9 LINER MEDEVAC REQUEST (For use when speaking to US and other NATO Helos agencies) Line 1 Line 2 Line 3
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location of HLS(UTM Grid ref) Callsign and Frequency Number of Casualties/Precedence A-No of immediate cases (Evac Immed T1) B-No of Urgent Cases (T2) C-No of Priority Cases (need to see medic within 4hrs)(T2) D-No of Routine evac within 24hrs (T3) E-No of Convenience (T4) or Dead Special Equipment Required A-None B-Hoist C-Extraction D-Ventilator E-Other (state equip) No of Casualties by Type L (Litter)-No of Stretcher Cases A (Ambulation)-No of Walking Wounded Security at PUP/LZ N-Free from En Activity P-Poss En in Area E- En in Area X-Armed Escort Required for Med Team PUP/LZ Marking Method A-Panels B-Pyrotechnics C-Smoke(Colour) D-None E-Other(specify Number/Nationality Status A-ISAF Mil B-ISAF Civ C-Non ISAF Mil D-NON ISAF Civ E-EPW/PUP (Enemy POW (Detainee)/Person Under Custody) Descscription of PUP/LZ Terrain/Obstacles (Mines, Power Cables and Identifying Features etc) Time of Injury if Known Type of Incident if Known Pulse, Blood pressure, Breathing rate if known Mechanism of Injury Level of Consciousness Zap Number
For PUP/LZ siting include: -Best LZs are Roads (ensure blocked during Operation). -Flat Terrain -Hard Surface -EOD Free -No Obstacles for Approaching Departing Helos -Easily ID'd/marked -size 80m by 80m (for one Helo)
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