MEDICAL EVACUATING PLAN

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• LESSON OUTLINE
• REQUEST MEDICAL EVACUATION
• INSTRUCTIONAL INTENT
• THIS PERIOD OF TRAINING IS DESIGNED TO
  PREPARE DEPLOYING UNITS ON PROPER FORMAT FOR
  REQUESTING A MEDICAL EVACUATION REQUEST USING
  NINE LINE FORMAT.
• TRAINING OBJECTIVE
• AS A RESULT OF THIS INSTRUCTION THE SOLDIER
  WILL KNOW THE FORMAT FOR A NINE LINE MEDICAL
  EVACUATION REQUEST AND PROPER RADIO TRANSMISSION.
• ACTION REQUEST MEDICAL EVACUATION.
• CONDITION GIVEN AN ORDER TO REQUEST MEDICAL
  EVACUATION OF A PATIENT, PATIENT PICKUP SITE,
  OPERATIONAL COMMUNICATION EQUIPMENT, MEDICAL EVAC
  FORMAT, A STANDARD MAP, A GRID SCALE, AND UNIT
  SOI.
• STANDARD TRANSMIT MEDEVAC REQUEST AND
  PROVIDE ALL NECESSARY INFORMATION AS REQUESTED.
• REFERENCES STP 21-24 SMCT-081-831-0101
• FM 8-25 FM 8-10-6, pgs
  7-1 to 7-3
• UNIT SOI
• SAFETY AND ENVIRONMENT BRIEFING GIVEN TO
  SOLDIERS AT START OF CLASS.

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MEDICAL EVACUATING PLAN
Line 1 LOCATION OF PICK-UP SITE GL 0230 8380 (NEXT TO LANE 1) GL 0240 8360 (STROUP FIELD)
Line 2 RADIO FREQUENCY AND CALL SIGN
Line 3 CLASSIFICATION OF PATIENTS URGENT EVAC WITHIN 2 HRS PRIORITY EVAC WITHIN 4 HRS ROUTINE EVAC WITHIN 24 HRS
Line 4 SPECIAL EQUIPMENT REQUIRED (HOIST OR LITTER)
Line 5 NUMBER OF PATIENTS, BY TYPE (LITTER OR AMBULATORY)
Line 6 SECURITY OF PICK-UP SITE
Line 7 METHOD OF MARKING PICK-UP SITE
Line 8 PATIENT NATIONALITY AND STATUS
Line 9 NBC CONTAMINATION
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NINE LINEMEDEVACREQUEST
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NINE LINE MEDEVAC

• AS A MEMBER OF A DEPLOYING UNIT YOU MAY AT ANY
  TIME BE REQUIRED TO RADIO IN A MEDEVAC REQUEST TO
  SAVE LIFE OR LIMB OF A FELLOW SOLDIER

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PRIMARY MISSION

• MOVE CASUALTIES TO AN AREA WHERE THEY CAN RECEIVE
  PROPER MEDICAL CARE

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NINE LINE MEDEVAC

• DURING YOUR DEPLOYMENT ACCIDENTS CAN HAPPEN TO
  YOU OR ONE OF YOUR FELLOW SOLDIERS
• THIS IS WHY YOU NEED TO KNOW HOW TO USE PROPER
  FORMAT / TRANSMISSION OF A NINE LINE MEDEVAC
  REQUEST
• DURING THIS PERIOD OF INSTRUCTION WE DISCUSS THE
  FORMAT / TRANSMISSION OF A MEDEVAC REQUEST AND DO
  A PRACTICAL EXERCISE
• LINE 1-5 MUST BE TRANSMITTED DURING INITIAL
  CONTACT WITH THE EVACUATION UNIT, WITHIN 25
  SECONDS

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 1 8 Digit Grid Coordinate of the Pickup
  Site
• - Encrypt grid coordinates. To preclude
  misunderstanding, a statement is made that grid
  zone letters are included in the message (unless
  Unit SOP specifies its use at all times).
• LINE 2 Radio Frequency, Call Sign and Suffix
  of the Requesting Unit
• - Encrypt the frequency of the radio at the
  pickup site.
• - The call sign (and suffix if used) of the
  person to be contacted at the pickup site may be
  transmitted in the clear.

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 3 Number of Patients by Precedence
• - PRIORITY A URGENT
• Patients should be evacuated within a maximum of
  2 HOURS in order to save life, limb or eyesight.
• - PRIORITY B URGENT SURGICAL
• Patient should be evacuated within a maximum of
  2 HOURS and must receive far forward surgical
  intervention to save life and stabilize for
  permanent evacuation.

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 3 Number of Patients by Precedence
• - PRIORITY C PRIORITY
• Patients should be evacuated within 4 HOURS to
  prevent their
  medical condition from deteriorating to such a
  degree that he or she will become an Urgent
  procedure.
• - PRIORITY D ROUTINE
• Patients whose medical condition is not expected
  to deteriorate and the patient should be
  evacuated within 24 HOURS.
• - PRIORITY E CONVENIENCE
• Is assigned to patients for whom evacuation by
  medical vehicle is a matter of medical
  convenience rather than necessity.
• If 2 or more categories are reported in the same
  request, insert the word break between each
  category.

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 4 Special Equipment
• - A None
• - B Hoist
• - C Extraction Equipment
• - D - Ventilator

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 5 Number of Patients by TYPE
• - Report only applicable information and
  encrypt brevity code. If requesting MEDEVAC for
  both types, insert the word break between the
  litter entry and ambulatory entry
• - L of Patients Litter
• - A of Patients Ambulatory
• - L Litter
• - A Ambulatory

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 6 Situation Wartime and Peacetime
• Wartime Situation
• - N No enemy in the area
• - P Possible enemy in the area (approach with
  caution)
• - E Enemy troops in the area (approach with
  caution)
• - X Enemy troops in the area (armed escort
  required)
• Peacetime Situation
• - Specific Information regarding patient wounds
  by type (gunshot or shrapnel).
• - Report serious bleeding, along with patients
  blood type, if known.

