Page 228 - 2022 Ranger Medic Handbook

Requesting Evacuation. MEDEVAC requests are normally transmitted using the standard NATO 9-Line MEDEVAC Re-
quest Format. The MEDEVAC request provides controllers in operations centers with the critical information needed to
launch and manage MEDEVAC platforms. The standard format can be used to request any kind of evacuation asset: air,
ground, or waterborne. CASEVAC requests can be tailored specifically to the unit mission and operating area, but typically
consist of the first 5 lines of a MEDEVAC request. This works for CASEVAC platforms since they are normally already part
of the tactical operation, and the pilots/drivers have a clear understanding of the battle space through previous coordina-
tion and ongoing communications. Though the request from the tactical element on the ground is normally transmitted by
radio; the request from the unit’s C2 may be by other means such as e-mail, operational chat room (mIRC or TransVerse)
or telephone. The unit C2 must be aware of these requirements to better streamline the evacuation request process during
the execution phase.

MEDEVAC REQUEST 9-LINE
LINE 1: LOCATION OF UNIT HLZ GRID (MGRS):
LINE 2: CALLSIGN AND FREQUENCY AT CALLSIGN:
THE PZ 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
A: Panels
SECTION 7 B: Pyrotechnics
LINE 7: PZ MARKING
C: Smoke (designate color)
D: None
A: US/Coalition Military
LINE 8: CASUALTIES BY NATIONALITY/STATUS E: Other (specify)
B: US/Coalition Civilian
C: Non-Coalition
D: Non-Coalition Civilian
E: Opposing Forces/Detainee
F: Child
LINE 9: DESCRIPTION OF TERRAIN Brief description of significant obstacles on approach/
(In peacetime, description of terrain) departure headings and type of predominant terrain for
the HLZ
Additional Evacuation Request Information. Depending on how developed the theater of operations has become or the
number of units being supported by a particular evacuation asset, there may be additional information requirements. Such
requirements can both allow evacuation C2 to better prioritize assets and notify receiving facilities of patient conditions.
After a patient is assessed, a MIST report will be transmitted in the same manner as the 9-line MEDEVAC. The MIST report
both informs the MEDEVAC crew of patient status and notifies the receiving facility of incoming patient requirements. The
MIST report is not required to launch an evacuation asset but is to be transmitted as soon as possible.

214 SECTION 7 MEDICAL PLANNING & CASUALTY COLLECTION OPERATIONS