NINE LINE MEDEVAC AND HLZ/PZ MARKING FM 4-02.2

1. NINE LINE MEDEVACAND HLZ/PZ MARKINGFM 4-02.2

2. TASK: 081-831-0101 / Request Medical Evacuation • 1. Collect all information needed for the MEDEVAC request line items 1 through 9. • 2. Record the information using authorized brevity codes. • 3. Transmit the MEDEVAC request.

3. Condition • You have a casualty requiring medical evacuation (MEDEVAC) and a patient pickup site. Necessary equipment and materials: operational communications equipment, MEDEVAC request format.

4. Standards • Transmitted a MEDEVAC request, providing all necessary information within 25 seconds. Transmitted, as a minimum, line numbers 1 through 5 during the initial contact with the evacuation unit. Transmitted lines 6 through 9 while the aircraft or vehicle was en route, if not included during initial contact.

5. ADVANTAGES OF AEROMEDEVAC • SPEED • FLEXIBILITY • ENROUTE TREATMENT

6. DISADVANTAGES OF AEROMDEVAC • WEATHER AND LIMITED VISIBILITY • ENEMY SITUATION • LIMITED/PRIORITY AIRCRAFT

7. RESPONSIBILITIES OF THE REQUESTING UNIT • LIGHTING AND MARKING OF THE P/U SITE • TACTICAL SUPPORT AND SECURITY • PATIENT PREPARATION • ASSIGNMENT OF LITTER TEAMS TO LOAD THE AIRCRAFT • BRIEFING PILOT OF ENEMY SITUATION • MARKING FRIENDLY POSITIONS • GUIDE IN AIRCRAFT

8. THE FORMAT • PROVIDES A UNIFORM METHOD OF REQUESTING A MEDEVAC FOR WOUNDED PERSONNEL. • ALLOWS AIR CREW TO PLAN AND PROVIDE QUICK AND EFFECTIVE AND QUICK RESPONSE. • *DURING PEACETIME LINES 1-5 MUST BE SENT IN CLEAR. • **LINES 1-5 MUST BE SENT PRIOR TO A/C “WHEELS UP”.

9. THE FORMAT LINE 1 LOCATION OF P/U SITE LINE 2 RADIO FREQ., CALL SIGN, AND SUFFIX OF REQUESTING UNIT LINE 3 NUMBER OF PATIENTS BY PRECEDENCE LINE 4 SPECIAL EQUIPMENT NEEDED LINE 5 NUMBER OF PATIENTS BY TYPE

10. THE FORMAT (CONT.) LINE 6 WARTIME: ENEMY SITUATION PEACETIME: TYPE OF INJURY LINE 7 METHOD OF MARKING P/U SITE LINE 8 PATIENT NATIONALTY AND STATUS LINE 9 WARTIME: NBC CONTAMINATION PEACETIME: TERRAIN DESCRIPTION

11. LINE 1 LOCATION OF P/U SITE • AT LEAST 6 DIGIT GRID • INCLUDE GRID ZONE DESIGNATOR

12. LINE 2 RADIO FREQUENCY AND CALLSIGN • PRIMARY AND ALTERNATE FREQUENCY

13. LINE 3 NUMBER OF PATIENTS BY PRECEDENCE • ENABLES AIR MEDEVAC CREW TO ESTABLISH A PRIORITY OF WHICH PATIENTS NEED TO BE EVECUATED FIRST

14. LINE 3 NUMBER OF PATIENTS BY PRECEDENCE • THERE ARE 4 PRIORITIES: • URGENT: EMERGENCY CASES THAT NEED EVACUATION ASAP, WITHIN A MAXIMUM OF 2 HOURS TO SAVE LIFE, LIMB OR EYESIGHT • URGENT SURGICAL: PATIENTS WHO MUST RECEIVE FAR FORWARD SURGICAL INTERVENTION TO SAVE LIFE

