MEDEVAC REQUEST FM 8106

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MEDEVAC REQUESTFM 8-10-6

• EVACUATION TERMS

MEDEVAC- EVACUATION PLATFORM IS STANDARD (MEDICAL
TYPE VEHICLE) CASEVAC- EVACUATION PLATFORM IS
NON-STANDARD (NOT A MEDICAL TYPE VEHICLE) AXP-
AMBULANCE EXCHANGE POINT. CCP- CASUALTY
COLLECTION POINT.
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MEDEVAC REQUESTFM 8-10-6

• Provide Opening Statement
• I have a MEDEVAC request
• After the appropriate opening statement is made,
  the operator breaks for acknowledgment.
• MEDEVAC request line numbers 1 through 5 must
  always be transmitted first. The information
  enables the evacuation unit to begin the mission
  and avoids unnecessary delay if the remaining
  information in not immediately available. The
  information for Lines 6 through 9 should be
  transmitted as soon as it is available.
• 9 line follows

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MEDEVAC REQUESTFM 8-10-6

• LOCATION OF PICKUP SITE
• - Grid zone designator with 8 digit grid.
  Required so evacuation vehicle knows where to
  pickup patient. Also, so that the unit
  coordinating the evacuation mission can plan the
  route for the evacuation vehicle (if vehicle must
  pick up from more than one location).
• RADIO FREQUENCY, CALL SIGN, AND SUFFIX
• - _______ Required so that evacuation vehicle
  can contact requesting unit while enroute (obtain
  additional information or change in situation or
  directions).

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MEDEVAC REQUESTFM 8-10-6

• NUMBER OF PATIENTS BY PRECEDENCE
• - Required by unit controlling the evacuation
  vehicles to assist in prioritizing missions
• URGENT patient who should be evacuated as soon as
  possible and within two hours to save life, limb,
  or eyesight.
• URGENT SURGICAL patients who must have far
  forward surgical intervention to save life and
  stabilize for further evacuation.
• PRIORITY patient who should be moved within four
  hours or his condition will deteriorate to such a
  degree that he will become urgent.
• ROUTINE personnel whose condition is not expected
  to worsen significantly and who will require
  evacuation in the next 24 hours
• CONVENIENCE a category assigned to patients for
  whom evacuation is a matter of medical
  convenience rather than necessity

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MEDEVAC REQUESTFM 8-10-6

• SPECIAL EQUIPMENT REQUIRED
• - Required so that the equipment can be placed
  on board the evacuation vehicle prior to the
  start of the mission.
• None
• Hoist
• Extraction equipment
• Ventilator
• NUMBER OF PATIENTS BY TYPE
• - Required so that the appropriate number of
  evacuation vehicles may be dispatched to the
  pickup site. They should be configured to carry
  the patients requiring evacuation.
• LITTER
• AMBULATORY (sitting)

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MEDEVAC REQUESTFM 8-10-6

• SECURITY OF PICKUP SITE (Wartime)
• - Required to assist the evacuation crew in
  assessing the situation and determining if
  assistance is required. More definitive guidance
  can be furnished the evacuation vehicle while it
  is en route (specific location of enemy to assist
  an aircraft in planning its approach)
• NUMBER AND TYPE OF WOUND, INJURY, OR ILLNESS
  (Peacetime)
• - Required to assist evacuation personnel in
  determining treatment and special equipment
  needed
• Specific info gunshot or shrapnel
• Report serious bleeding, along with blood typeif
  known.

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MEDEVAC REQUESTFM 8-10-6

• METHOD OF MARKING PICKUP SITE
• - Required to assist the evacuation crew in
  identifying the specific location of the pick up.
  Note that the color of the panels or smoke should
  not be transmitted until the evacuation vehicle
  contacts the unit (just prior to its arrival).
  For security, the crew should identify the color
  and the unit verify it.
• Panels
• Pyrotechnic
• Smoke
• PATIENT NATIONALITY AND STATUS
• - Required to assist in planning for
  destination facilities and need for guards. Unit
  requesting support should ensure that there is an
  English-speaking representative at the pickup
  site.
• US military
• US civilian
• Non-US military
• Non-US civilian
• EPW

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MEDEVAC REQUESTFM 8-10-6

• TERRAIN DESCRIPTION
• - Required to allow evacuation personnel to
  assess route/avenue of approach into area. Of
  particular importance if hoist if hoist operation
  is required
• Includes details of terrain features in and
  around proposed landing site.
• If possible, describe relationship of site to
  prominent terrain feature (lake, mountain, tower)

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MEDEVAC REQUESTFM 8-10-6
Primary Air Ambulance for Combat CBT CONFIG 4 L/
1 A, 2 L/4 A, 0 L/7 A High CAP 6 L/ 1 A, 3 L/4
A, 0 L/ 7 A UH-60Q Medical Air
Ambulance Special Equipment, Hoist, O2
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MEDEVAC REQUESTFM 8-10-6

• AIR CASEVAC (CH-47)

CAPACITY 24 LITTER 31 AMBULATORY SEVERAL
COMBINATIONS OF MIXED LOADS