9 Line MEDEVAC Instructor: SSG Rosales

Slides:



Advertisements
Similar presentations
Evacuation Request Procedures. Evacuation2Evacuation Request Procedures Evacuation begins when medical personnel receive injured or ill soldiers and continues.
Advertisements

Tactical Operations Orders
Initiating a Field Medical Card
Tasks Familiarize the Commander’s SITREP and 9 line medevac casualty evacuation request formats Perform Visual Signal Techniques.
Requesting Medical Evacuation
Company Level Evacuation and Recovery Team (CLEAR)
Enrollment49,500 Enrolled for Transportation24,800 Enrolled for Special Transportation560 Total Miles each day24,520 Total Miles each year4.4 million.
CASUALTY EVACUATION OPERATIONS
Wilderness Evacuation What to do when it all hits the fan Jonathan Miller, MD Maine Medical Center Department of Emergency Medicine.
NINE LINE MEDEVAC AND HLZ/PZ MARKING
WARRIOR TRAINING CENTER The Sked Rescue System Primary Use: Ground Evacuations, sit down missions, water rescue and hoist extractions. Tensile Strength:
1 Authored by John W. Desmarais 18-May-1999 Modified by Lt Colonel Fred Blundell TX-129 Fort Worth Senior Squadron For Local Training Rev Jan-2014.
START Triage During a Mass Casualty Gina Smith RN Director of Emergency Management.
Combat Life Saver Module 1: Overview
Evaluating a Casualty. NBC Warning If there are any signs of nerve agent poisoning, stop the evaluation, take the necessary NBC protective measures, and.
1HELIOPS..PPT LAST REVISED: 9 JULY 2008 Citizens Serving Communities Helicopter Operations Developed as part of the National Emergency Services Curriculum.
Helicopter Safety for SAR Operations. Helicopter Rescue Checklist, Before you Call Before you consider using a helicopter for a rescue: Have we cross-trained.
Helipad Operations UH-60 Blackhawk
REQUEST MEDICAL EVACUATION
REQUESTMEDICALEVACUATION TSP 081-T Line 1 - Location of the pickup site Line 2 - Radio frequency, call sign, and suffix Line 3 - Number of patients.
REQUEST MEDICAL EVACUATION
Request Medical Evacuation (MEDEVAC)
SITREP/SPOTREP Task: Perform SITREP/SPOTREP
Incident Command System Basic Course
Unit 3: Command & Control IC/IMT Interface
1Helicopter Operations.ppt Last Revised: 16 July 2002 Helicopter Operations Developed as part of the National Emergency Services Curriculum Project.
Overall Classification: UNCLASSIFIED//FOR OFFICIAL USE ONLY 8 September 2015 TRI-CRAB 14 LT Kuhn, HMC Smith, HM2 Egly, HM3 Ramirez, HM3 Burnett.
MCI/ Multi patient Emergencies & Triage. Class Objectives Describe an MCIDescribe an MCI Develop and implement an initial action plan for the MCI sceneDevelop.
Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 35 Special Operations.
CHS Leaders’ Reference Card
Initiating a Field Medical Card Purpose -- Prepared on any soldier who sustains wounds in the theater of Operations -- Designed to be used in forward combat.
1 Triage Pakistan ICITAP. Learning Objectives Define triage Know the principles of triage Know the categories of triage Know what is mass casualties (MASCAL)

