1. REQUEST MEDICAL EVACUATION
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 SMCT
FM FM , pgs 7-1 to 7-3
UNIT SOI
SAFETY AND ENVIRONMENT: BRIEFING GIVEN TO SOLDIERS AT START OF CLASS.

2. MEDICAL EVACUATING PLAN
Line #1
LOCATION OF PICK-UP SITE
GL (NEXT TO LANE 1)
GL (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

3. NINE LINE MEDEVAC REQUEST

4. 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

5. MOVE CASUALTIES TO AN AREA WHERE THEY CAN RECEIVE PROPER MEDICAL CARE
PRIMARY MISSION
MOVE CASUALTIES TO AN AREA WHERE THEY CAN RECEIVE PROPER MEDICAL CARE

6. 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

7. 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.

8. 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.

9. 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.

10. NINE LINE MEDEVAC REQUEST FORMAT
LINE # 4: Special Equipment
- A – None
- B – Hoist
- C – Extraction Equipment
- D - Ventilator

11. 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

12. 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.

13. 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

14. 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

15. NINE LINE MEDEVAC REQUEST FORMAT
LINE # 9: NBC Contamination / Terrain
- Wartime: NBC Contamination
N - Nuclear
B - Biological
C - Chemical

16. 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).

17. 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)

18. 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

19. MEDICAL EVACUATING PLAN
Line #1
LOCATION OF PICK-UP SITE
GL (NEXT TO LANE 1)
GL (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

20. 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 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.

21. MEDEVAC PROCEDURES Practical Exercise #1 LINE 1: PK 15644587 (BREAK)
DUSTOFF
A TEAM
LINE 1: PK (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

22. 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 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.

23. MEDEVAC PROCEDURES Practical Exercise #2 LINE 1: PK 254654587 (BREAK)
LIFESAVER
B TEAM
LINE 1: PK (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