The Army Medical Department (AMEDD) must conduct patient evacuation from the entire scope of the nation's battlefields. Clearing these battlefields requires more than mere transport of personnel with wounds or disease and non-battle injury. The continuum of care must be provided from initial identification of a casualty through transportation to a definitive hospital facility. The lack of comprehensive far-forward medical care, the speed of ground operations and decreased mobility of hospitals have created extended lines of medical evacuation that exceed today's capabilities. The current fleet of Army helicopters is unable to adequately evacuate along the extended distances between levels of care. With these factors in mind, the Army must obtain a long range, high-speed platform with on board treatment capabilities. In summary, the AMEDD must transform our patient evacuation system to include new equipment with new doctrine, personnel and training.