2013 OEC Refresher Station 2 – Self Guided Review.
MASS CASUALTY INCIDENT(MCI) and INCIDENT COMMAND SYSTEM (ICS)
Triage for Patients with Combat Injuries.
PRE-MOBILIZATION TRAINING ASSISTANCE ELEMENT (PTAE) PERFORM VOICE COMMUNICATION MEDVAC AWT
Triage. Objectives Given casualties and no other medical assets, decide which casualty needs medical care first. Describe how to : –Prioritize injuries.
Emergency and Non-Emergency Moves
 The patrol is moving along its route.  The Point person halts the patrol and gives the signal for a danger area.
Break Contact By: SGT Russman Reference: FM ; Ranger Handbook.
9 LINE MEDIVAC Your squad has just been hit by Indirect fire and you take on 3 casualties in the middle of know where. How can I get these soldiers back.
Patrolling PFC MCGHEE.
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Operations Chapter 14.
Emergency and Non-Emergency Moves. One of the most dangerous threats to a seriously injured person is unnecessary movement One of the most dangerous threats.
COA Development Steps Analyze available forces.
Mosby items and derived items © 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Operations.
SSG VARGAS, WILLIAM SGT(P) OWENS, BRIAN ARCTIC ENFORCERS 164 TH MP COMPANY FT. RICHARDSON, AK
REQUEST MEDICAL EVACUATION
RTO PROCEDURES. RTO PROCEDURES TASK: Provide basic level instruction in proper radio-telephone operating (RTO) procedures. CONDITION: Given conference.
Lecture on Casualty Triage
Patrolling and Patrol Bases
Policy-driven Service Composition and Data Sharing in a Coalition Scenario with Trust and Obfuscation ACITA 2012 Demonstration.
Combat Life Saver Module
RTO PROCEDURES SFC Norvell.
Lecture on Requesting Medical Evacuation
Requesting Medical Evacuation
FIELDCRAFT RECRUIT Created by LCDT Stewart. FIELDCRAFT RECRUIT  State the AAFC Environmental Management requirements and country code of conduct  Describe.
We will now continue the scenario that we began in Care Under Fire.
Air & Ground Ambulance Coordinator
CHS Leaders’ Reference Card
164TH MP COMPANY FT. RICHARDSON, AK ARCTIC ENFORCERS.
Helipad Operations UH-60 Blackhawk
CHS Leaders’ Reference Card
PATROLLING AND PATROL BASES
CHS Leaders’ Reference Card
Helicopter Safety for SAR Operations
Disaster Medical Operations — Triage
Presentation transcript:

9 Line MEDEVAC Instructor: SSG Rosales Good afternoon, Ladies and Gentlemen. Welcome to today’s MST Class on the 9 Line MEDEVAC. I’m SSG Rosales and I’ll be your instructor this afternoon. Instructor: SSG Rosales

You are conducting a routine dismounted presence patrol with five other members of your squad. You are moving along the designated route that runs through an open field. While moving along the route, SPC Coffman sees a shiny object lying in a ditch. Without SGT Hill’s authorization, he leaves the road to retrieve it. Suddenly, a loud explosion is heard. SPC Coffman has just stepped on an anti-personnel mine. His left leg is completely severed just inches above his ankle, SGT Hill receives a shrapnel wound across her face. A third soldier, PFC Fuel, receives shrapnel wounds across his upper body. All casualties are conscious and in pain. It’s up to you to get these casualties evacuated.

PURPOSE Familiarize soldier on 9 Line MEDEVAC format. Train soldier on requesting medical evacuation. The purpose of this class is to train and reinforce the procedural guidance and standardization for requesting medical evacuation. We will focus on the 9 Line MEDEVAC format.

COURSE AGENDA Recognize the 9 Lines of medical evacuation. Collect pertinent information. Record using brevity codes. Transmit in the proper format. Prepare for evacuation. Assist medical team during evacuation. This class is broken down into four lessons. Lesson 1 presents the 9 Lines of the MEDEVAC request. Lesson 2 describes how to correctly collect information for a MEDEVAC request. You will learn how to record the information using brevity codes and when to use peacetime or wartime formats. Lesson 3 focuses on how to transmit MEDEVAC requests. Lesson 4 describes how to prepare for the evacuation effort at the unit level and how to assist the medical team during evacuation.

MEDEVAC MEDEVAC is the timely efficient movement and en route care by medical personnel of the wounded, injured, or ill patients from the battlefield and other locations to medical treatment facilities. Let’s begin Lesson 1. Someone please read the definition of a MEDEVAC request.

Procedures for requesting medical evacuation support must be institutionalized down to the unit level. The same format used to request aero medical evacuation is also used to request ground evacuation. Procedures for requesting medical evacuation must be institutionalized.

