sporadic fire, knowing ahead of time what his reaction would be. 'No way,' he answered. 'I can't hover that long under fire.'
"'Listen,' I said again, 'we've got a man hit in the knee. He's gone crazy. I've got to get him out of here now! We'll put down all the supporting fire we can.'
"The pilot must have heard the urgency in my voice, because after a slight pause he said, 'Okay. Pop smoke. Let's give it a try.'"
In that instance, the dustoff chopper did receive some hits. But the extraction was successful and the members of the medevac team were recommended for medals.
FReeper Foxhole Armed Services Links

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TOPICS: VetsCoR
KEYWORDS: dustoff; freeperfoxhole; history; hueys; samsdayoff; veterans; vietnam
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To: Dustoff45
Thanks Dustoff45. That's what I get for just grabbing pictures in the middle of the night. That's my excuse anyway. ;-)
We try our best to honor all services and all the 'jobs' our troops perform.
Thank you for your service and Welcome Home.
21
posted on
04/03/2005 9:37:30 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: Iris7
Americans are not disposable.Amen to that Iris7.
22
posted on
04/03/2005 9:39:18 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: Samwise
Good morning Samwise. You took some great pics, thanks.
23
posted on
04/03/2005 9:41:27 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: Grzegorz 246
24
posted on
04/03/2005 9:43:33 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: SAMWolf
We, as a country, owe it to the young people it sends to war.Absolutely.
25
posted on
04/03/2005 9:44:29 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: Valin
26
posted on
04/03/2005 9:44:44 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: The Mayor
27
posted on
04/03/2005 9:45:24 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: bentfeather
Thank you feather. One of the best Psalms.
28
posted on
04/03/2005 9:46:19 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: SAMWolf; PAR35; Dustoff45
Hey! You beat Par35!!
Good Job.
Hey yourself Sam. We've got to make mistakes now and then just to keep Foxhole folks on their toes. ;-)
29
posted on
04/03/2005 9:48:03 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: stand watie
the dust-off lads had more GUTS than common sense, thanks to GOD!Like Iris7 said, all eyes were on them.
30
posted on
04/03/2005 9:49:56 AM PDT
by
snippy_about_it
(Fall in --> The FReeper Foxhole. America's History. America's Soul.)
To: snippy_about_it
Morning Glory Folks~
Excellent read on MedVacs . . . all this time I somehow missed the term "Dustup".
Those two goals, however, often turned out to be incompatible, because rescuing one's own wounded of-ten meant that the battle against the enemy had to be broken off at a critical time, or diverted into an unplanned direction.
No thanks to Lyndon Johnson and MacNamara for the sacrificial way they mismanaged our boys and hamstrung our commanders.
GOD BLESS OUR BRAVE 'NAM VETS

31
posted on
04/03/2005 9:51:51 AM PDT
by
w_over_w
(Cocklebur, a weed, caused the invention of Velcro . . . it makes you wonder!)
To: SAMWolf; Iris7
Sorry guys . . .
Morning Glory to you too!
32
posted on
04/03/2005 9:54:26 AM PDT
by
w_over_w
(Cocklebur, a weed, caused the invention of Velcro . . . it makes you wonder!)
To: snippy_about_it; SAMWolf; Iris7
all this time I somehow missed the term "Dustup". Sorry . . . make that "Dustoff".
I'm out of it this AM. After a round of golf yesterday morning, I was put to work by my wife in our backyard like an illegal alien. Just call me "Teo", Jr. ;^)
33
posted on
04/03/2005 10:00:11 AM PDT
by
w_over_w
(Cocklebur, a weed, caused the invention of Velcro . . . it makes you wonder!)
To: snippy_about_it
Hubby took the pix. I'll tell him you like them.
34
posted on
04/03/2005 10:03:11 AM PDT
by
Samwise
To: snippy_about_it
35
posted on
04/03/2005 10:25:43 AM PDT
by
stand watie
(being a damnyankee is no better than being a racist. it is a LEARNED prejudice against dixie.)
To: snippy_about_it; bentfeather; Samwise; msdrby; Wneighbor
Good morning ladies. Flag-o-Gram.
To: Valin; Samwise; SAMWolf; snippy_about_it; Iris7; Darksheare; Professional Engineer; All
US : American Circus Day 
I couldn't resist LOL
Regards
alfa6 ;>}
37
posted on
04/03/2005 11:07:23 AM PDT
by
alfa6
(Memebr loyal order of F.O.G.)
To: Valin
1926 2nd flight of a liquid-fueled rocket by Robert Goddard
To: snippy_about_it; humblegunner; Cannoneer No. 4
Add humblegunner to the Treadhead ping list, and the Stryker ping list.
(Who inherited the Stryker pinglist?)
(And add to FAMPL ping list as well.)
39
posted on
04/03/2005 11:10:53 AM PDT
by
Darksheare
(Burnt to the core but not broken.)
To: bentfeather
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