Ok so I think you are missing my point, I am talking equipment to do a specific task not policies, procedures and casualty severity that affect a task, that is another issue all together, it's like talking about the new rifle and then going off on a tangent about rules of engagement, you are looking alittle too much into it.
You do understand we currently have ambos in the defence force correct? So what is it exactly you think these are for and how do we employ them?
I also take it you know most if not all developed armies around the world have these assets, soft skin and armoured, some even have multiple types so just wondering again what is it you think they use these for and why for some reason you think we differ?
And you have clearly been missing mine, so I will attempt to convey this one last time.
Which is more important, having kit appropriate for a specific task, or getting an acceptable outcome? Relating to that question, is the role of an ambulance (armoured or not) just the single task of recovering wounded personnel, or is it also getting those wounded to care?
Using the 'new rifle' example, from my POV it would be more like seeing the need for a squad or section-level Designated Marksman-type rifle and then selecting a 'new rifle' which has some features the standard issue rifle lacks but does not have the features to ensure that the 'new rifle' exceeds the performance of the standard issue rifle when used in the Designated Marksman Rifle role.
From my perspective having the NZLAV-A close to the battle even if not utilized as evacuation to a casulty clearing station has more equipment that can be utilized than just a medic and his pack being carried, it's these bits that reassure those at the coal face that the powers to be will do everything in there power to treat the wounded to the best of there ability cost should not come into it when you have surpluses hulls
Which would be preferable, kit intended to reassure troops that the powers that be are concerned about the outcome if they are wounded? Or kit that could actually result in a better care outcome if troops are wounded?
The capability need in question is protected recovery operations, as well as general mobility within high threat areas. If you have soldiers wounded under fire, you need armour protection to at least attempt personnel recovery. Fixating on Afghanistan Ops isn’t particularly useful, IMHO. It was a large scale coalition operation where plenty of resources for Medevac and Casevac operations were present to the point where neither Australia or NZ needed to deploy aviation assets to ensure such capabilities were available.
To me, such a situation is the exception rather than the rule. With the growing presence of IED’s, anti-armour weapons and ‘Technicals’ with HMG / light cannon armaments being encounted by Australian and NZ forces in the battlespaces they are operating in, the idea that soft-skinned ambulances or recovery vehicles will have any tactical utility is appearing increasingly in the rear vision mirror...
Again, is the need really in protected recovery operations? Or is it really in getting casualties to care in time for it to make a difference in outcome?
In my experience, getting a serious trauma patient to care rapidly is of enormous importance if one desires a good outcome. With that in mind, continued use of ground ambulances to transport patients with minor injuries to care still makes sense, as does utilizing them for serious/critical patients when the response and transport time will be short. For serious or critical patients that are at remote or inaccessible sites which would mean a long transit time to care using ground transportation, then a faster method is needed which would most likely be a helicopter casevac or medevac.
When I look at where Oz and Kiwi forces operated at in Afghanistan, and areas where there is a distinct potential for future deployments by either/both countries in the ASEAN and S. Pacific regions, the likelihood of getting wounded personnel to care in a timely fashion is an issue I see arising, and I do not foresee armoured ambulances providing any real improvement.
I have already gone over my interpretation of the released events from the 4 August 2012 Baghak Contact and my belief that if an armoured ambulance had been available and present, it would likely have led to little or no improvement in outcome due to the ambulance being unable to reach the wounded because of the rough terrain, and/or unable to transport the wounded to care due to combination of distance, terrain, and lack of road infrastructure. As a side note, I do feel that it should be pointed out that sending a lone ambulance (armoured or not) without an escort force to transit through a contested countryside for tens of kilometres is to invite an ambush and likely further casualties.
Instead of rehashing Afghanistan, how about we consider a deployment like was done in the Solomons during RAMSI, or a HADR deployment following a natural disaster and/or unrest marked by violence. Would an ambulance (armoured or not) be able to reach an outlying area to recover wounded personnel? If an ambulance could reach (or was already posted) where the wounded were, could it transport the wounded to care in a timely fashion? As an added wrinkle to the scenario, imagine that the closest appropriate medical facility available was the hospital aboard either HMNZS Canterbury or one of the
Canberra-class LHD's anchored offshore, and the additional time required to get the wounded to the vessel before treatment could be initiated.
What I am getting at is that while introducing an armoured ambulance capability might permit such an ambulance to deploy with a NZLAV patrol or QRF, given the likely areas and conditions of such a deployment, I would not expect the presence of such an armoured ambulance to contribute significantly to improving the patient outcome for wounded soldiers. Now if NZ was able to also deploy and sustain a medical/surgical treatment team which would be within a short transit time by ambulance then the situation would be different.
I do see the potential for other, larger armed forces to make successful use of armoured ambulances, but that would be more due to additional support elements available IMO. Look at the force structure which supports a US Army Stryker company. At a company level, there is a M1133 Medical Evacuation Vehicle section assigned from the Battalion Aid Station. However, that company is part of a larger battalion which has a medical platoon which in turn includes a surgeon and treatment teams (the Battalion Aid Station). In effect, a Stryker battalion has an additional level of care available to stabilize wounded soldiers beyond what medics and/or an ambulance could do, before transporting the wounded to hospital.