9 Line MEDEVAC Request The decision to MEDEVAC is: Determined by the senior service member. Based on advice of the senior medical personnel. Based on the patients condition. Based on the tactical situation. The decision to MEDEVAC is determined by the senior service member present, and is based on the advice of the senior medic person, the patients condition, and the tactical situation.

9 Line MEDEVAC Request 1. Grid Location of the Pick Up site. 2. Radio frequency, call sign, and suffix. 3. Number of patients by precedence. 4. Special equipment required. 5. Number of patients by type. 6. Number and type of wounds (Peacetime). 6. Security of Pick Up site (Wartime). 7. Method of Marking Pick Up site. 8. Patient nationality and status. 9. Terrain description (Peacetime.) 9. NBC Contamination (Wartime). The MEDEVAC format uses 9 Lines of standardized information. This format facilitates communication and decision processes in medical evacuation operations between a non-medical unit and it’s medical support element;however, different formats are used during peacetime and wartime. You will learn more as you get to lines 6 and 9. Read through this review of each of the 9 Lines of the MEDEVAC request to familiarize yourself with the contents of each of the lines. You will get more details on each of the lines as this lesson progresses.

1 9 Line MEDEVAC Request Line Location of Pick Up Site Line 1 is the location of the pick up site. This information is sent using the UTM grid system. A minimum of a 6 digit grid coordinate with grid zone identifier should be used. This information can be obtained through the use of a GPS or use of land navigation skills and a map.

2 9 Line MEDEVAC Request Line Radio Frequency, Call Sign, and Suffix Line 2, is your radio frequency call sign and suffix. This should be standardized and contained in your Tactical SOP.

3 9 Line MEDEVAC Request Number of Patients by Type Line A – Urgent B – Urgent (Surgery) C – Priority D – Routine E - Convenience Line 3 is the number of patients by precedence. This line is a little more involved than the preceding two. It requires a thorough understanding of the definition of each precedence. The assignment of precedence provides the supporting medical unit and the controlling headquarters with information that is used to determine priorities for committing their evacuation assets. Correct assignment of precedence is a must. The senior service member or medical personnel present assigns precedence.

3 9 Line MEDEVAC Request Assignment of Precedence Line Priority I - Urgent Evacuate in less than 2 hours. Save life, limb, or eyesight. Prevent complications or serious injury. Avoid permanent disability. Priority I – Urgent. These are patients who need emergency evacuation as soon as possible and within a maximum of 2 hours in order to save a life, limb, or eyesight. Immediate action will help prevent complications of serious injury, or to avoid permanent disability. (Continued)

3 9 Line MEDEVAC Request Assignment of Precedence Line Priority II – Urgent Surgery Far forward surgical intervention is required to save life. Evacuate in less than 2 hours. Stabilize for further evacuation. Priority IA – Urgent Surgery. These are patients that must receive far forward surgical intervention and need to be evacuated in less than 2 hours to save a life and to stabilize them for further evacuation. (Continued)

3 9 Line MEDEVAC Request Assignment of Precedence Line Priority III – Priority Evacuate within 4 hours to prevent deterioration in condition to Urgent precedence. Special treatment not locally available. Prevent suffering, unnecessary pain, or disability. Priority II – Priority. These are patients who are sick or wounded and require prompt medical care. Evacuation should occur within 4 hours in order to keep their current condition from deteriorating to a degree of Urgent precedence. This priority level is also assigned to patients who require special treatment that is not available locally, or who will suffer unnecessary paint or disability. (Continued)

3 9 Line MEDEVAC Request Assignment of Precedence Line Priority IV – Routine Evacuate within 24 hours. Condition not expected to deteriorate significantly. Priority III – Routine. These are patients who should be evacuated within 24 hours. They are sick and wounded, but their condition should not deteriorate significantly. (Continued)

3 9 Line MEDEVAC Request Assignment of Precedence Line Priority V – Convenience Evacuation is a matter of medical convenience rather than necessity. Priority IV – Convenience. These are patients for whom evacuation by medical vehicle is a matter of medical convenience, rather than necessity. NATO deleted this priority from their doctrine, but the US Army still includes this evacuation priority since there is a need for it on the battlefield. (Continued)

Quick Question Only medically trained personnel may assign precedence? True or False? Only medically trained personnel may assign precedence? False. Correct. TRUE FALSE

9 Line MEDEVAC Request The decision to MEDEVAC is: Determined by the senior service member. Based on advice of the senior medical personnel. Based on the patients condition. Based on the tactical situation. The decision to MEDEVAC is determined by the senior service member present, and is based on the advice of the senior medic person, the patients condition, and the tactical situation.

