Dustoff - The Helicopter
Medical Evacuation Teams
Modern techniques of war in some respects bear little resemblance to
the "old days". The advent of the helicopter drastically changed casualty
evacuation, and many other aspects of combat. Vietnam was the helicopter war. To the
wounded, no sight was more welcome than the Iroquois Helicopter with the Red Cross emblem
painted on the nose, top and sides, known throughout Vietnam by the code name
"Dustoff". It meant immediate treatment and a swift journey to a hospital for
medical attention; the saving of valuable minutes that were for some the difference
between life and death. The average time from being wounded to hospitalisation was one
hour.
The UH-1 Bell Helicopters was fitted to carry 6 patients with at least one member of the
crew of 4 being a fully trained first-aid man, able to give treatment from transfusions to
reassurance. They sped out to evacuate the wounded, landing in the most inaccessible
places, which were more often than not, under enemy fire.
In 1966 a US Dustoff helicopter was assigned to the base at Nui Dat between the hours of
0700 - 1800 daily, for dustoff duties . 9 Sqn RAAF helicopters supplemented the US
aircraft when this aircraft was unable to handle large numbers of casualties.
On the 1 November 1970, 9 Sqn RAAF Iroquios helicopters took over responsibility for the
role on a full time basis of maintaining an aircraft and crew at Nui Dat in readiness to
respond to calls for dustoff.
No 9 Sqn RAAF Helicopters by December 1968 had evacuated 2000 casualties
from the Battle field. by the end of their role in Vietnam 9 Sqn had carried 4,000
casevacs(wounded). In Vietnam only 2.5% of casualties died before reaching hospital,
compared with 4.3% in Korea and 8.5% in World War 2.
On several occasions Sioux helicopters of the Army's 161 Recce Flt at Nui Dat picked up
wounded.
Quite often the wounded were winched out of the jungle in litters, making the helicopter
and its crew highly vunerable to ground fire. It was not unusual for helicopters to winch
out seriously wounded while the battle still raged below.
The American Dustoffs were particularly well known by the Australians as being prepared to
risk their aircraft and lives in assisting Australian wounded.
In 1968, 35 "Dustoff " Helicopters were hit by ground fire whilst carrying out
an evacuation. In 1969 the figure was 39.
Australian Military Medical Units.
Forming part of the Australian Military committment in
South Vietnam in 1966, 2 Field Ambulance was committed to Vietnam in March 1966 to support
the Australian forces in Vietnam. Stationed at Vung Tau from 1 April 1966 until 5 July
1967, the unit included a 50 bed hospital element, a hygiene squad, a medical stores
component and a surgical team comprising a surgeon and anaesthetist.
A detachment of the field ambulance moved to the Task Force base at Nui Dat to establish a
subsidiary minor medical facility, its main function, to provide emergency medical
treatment before evacuation for more definitive treatment. Medical facilities were
supplemented by Regimental Aid Posts from some Task Force units.
8 Field Ambulance( tour 2 March 1967-12 March 1972) replaced 2 Field Ambulance in April
1967 and provided medical facilities at Vung Tau and Nui Dat until 1972.
On the 1st April, 1968, 1 Australian Field Hospital was opened at Vung Tau and catered for
the Austalian wounded until 21 November 1971.
8 Field Ambulance(RAAMC) - Vietnam
RAAF Aero Medical Evacuation Flights
During the course of the Vietnam war, 3238 Australian and New Zealand service personnel were medically evacuated from Vietnam to Australia, mainly by RAAF Hercules aircraft. The breakdown was;
| Australian Army | 2793 |
| Royal Australian Air Force | 159 |
| Royal Australian Navy | 24 |
| Royal New Zealand Army | 194 |
| Royal New Zealand Air Force | 3 |
| Civilians | 8 |
| Status Unknown | 57 |
Australian Civilian Medical Teams in Vietnam.
Australia was one of fifteen nations to provide
civilian or military medical aid teams to South Vietnam and were provided under the SEATO
aid program.
Long Xuyen
October 1964 - October 1965 Royal Melbourne Hospital
October 1964 - October 1965 St Vincent's Hospital, Melbourne
October 1966 - October 1967 Prince Henry's Hospital, Melbourne
October 1967 - February 1969 New South Wales State Team
February 1969 - July 1970 Western Australia State Team
August 1970 - January 1970 Western Australia State Team
January 1970 - August 1970 Two-Doctor Team from the Ben Hoa Team
August 1970 - December 1970 One Doctor detached from the Ben Hoa Team
Ben Hoa
January 1966 - March 1967 Alfred Hospital, Melbourne
April 1967 - October 1967 South Australia State Team
October 1967 - January 1969 Queensland State Team
February 1969 - January 1970 Alfred Hospital, Melbourne
January 1970 - July 1970 South Australian State Team
August 1970 - January 1971 Victorian State Team
January 1971 - July 1971 Queensland State Team
August 1971 - January 1972 New South Wales State Team
January 1972 - July 1972 New South Wales State Team
July 1972 - December 1972 Composite Australia Wide Team
Le Loi Hospital, Vung Tau
November 1966 - May 1967 Prince Henry and Prince of Wales
Hospital, Sydney.
May 1967 - November 1967 Prince Alfred Hospital, Sydney
November 1967 - March 1970 Repatriation Commission
Phuoc Le (Baria)
October 1968 - March 1969 Subsidiary of Repatriation
Commission Team at Le Loi Hospital Vung Tau
The American System
The USAF Military Airlift Command(MAC) evacuated 406,022 patients, including 168,832
battle casualties, between 1965 and 1973.
Between 1965 and 1969, there were 372,947casualties evacuated
by Helicopter . This included US, Allied troops and civilians.
At the peak of Allied involvement, 116 Bell UH-1 "Dustoffs" were in service.
There were 18 hospitals scattered throughout Vietnam.
83% of wounded were able to return to military duty.
2% of wounded died in hospital compared with the Second World War death rate of 4.5%.
Causes
| Deaths | Causes | Wounded |
|---|---|---|
Vietnam - 51% |
small arms |
16% |
36% |
Fragments |
65% |
11% |
booby traps/mines |
15% |
- |
punji stakes |
2% |
2% |
other |
2% |