A U.S. Air Force medic applied combat first aid to Soldiers when their vehicle was hit by an improvised explosive device in Kapisa province, Afghanistan, Sept. 22.
Senior Airman Ashley Jackson, a medic with Kapisa Provincial Reconstruction Team, was riding in a mine-resistant, ambush-protected vehicle with U.S. Army Soldiers as part of a mounted combat patrol mission to inspect development projects in the province. The team had completed its mission near Shohki village, and was returning to Bagram when the MRAP was targeted.
Jackson, who frequently conducts combat patrols to provide medical support to PRT members, remembers the incident vividly.
“While driving on a dirt road, we were slowing down to drive over a concrete patch when the IED went off,” said Jackson. “I remember getting jerked around the vehicle and the rear of the MRAP, where I was seated, filling with dust.”
After the blast, Jackson said her first memory was that of U.S. Army Sgt. David Conrad, the truck commander. Conrad was alerting the convoy over the radio, “We hit an IED! We hit an IED!”
For a few moments, she was dazed … She recalls taking a second to wiggle her fingers and toes.
Discovering she wasn’t badly hurt, she immediately began assessing the condition of the Soldiers she calls her “brothers.”
Spc. Kenneth Harada, an infantryman with the PRT’s security forces, was riding alongside Jackson in the MRAP. Harada was visibly shaken, and suffering from a mild concussion from the blast. According to Jackson, Harada, after regaining his senses, grabbed his assault rifle and joined the rest of his team providing security of the scene, protecting the convoy against any potential hostile fire or complex attacks.
Jackson took Harada’s actions as a sign that he was not severely injured. After confirming that he and Conrad were (relatively) okay, she yelled out to the MRAP’s driver, Spc. William Laing, and the crew’s .50-caliber machine gunner (name withheld).
“I didn’t see any feet inside the turret, so I poked my head inside it,” said Jackson. “The restraint harness had worked, but I saw the gunner slumped over his gun, unresponsive.”
She checked the gunner’s airway, breathing and circulation; then she checked him for injuries. He didn’t need a tourniquet, but his leg had a femur fracture. To get him onto a backboard, Jackson had to get him out of the turret.
“I gave him morphine to prepare him for the pain he was about to experience when we removed him from the turret,” said Jackson. “I realigned his leg as best I could, trying not to cause any more damage,” said Jackson.
With the help of the PRT’s security forces, including Army Staff Sgt. Bryan Dykes, a reservist and one of the team’s squad leaders who serves as a paramedic in his civilian life, she got the gunner on a backboard and secured him to it.
Dykes and other PRT members then focused their attention on the driver, who managed to open the door of the destroyed vehicle. He was lying on the ground when Jackson saw him.
“The driver was also breathing, and was responsive, but couldn’t move,” Jackson said. “As I talked to him, he alerted me that he was in pain.”
The MRAP, although completely destroyed, had functioned according to its design. All of its passengers were alive, but they needed more medical attention. Jackson returned to tend to the gunner, while Dykes and other members of the convoy moved the driver and the TC near her, making it easier for her to monitor all of them in one central location.
While the team tended to the injured, the convoy commander, Army Sgt. Rob Feiser, radioed for help, summoning helicopters to medically evacuate the crew. Jackson and Dykes monitored the injured until an Air Force para-rescue team, from the 33 Expeditionary Rescue Squadron, stationed at Bagram Air Field, arrived a few minutes later.
During the flight to the hospital, she helped the para-rescue team create a makeshift sling to limit movement of the injured until they arrived at the emergency room at Bagram. After thorough examinations, Jackson and Harada were released, while Conrad, Laing and the gunner remained to receive extensive care for more serious injuries.
Jackson is grateful to have survived such an experience. She’s also glad she was able to perform her job. Although she has received extensive training as a medic and has seen medical emergencies before, this was her first time performing combat life-saving skills in hostile territory.
“When I first received orders to Afghanistan, I thought that I would just be helping Afghan people. You know … giving local children vaccinations and providing basic clinical care to impoverished communities in Afghanistan,” said Jackson. “It was when I went through three months of training with the Army at Camp Atterbury, Ind., that I realized my primary mission while deployed was to take care of my guys while our team goes outside the wire.”
As PRTs venture into local communities to interact with the Afghan people, their movement to and from development sites is often the subject of insurgent attacks. The training she received at Camp Atterbury was Army-specific, focusing on mounted gunnery, combat life-saving skills, convoy operations and other traditional ground-combat techniques to help defend against such hostilities.
With this experience behind her, Jackson says she is more confident now, knowing she won’t “freeze up,” and can perform when called upon. She urges other Air Force medics to prepare to do the same.
“Air Force medics need to know that we’re a changing military … We have different expectations now than we did ten years ago,” Jackson warns. “In other words, they need to be ready to pick up a weapon and go outside the wire when called upon.”
It was not long, in fact only a few days, before Jackson did just that, donning her body armor, grabbing her weapons and going on patrol outside the wire with the PRT again. When asked how she felt about the remainder of her deployment in light of surviving an IED attack, she replied: “I need to take care of my brothers, and now I know I can do my job … The rest of this deployment is going to be okay.”