4 9 Line MEDEVAC Request Special Equipment Required Line Utilize proper brevity codes for the special equipment required. The codes are: In line 4, you will obtain information on special equipment requirements. This is done under the advisement of the medic or the senior service member person present, and is part of the patient evaluation process. This information is needed to ensure the proper equipment is placed on board the evacuation vehicle prior to the start of the mission. - None - Hoist - Extraction equipment - Ventilator

5 9 Line MEDEVAC Request Number of Patients by Type Line Utilize proper brevity codes. Report only applicable information. - (Litter) Plus the number of patients - (Ambulatory) Plus the number of patients In Line 5, you will obtain information on patients by type, and the number of each from the medic or senior service member present. For example, A1 represents one patient who is ambulatory, or able to sit, this information is required to determine the appropriate number of evacuation vehicles to be dispatched to the pick-up site. The information is also needed to configure the vehicles to carry the patients requiring evacuation. Note: Insert the word “Break” between litter and ambulatory entries if both conditions exist.

This is the inside of a UH-60Q MEDEVAC helicopter This is the inside of a UH-60Q MEDEVAC helicopter. It can accommodate a crew of 3 soldiers and up to 6 acute care litter patients or seven ambulatory patients.

6 9 Line MEDEVAC Request Key Differences Line Peacetime – safety of US military and civilian personnel outweighs the need for security. Wartime – safety and survivability of the unit must be weighed against the need for the evacuation of the patient. At the beginning of this lesson, we noted that a difference existed between a 9 Line MEDEVAC request sent during peacetime versus wartime. Here in Line 6 is the first time that difference appears. In general peacetime missions allow for an expanded description of the injuries, in wartime, the focus is on an in-depth security assessment of current enemy activity. Next you will learn about the details of line 6 for each of the formats.

Number and Type of Wound, Injury, or Illness (Peacetime) 9 Line MEDEVAC Request 6 Number and Type of Wound, Injury, or Illness (Peacetime) Line Provide specific information regarding: Patient wounds by type. Serious bleeding. For Line 6 in Peacetime, we provide more information about the patients, including specific information regarding patients wounds by type. For example: gunshot or shrapnel wounds. Also, report serious bleeding, along with patient blood type, if known. (Continued)

Security of Pick Up Site (Wartime) 9 Line MEDEVAC Request Security of Pick Up Site (Wartime) 6 Utilize proper brevity codes for the security of the pick up site. The codes are: Line - No enemy troops in the area. - Possible enemy troops in the area (approach with caution). - Enemy troops in the area (approach with caution). - Enemy troops in the area (armed escort required). For Line 6 in wartime, this information is required to assist the evacuation crew in assessing the situation and determining if assistance is required. More definitive guidance can be furnished to the evacuation crew upon direct radio contact, while they are en route. (Continued)

7 9 Line MEDEVAC Request Method of Marking Pick Up Site Line Utilize proper brevity codes for the method of marking the pick up site. The codes are: Line 7 indicates the method of marking the pick up site, which is based on the situation and the availability of materials. It is determined by the medic or senior service member present and is usually based on the unit TACSOP. It identifies the specific location of the pick up site, for security reasons the evacuation crew should identify the color of the marking, and the unit should verify the color. - Panels - Pyrotechnic Signal - Smoke Signal - None

8 9 Line MEDEVAC Request Patient Nationality and Status Line Utilize proper brevity codes for patient nationality and status. The codes are: - U.S. Military - U.S. Civilian - Non U.S. Military - Non U.S. Civilian - Enemy Prisoner of War (EPW) In Line 8, you obtain the information that is required in planning for the destination facilities and the need for guards. The unit requesting evacuation support should ensure that there is an English speaking representative at the pickup site. The number of patients in each category need not be transmitted.