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 7 Method of Marking site
• - A VS 17 Panel
• Which side up (bright orange or violet)
• - B Pyrotechnical Signal
• Flare (color)
• - C Smoke Signal
• Color
• - D None
• - E Other

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 8 Patient Nationality and Status
• - Number of Patients in each category need not
  be transmitted
• A U.S. Military
• B U.S. Civilian
• C Non U.S. Military
• D Non U.S. Civilian
• E - EPW

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 9 NBC Contamination / Terrain
• - Wartime NBC Contamination
• N - Nuclear
• B - Biological
• C - Chemical

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NINE LINE MEDEVAC REQUEST FORMAT

• LINE 9 NBC Contamination / Terrain
• - Peacetime Terrain Description
• Description of the terrain in and around the
  pickup site to aid the pilot in locating your
  position.
• If possible, describe the relationship of site to
  a prominent terrain feature (lake, mountain,
  tower).

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NINE LINE MEDEVAC REQUEST FORMAT

• RESPONSIBILTY OF THE REQUESTING UNIT
• Light and Mark the Pickup Site
• Tactical Support and Security
• Patient Preparation and Consolidation
• Assignment of Litter Teams to Load the Aircraft
• Brief Pilot of Enemy Situation
• Mark Friendly Positions when Armed Escort is
  required
• Have an English Speaking Representative for Non
  U.S. Personnel
• Guide Aircraft (GTA / Signal Man)

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NINE LINE MEDEVAC REQUEST FORMAT

• Mission of AIR MEDEVAC
• Move Casualties to an area where they can receive
  proper Medical Care
• Move Medical Personnel and Equipment
• Crash Rescue

• Advantages of AIR MEDEVAC
• Speed
• Flexibility
• Enroute Treatment

• Disadvantages of AIR MEDEVAC
• Weather and Limited Visibility
• Enemy Situation
• Limited / Priority Aircraft

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MEDICAL EVACUATING PLAN
Line 1 LOCATION OF PICK-UP SITE GL 0230 8380 (NEXT TO LANE 1) GL 0240 8360 (STROUP FIELD)
Line 2 RADIO FREQUENCY AND CALL SIGN
Line 3 CLASSIFICATION OF PATIENTS URGENT EVAC WITHIN 2 HRS PRIORITY EVAC WITHIN 4 HRS ROUTINE EVAC WITHIN 24 HRS
Line 4 SPECIAL EQUIPMENT REQUIRED (HOIST OR LITTER)
Line 5 NUMBER OF PATIENTS, BY TYPE (LITTER OR AMBULATORY)
Line 6 SECURITY OF PICK-UP SITE
Line 7 METHOD OF MARKING PICK-UP SITE
Line 8 PATIENT NATIONALITY AND STATUS
Line 9 NBC CONTAMINATION
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MEDEVAC PROCEDURES Practical Exercise 1
Your Squad has encountered a Minefield while
patrolling Route 1A. While conducting
self-extracting procedures from a minefield the
point man sets off a mine. He has the following
injuries He is missing his right forearm from
the elbow down, and is in shock from loss of
blood. The combat lifesaver has performed
immediate first aid and the casualty is ready for
evacuation. During the self-extraction the U.S.
civilian on your squad starts to have a heart
attack. The squad has moved out of the minefield.
The squad leader informs you that the pickup site
will be at PK 15644587. The site will be marked
by a VS-17 panel. Your Call Sign is A Team and
the MEDEVAC unit is DUSTOFF. The pickup site is
in a large open field.
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MEDEVAC PROCEDURES Practical Exercise 1
DUSTOFF A TEAM
LINE 1 PK 15644587 (BREAK) LINE 2 A Team
(BREAK) LINE 3 1 A (BREAK), 1 B (BREAK) LINE 4
1 D (BREAK) LINE 5 1 L (BREAK), 1 A (BREAK) LINE
6 1 missing right forearm and 1 Heart Attack
(BREAK) LINE 7 A (BREAK) LINE 8 1 A (BREAK), 1
B (BREAK) LINE 9 Large Open Field
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MEDEVAC PROCEDURES Practical Exercise 2
Your Squad has encountered a Minefield while
patrolling Route 1A. While conducting
self-extracting procedures from a minefield the
point man sets off a mine. He has the following
injuries He is missing his right leg from the
knee down. The combat lifesaver has performed
immediate first aid and the casualty is ready for
evacuation. During the self-extraction the U.S.
civilian on your squad breaks his left leg. The
squad has moved out of the minefield. The squad
leader informs you that the pickup site will be
at PK 25465487. The site will be marked by green
smoke. Your Call Sign is B Team and the MEDEVAC
unit is LIFESAVER. The pickup site is on a hill
top.
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MEDEVAC PROCEDURES Practical Exercise 2
LIFESAVER B TEAM
LINE 1 PK 254654587 (BREAK) LINE 2 B Team
(BREAK) LINE 3 1 A (BREAK) 1 C (BREAK) LINE 4 A
(BREAK) LINE 5 1 L (BREAK), 1 A (BREAK) LINE 6
1 missing right Leg and 1 Right Broken Leg
(BREAK) LINE 7 C (BREAK) LINE 8 1 A (BREAK), 1
B (BREAK) LINE 9 Hill Top