15. LINE 3 NUMBER OF PATIENTS BY PRECEDENCE • PRIORITY: SICK OR WOUNDED PERSONNEL REQUIRING PROMPT MEDICAL CARE • MUST BE EVACUATED IN 4 HOURS OR HIS CONDITION COULD DETERIORATE TO SUCK A DEGREE THAT HE WILL BECOME AN URGENT PRECEDENCE

16. LINE 3 NUMBER OF PATIENTS BY PRECEDENCE • CONVENIENCE: MEDEVAC IS A CONVENIENCE RATHER THAN A NECESSITY

17. LINE 4 SPECIAL EQUIPMENT NEEDED • AIRCRAFT RESCUE HOIST • JUNGLE/FOREST PENETRATOR • SEMI RIGID LITTER • STOKES BASIC LITTER • KENDRICK EXTRACTION DEVICE

18. LINE 5 NUMER OF PATIENTS BY TYPE • NUMBER OF LITTER PATIENTS • NUMBER OF AMBULATORY

19. LINE 6 (WARTIME) • ENEMY SITUATION • NO ENEMY TROOPS IN THE AREA • POSSIBLE EEMY TROOPS IN THE AREA • ENEMY IN THE AREA, APPROACH W/ CAUTION • ENEMY TROOPS IN THE AREA, ARMED ESCORT REQUIRED

20. LINE 6 (PEACETIME) • GUNSHOT, SHRAPNEL • BROKEN BONES • ILLNESS

21. LINE 7 METHOD OF MARKING P/U SITE • PRACTICAL EXERCISE

22. LINE 8 PATIENT NATIONALITY AND STATUS • U.S MILITARY • U.S CIVILIAN • NON U.S MILITARY • NON U.S CIVILIAN • PRISONER OF WAR

23. LINE 9 (WARTIME) • NBC CONTAMINATION • RADS/HOUR OR TYPE OF AGENT USED

24. LINE 9 (PEACETIME) • DESCRIPTION OF TERRAIN IN AROUND P/U SITE

25. HLZ MARKING

26. TDP SIZES • SIZE 1: 25 Meters (all observation helos) • SIZE 2: 35 Meters (small utility/attack) • SIZE 3: 50 Meters (large utility/attack) • SIZE 4: 80 Meters (all cargo helos) • SIZE 5: 100 Meters (all sling load helos)

27. DAY SMOKE FLARE VS-17 PANEL NIGHT INVERTED “Y” NATO “T” OMNI DIRECTIONAL LIGHTS CHEM LIGHTS FLASHLIGHTS IR STROBE LIGHTS MARKING METHODS

28. Situation 1 • You are participating in an exercise and you are located at grid coordinates EG 05959122 near the end of a dirt road in a flat area surrounded by swamps. You must request medical evacuation for two Soldiers from your unit. The call sign you use is X69 and the frequency is 36.90. One casualty has a shrapnel wound to the chest with difficulty breathing and the other has a fracture of the right arm. Medical personnel state that the first casualty needs a ventilator and immediate surgery and the other casualty is routine. Contact with the enemy has been limited for the past 8 hours but there may be some hostile troops in the area. No CBRN contamination has been detected in the area. Smoke will be used to mark the location.

29. Situation 2 • You are participating in a training exercise east of Fort Gordon, Georgia Military Reservation. You are the lemming in operations and SGT Smith, call sign X69, frequency 36.90 is the relay of a subordinate unit. SGT Smith is located in a clearing at the edge of the tree line, grid coordinates LG70368730. SGT Smith calls you and asks that you request a MEDEVAC for him. He relays the following information: He has three burned Soldiers. Two are burned badly and he thinks they require immediate surgery; one needs a ventilator. The third Soldier is a priority precedence evacuation. All three Soldiers should be considered litter patients. SGT Smith’s unit will mark the LZ with smoke. Aggressor (enemy) troops are known to be in the area.

30. Any Questions?