9 9 Line MEDEVAC Request Key Differences Line Peacetime – provides the opportunity to give more detailed description of the evacuation site. Wartime – allows for clarification of any existing NBC conditions. Line 9 is the other line that changes depending on whether the request is sent in the peacetime or wartime format. During peacetime , line 9 generally allows for a better description of the nearby terrain or the landing zone if aerial evacuation is used during peacetime. During wartime, line 9 provides an assessment of NBC contamination present.

9 9 Line MEDEVAC Request Terrain Description - Peacetime Line Includes details of terrain features in and around proposed landing site. If possible, describe relationship of site to prominent terrain or manmade features (ex. Lake, mountain, or tower). For line 9 in peacetime, include details of terrain features in and around the proposed landing site. If possible, describe the relationship of the site to prominent terrain or manmade features. For example a lake, mountain, or tower. (Continued)

9 9 Line MEDEVAC Request NBC Contamination - Wartime Line Utilize proper brevity codes to indicate contamination. The codes are: - Nuclear - Biological - Chemical For Line 9 in wartime, this information is required to assist in mission planning. It helps determine which evacuation vehicle will be sent and when evacuation assets will be able to arrive at the pickup site. Information concerning the vehicle to be used and the time of arrival can be obtained from the evacuation unit. Note: Include this line only when contamination exists. (Continued) Note: Include this line only when contamination exists.

9 Line MEDEVAC Request 1. Location of the Pick Up site. 2. Radio frequency, call sign, and suffix. 3. Number of patients by precedence. 4. Special equipment required. 5. Number of patients by type. 6. Number and type of wounds (Peacetime). 6. Security of Pick Up site (Wartime). 7. Method of Marking Pick Up site. 8. Patient nationality and status. 9. Terrain description (Peacetime.) 9. NBC Contamination (Wartime). This is a quick review of the 9 Line MEDEVAC request format. Take a second to familiarize yourself with this, you will be quizzed in a short while.

Quick Question Identify which lines in the 9 Line MEDEVAC format differ during peacetime and wartime. A 6 & 8 Identify which lines in the 9 Line MEDEVAC format differ during peacetime and wartime? B, Lines 6 and 9. Correct. B 6 & 9 C 3 & 5 D 3 & 7

6 9 Line MEDEVAC Request Key Differences Line Peacetime – safety of US military and civilian personnel outweighs the need for security. Wartime – safety and survivability of the unit must be weighed against the need for the evacuation of the patient. At the beginning of this lesson, we noted that a difference existed between a 9 Line MEDEVAC request sent during peacetime versus wartime. Here in Line 6 is the first time that difference appears. In general peacetime missions allow for an expanded description of the injuries, in wartime, the focus is on an in-depth security assessment of current enemy activity.

9 9 Line MEDEVAC Request Key Differences Line Peacetime – provides the opportunity to give more detailed description of the evacuation site. Wartime – allows for clarification of any existing NBC conditions. Line 9 is the other line that changes depending on whether the request is sent in the peacetime or wartime format. During peacetime , line 9 generally allows for a better description of the nearby terrain or the landing zone if aerial evacuation is used during peacetime. During wartime, line 9 provides an assessment of NBC contamination present.

Quick Question 2 1 _____ Radio Freq/call sign/ suffix _____ Location of the pickup site 5 9P _____ Number of patients by type _____ Terrain description 3 9W _____ Number of patients by precedence _____ NBC contamination 6W 4 _____ Security of pickup site _____ Special equipment required 7 6P _____ Method of marking pickup site Match up the line number with the correct line description. Let’s begin with Line 1. Which is line 1? _____ Number and types of wounds, injury, or illness 8 _____ Patient nationality and status 1 2 3 4 5 6P 6W 7 8 9P 9W

COURSE AGENDA Collect all pertinent information. Record the proper brevity codes for later transmittal Lesson 2. In this lesson, you will use a scenario based on the peacetime format to guide you through gathering and recording process in preparation for transmittal of the 9 lines. Remember, when in training or in tactical situations, write it down, you will need to refer to it while you transmit.

