Page 80 - 2021 Advanced Ranger First Responder Handbook

NATO MEDEVAC REQUEST
MEDEVAC REQUEST 9-LINE
LINE 1: LOCATION OF UNIT HLZ GRID (MGRS):
LINE 2: CALLSIGN AND FREQUENCY AT THE PZ CALLSIGN:
FREQUENCY:
LINE 3: NUMBER AND PRECEDENCE OF A: Number of Urgent Casualties
CASUALTIES B: Number of Urgent-Surgical Casualties
C: Number of Priority Casualties
D: Number of Routine Casualties
E: Number of Convenience Casualties
LINE 4: SPECIAL EQUIPMENT REQUIRED A: None
B: Hoist
C: Extraction
D: Ventilator
E: Other (specify)
LINE 5: NUMBER OF CASUALTIES BY TYPE L: Number of Litter Casualties
A: Number of Ambulatory Casualties
E: Number of Escorts
LINE 6: SECURITY AT PZ N: No enemy
P: Possible enemy
E: Enemy in area
X: Armed escort required
LINE 7: PZ MARKING A: Panels
B: Pyrotechnics
C: Smoke (designate color)
D: None
E: Other (specify)
LINE 8: CASUALTIES BY NATIONALITY/STATUS A: US/Coalition Military
B: US/Coalition Civilian
C: Non-Coalition
D: Non-Coalition Civilian
E: Opposing Forces/Detainee
F: Child
LINE 9: NBC CONTAMINATION N: Nuclear
(In peacetime, description of terrain) B: Biological
C: Chemical
In peacetime: Brief description of significant obstacles on
approach/departure headings and type of predominant
terrain for the HLZ
NOTE: Lines 1–5 required to initiate MEDEVAC spin up
MIST REPORT SIT REPORT
(used when communicating with PSG/1SG
M – MECHANISM OF Mechanism of Injury and time
INJURY AND TIME OF of injury (if known) or other key personnel on the ground)
INJURY (IF KNOWN)
S STABLE/UNSTABLE
I – INJURY OR ILLNESS Injury or Illness
I NOTABLE INJURIES
S – SYMPTOMS AND A – Airway status
VITAL SIGNS B – Breathing rate T TREATMENTS RENDERED
C – Pulse rate (Emphasis on medications, fluids, or
procedures that cannot be seen by
D – Conscious/unconscious
MISC E – Other signs subsequent medics/providers)
Such as tourniquet/time
T – TREATMENT GIVEN
applied, drugs administered
70 SECTION 7 MISCELLANEOUS PROTOCOLS