Vojenské Rozhledy

Czech Military Review

Vojenské rozhledy / Czech Military Review Nr. 1/2026, Vol. XXXV. (LXVII.): 156-179 | DOI: 10.3849/2336-2995.35.2026.01.156-179


Systemic Challenges in the Pre-Hospital Medical Reporting Framework: A NATO-Aligned Concept Development and Experimentation StudyReviewed - Research

Veronika Šedivcová1,7, Hana Střítecká2,3, Vanda Boštíková Author profileORCID...4, Daniel Petriľák5, Petr Král Author profile6, Hynek Schvach7
1 Military Medicine Division of the Ministry of Defense – Surgeon General Command
2 Charles University, Faculty of Medicine in Hradec Kralove, Department of Preventive Medicine
3 CASRI, Prague
4 University of Defence, Military Faculty of Medicine, Department of Epidemiology
5 Military University Hospital in Prague
6 Military Hospital in Brno
7 University of Defence, Military Faculty of Medicine, Department of Military Medical Service Organisation and Management

Pre-hospital medical reporting is critical for MEDEVAC activation and Medical C2. However, NATO exercises frequently reveal data inconsistencies and information loss. This study evaluates information flow within a Czech Army mechanized battalion and verifies a new Pre-Hospital Care (PHC) concept designed to address these friction points.
A Table-Top Exercise (TTX) involving forty participants was conducted to test the concept. Results revealed significant deviations from NATO standards (9-liner, MIST), with critical information loss occurring between company and battalion levels. Conversely, the PHC concept demonstrated improved structure, clarity, and time discipline. The study concludes that the PHC concept effectively addresses systemic shortcomings, offering a user-friendly tool to enhance Medical C2. It recommends further validation in field exercises (LIVEX) and gradual integration into national training and doctrine.

Keywords: MEDEVAC; Medical C2; NATO CD&E; PHC Concept. Pre-hospital Care; Tactical Medicine.

Published: June 30, 2026  Show citation

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Šedivcová, V., Střítecká, H., Boštíková, V., Petriľák, D., Král, P., & Schvach, H. (2026).
Systemic Challenges in the Pre-Hospital Medical Reporting Framework: A NATO-Aligned Concept Development and Experimentation Study. Czech Military Review, 107(1), 156-179. doi: 10.3849/2336-2995.35.2026.01.156-179
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