Collect and Record Information You are conducting a routine dismounted presence patrol with five other members of your squad. You are moving along the designated route that runs through an open field. While moving along the route, SPC Coffman sees a shiny object lying in a ditch. Without SGT Hill’s authorization, he leaves the road to retrieve it. Suddenly, a loud explosion is heard. SPC Coffman has just stepped on an anti-personnel mine. His left leg is completely severed just inches above his ankle, SGT Hill receives a shrapnel wound across her face. A third soldier, PFC Fuel, receives shrapnel wounds across his upper body. All casualties are conscious and in pain. It’s up to you to get these casualties evacuated. Remember the scenario you were presented with at the onset of this class. Let’s revisit it briefly and get ready to format a 9 Line MEDEVAC request. Take a few minutes to review the scenario before we proceed. Remember, it’s up to you to get these casualties evacuated.

Collect and Record Information You begin to collect information Call sign: A6B88 Frequency is: 53.80 MHz UTM Grid is: GF70296868 You easily remember your unit call sign. You glance down at your radio and note that your frequency is 53.80. Next, you look at your PLGR to verify your location. The UTM grid displayed is GF70296868. Lastly, you pull out your TACSOP, the primary and secondary frequencies for you medical support unit are 49.90 and 23.75, respectively. Frequencies of your medical support unit are 49.90 MHz and 23.75 MHz

Collect and Record Information You begin to collect information Line 1 – Location of pick up site GF70296868 Line 2 – Radio frequency, call sign, and suffix For Line 1, record the location of the pick up site using UTM grids. Remember, grid zone identifies are included in the message unless unit TACSOP specifies otherwise. The medical unit needs this to plan their operation. For Line 2, record the frequency of your radio and your unit call sign at the pick up site. The medical unit needs this for future contact or if the situation changes. As per the scenario, your squad leader, as senior service member at the scene, has designated that we have one urgent and two priority patients. The priority patients can safely sit while the urgent patient is not able to sit-up without causing further injury. 53.80, A6B88 Line 3 – Patient Precedence Codes A1, C2

Collect and Record Information You begin to collect information Line 4 – Special equipment needed B Line 5 – Patients by type L1, A2 4. You are in the open on a road near a suitable landing zone;however, since the injuries to your squad members were caused by an anti-personnel mine, you determine there is need for a hoist. 5. Earlier, we noted that two patients were able to sit-up while the other must remain lying down. 6. Write the numbers and type of wounds, injuries, or illness. The medical unit needs this to assist in planning from treatment. Take all accurate information now. You should have access to soldier’s blood types from ID tags or ID cards. Clear text is acceptable here. Line 6 – Number and type of wound or illness 1 Lower left severed foot, 1 Face shrapnel wound, 1 Upper right torso shrapnel wound All conscious, 1 B+ blood, 2 O+ blood

Collect and Record Information You begin to collect information Line 7 – Method of marking pick up site C Line 8 – Patient nationality and status A3 7. While you were referencing your TACSOP for the appropriate MEDEVAC frequency, you also noted that red smoke was to be used to mark a MEDEVAC landing zone. You confirm with your squad leader you drew two red smoke grenades through the AXP prior to departing on your patrol. Remember, do not disclose the marking color until the medical unit reestablishes communication. They will transmit the marking color and you will verify. 8. All three casualties are American soldiers. 9. Note the terrain description. The medical unit uses this to assess the avenue of approach which is especially important in hoist operations. Line 9 – Terrain description Open field to the east of a cliff along route red

Collect and Record Information You begin to collect information Line 1 – GF70296868 Line 2 – 53.80, A6B88 Line 3 – A1, C2 Line 4 – B Line 5 – L1, A2 Line 6 – (Peacetime) 1 B+blood: lower left foot severed; 2 O+blood: 1 face shrapnel wound, 1 upper right torso wound. All conscious. Line 7 – C Line 8 – A3 Line 9 – Open field to the east of a cliff along route red. Once you have finished recording all the information using brevity codes, this is what your 9 Line MEDEVAC request will look like.

Quick Question When preparing a 9 Line MEDEVAC request, what is the only line that may ever be skipped? A Line 6, Number and Type of wound (Peacetime) When preparing a 9 Line MEDEVAC request, what is the only line that may be skipped? B Line 6, Security of Pick Up site (Wartime) C Line 9, Terrain description (Peacetime) D Line 9, NBC contamination (Wartime)

9 9 Line MEDEVAC Request NBC Contamination - Wartime Line Utilize proper brevity codes to indicate contamination. The codes are: - Nuclear - Biological - Chemical Note: Include this line only when contamination exists. (Continued) Note: Include this line only when contamination exists.

Training Scenario On 7 November 2002, reports of a downed helicopter were given to the JOC at grid PJ7639. The SAR Team was immediately activated and began their mission. Once on ground, Tornado (JOC) made contact with SAR-6 (SAR PL) at FM67.550. After 20 minutes the SAR Team reached the downed helicopter at PJ 77334068 and set up initial security. Once the perimeter had been secure, they located the two pilots and one crew member. SAR-1-7 (Team Leader) evaluated the casualties and found one pilot had a fractured right forearm and minor lacerations on his face from the windshield when it broke. The second pilot had severe lacerations to the face and neck and was bleeding profusely. The crewman was knocked unconscious and suffered multiple contusions on his chest and breathing 5 breaths per minute. After initial treatment had been administered, the SAR Team departed to the LZ (PJ77404070) to wait for extraction. This was the only flat ground in the mountainous area south of the water tower. Once on site, the SAR PL contacted the JOC requesting a MEDEVAC. No hostile enemy forces have been seen up to this point. SAR-7 (SAR PLT SGT) popped green smoke to signal the LZ was clear.

Answer You have collected your information Line 1 – PJ77404070 Line 2 – 67.550, SAR-6 Line 3 – A2, C1 Line 4 – D Line 5 – L2, A1 Line 6 – (Peacetime)1 fractured right forearm with cuts to face; 1 severe cuts to face and neck and bleeding profusely; 1 unconscious with bruising to chest and extreme difficulty breathing Line 7 – C Line 8 – A3 Line 9 – (Peacetime) Flat ground south of the water tower

COURSE AGENDA Proper transmission techniques How to maintain communication In lesson 3, you will learn proper transmission techniques, contact protocols, correct purpose statements, and how to maintain communication.

Proper Transmission Techniques Use standard radio phraseology State each line item as “Line #…” Transmit the first 5 lines initially within 25 seconds Complete the remaining lines and say “Over” Listen for acknowledgement When using multiple brevity codes within a line, separate the codes with the word “Break” Always use standard radio phraseology and keep these techniques in mind when sending radio traffic. Let’s read the bullet points on the screen.

Maintain Communication Stand by and wait for unit to respond Don’t walk away from radio Don’t leave the radio unattended at any time Keep the radio on and listen for additional instructions or contact from the evacuation unit It is imperative that you monitor the radio after you’ve sent the MEDEVAC request. The actual unit dispatch will contact you en route to the pick up point. Let’s read the bullet points on maintaining communication.

Quick Question When sending multiple brevity codes, separate them by: Pause B Break C Ummmmm D Nothing

COURSE AGENDA Prepare for the MEDEVAC Assist the MEDEVAC In this lesson, you will learn how to prepare for the arrival of evacuation assets. We will also cover some of the tasks that will assist the MEDEVAC crew.

Prepare and Assist in Evacuation Evacuation Preparation Safely move patient(s) to the pick up site Use approved methods for transporting a casualty Reconfirm tactical situation permits successful evacuation Be prepared to receive backhauled medical supplies Ensure that an English speaking representative is at the pick up site It is important to ensure the patients are transported safely to the designated pick up site. You must also continually monitor the tactical situation and keep the MEDEVAC crew updated should the enemy situation change. Backhauled medical supplies may be delivered with the arrival of the MEDEVAC, your unit needs to be prepared to receive them. Also, should patients not speak English, make sure an English speaking representative is at the site to communicate with the MEDEVAC crew.

Prepare and Assist in Evacuation Assist the MEDEVAC Crew Update the evacuation crew on the position of enemy and friendly troops Provide the aerial MEDEVAC crew with a good LZ brief, to include surface conditions, weather, obstacles, dimensions, etc. If evacuation is by aerial means, take all instructions from the crew chief or flight medic Guide the helicopter using hand and arm signals during landing and take off, as the tactical situation permits Always provide the MEDEVAC crew with the most up-to-date enemy situation. Also, ensure the pilot is aware of any special considerations in regard to the landing zone itself. If the evacuation is by aerial means, do not approach the aircraft until signaled by the crew and take all instructions from the crew chief or flight medic. While it may be useful to use hand and arm signals to assist the crew, if no one in the LZ is familiar with helicopter operations it is best to remain at a safe distance.

Quick Question When the MEDEVAC aircraft lands, immediately approach it and begin to load patients? When the MEDEVAC aircraft lands, immediately approach it and begin to load patients? TRUE FALSE

Review 9 Line MEDEVAC Class Learned the definition of a MEDEVAC Reviewed the 9 Line MEDEVAC request Learned the pertinent information to collect as well as how to record it using brevity codes, when required Examined how to determine precedence Examined the difference between peacetime and wartime formats Learned how to transmit a proper 9 Line MEDEVAC Learned how to prepare for evacuation and assist the medical team during an evacuation Let’s review what we’ve discussed this past hour. We’ve learned the definition of a MEDEVAC, reviewed the 9 Line MEDEVAC request, learned how to collect the information needed to submit a 9 Line MEDEVAC, we’ve reviewed how to determine patient precedence, examined the difference between peacetime and wartime formats, we’ve discussed the proper way to transmit a 9 Line, and we’ve also worked through some ways to prepare for evacuation and assist the MEDEVAC crew during an evacuation.

FINAL EXAM Now it’s time to take the final exam. Good luck everyone.

FINAL EXAM MEDEVAC mission deals solely with the movement of personnel from the battlefield and other locations to medical treatment facilities? T/F The same format is used to request evacuation by aerial or ground transportation assets? T/F Priority is the highest precedence that can be assigned to a casualty? T/F Which precedence no longer exists under NATO standards? The welfare of the casualty always outweighs the need for security when requesting a MEDEVAC? T/F When marking the pickup site, the evacuation crew should identify the color and type of marking and the unit requesting MEDEVAC should verify color? T/F

7. What are the correct codes for 1 Urgent and 2 Priority patients? 8. What are the correct brevity codes for 1 Litter and 2 Ambulatory? 9. You should use standard radio phraseology when requesting a MEDEVAC? T/F 10. The unit TACSOP is your only reference for attaining the proper MEDEVAC frequency? T/F 11. What is the time limit for sending the first 5 lines on a MEDEVAC? 12. After completing transmission of the MEDEVAC request, you should continue your previous mission and there is no longer a need for interaction with the MEDEVAC crew? T/F 13. The senior service member from the unit requesting MEDEVAC controls the pickup site, and the MEDEVAC unit takes all instructions from them? T/F

ANSWERS False True False Convenience False True MEDEVAC mission deals solely with the movement of personnel from the battlefield and other locations to medical treatment facilities? The same format is used to request evacuation by aerial or ground transportation assets? Priority is the highest precedence that can be assigned to a casualty? Which precedence no longer exists under NATO standards? The welfare of the casualty always outweighs the need for security when requesting a MEDEVAC? When marking the pickup site, the evacuation crew should identify the color and type of marking and the unit requesting MEDEVAC should verify color? False True False Convenience False True

A1, C2 L1, A2 True False 25 Seconds False False 7. What are the correct codes for 1 Urgent and 2 Priority patients? What are the correct brevity codes for 1 Litter and 2 Ambulatory? 9. You should use standard radio phraseology when requesting a MEDEVAC? The unit TACSOP is your only reference for attaining the proper MEDEVAC frequency? What is the time limit for sending the first 5 lines on a MEDEVAC? 12. After completing transmission of the MEDEVAC request, you should continue your previous mission and there is no longer a need for interaction with the MEDEVAC crew? 13. The senior service member from the unit requesting MEDEVAC controls the pickup site, and the MEDEVAC unit takes all instructions from them? A1, C2 L1, A2 True False 25 Seconds False False

QUESTIONS?