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How To Call In A 9Line MEDEVAC > 9-Line MEDEVAC

And MIST Report > 9Line Format

> General 9 Line MEDEVAC

by refactor February 23, 2015

> 9 Line MEDEVAC Example

> M.I.S.T. Report

RE Factor Tactical 9 Line Sticker

9-Line MEDEVAC
Unfortunately, in today’s military, the chances of using a 9-line MEDEVAC format in combat is
high and many operational personnel are not receiving the training required to call it into medical
personnel correctly. If a MEDEVAC is improperly requested in, the patient may not receive
medical care promptly, possibly resulting in catastrophic consequences. All personnel, civilian or
military should be trained to calmly and collectively call in a 9-Line MEDEVAC under stress.
Additionally, training should include stressful scenarios where personnel, from privates to senior
o cers, practice calling in MEDEVACS to training cadre. When calling in a MEDEVAC, there are
several steps that the individual must take to ensure the 9 Line is properly called in and
dispatched units are given the necessary information required to reach the patient’s location.

Step 1: Return re/render the scene safe- Before attempting to call in a 9Line MEDEVAC the
scene must be rendered safe. Personnel should not reduce the overall e cacy of the force’s
repower to call in a 9Line. If the unit under re reduces the overall aggression and violence of
action against the enemy force it could result in a greater loss of personnel. At all costs, the
re ght must be won before moving towards rendering aid to the wounded.

How to Call in a 9 Line MEDEVAC

Step 2: Care under re- Once re superiority has been established medical personnel can begin
care under re. In this step medical personnel and medically trained operators can start to tend
to life-threatening wounds while maintaining security.

Step 3: Determine the number of patients by type- this is not only valuable information to have
when calling in the 9line but it will also allow medical personnel to accurately triage patients
based on their medical condition and chances of living. In this step critically wounded personnel
is identi ed and consolidated in the event, there is limited space on incoming MEDEVAC
platforms.

Step 4: Contact MEDEVAC channel- while ensuring the scene safe is important, getting the
MEDEVAC out is also critical. MEDEVAC units will have varied response times but giving them
noti cation of the situation as soon as possible will help reduce their time to the station. If the
operating element has a BFT, this should be hit as quickly as possible to let supporting units
know of the emergency taking place. Again, operating personnel should practice radioing for
help as part of their response to an attack.

Step 5: Using 9 Line MEDEVAC format to call in MEDEVAC- The rst ve lines are most
important when calling in a MEDEVAC, the other four can be relayed when birds are in the air.
Ensure you have a safe LZ for the landing party.

Important: no matter what the situation on the ground the radio operator should remain calm
and collected at all costs. Personnel calling in a MEDEVAC while in a state of panic may relay
incorrect information or speak in a manner that is incomprehensible over the radio. Remember,
responding units will not come any faster if the RTO is calling the 9Line in a sensitive manner. To
ensure the 9Line is called in properly the Operator should consider writing down the information
to ensure all pertinent information is passed.

9Line Format

The 9-line MEDEVAC format can vary based on the operational element. Some items use the U.S.
military 9line MEDEVAC while others use NATO 9Line or internally generated 9Lines with the
unique information required for supporting units. All leadership and medical personnel should
get with local MEDEVAC elements to ensure they have proper radio frequencies and 9Line
formats readily available. Also, every person on the ground should have a 9Line MEDEVAC on his
or her persons at all times. This can be a card placed in an IFAK, on a radio or kept in a pocket.
We recommend using the RE Factor Tactical 9Line MEDEVAC reference guide which can adhere
to the back of radio, buttstock of a weapon or inside of a vehicle.

General 9 Line MEDEVAC

Line 1: Location of pickup site- this is given in an MGRS 6-8 digit grid.

Line 2: Frequency and call-sign at pickup site- this is the frequency and callsign that you will be
talking to the incoming MEDEVAC aircraft on. In most cases, this is a predetermined, non-
encrypted channel that is set-aside for MEDEVAC. If possible write this on all 9Line cards before
the mission.

Line 3: Number of patients by precedence- A- Urgent (surgical)- i.e. requires the in- ight surgeon
to perform surgery while en route to the hospital. B- Urgent (non-surgical)- the i.e. patient has an
arterial bleed that can be stabilized until arriving at the hospital. C- Priority- i.e. injuries that are
not immediately life-threatening but could become fatal eventually. D- Routine- i.e. patient
requires regular medical care, but the unit cannot transport them by their means. E-
Convenience- i.e. nonlife-threatening care provided to personnel in a combat zone.

Line 4: Special Equipment required- A- None B- Hoist C- Extraction Equipment- i.e. jungle
penetrator D- Ventilation

Line 5: Number of Patients by type: A- Litter- cannot walk on their own B- Ambulatory- able to
self-move to MEDEVAC platform

Line 6: Security of Pickup area- N- No enemy troops in area P- Possible enemy troops in area
(approach with caution) E- Enemy troops in area (approach with caution) X-Enemy troops in area
(armed escort required)

Line 7: Method of Marking at pickup site (important: always ensure marking equipment is
available to the marking personnel. If you are going to throw purple smoke, ensure you have
purple smoke on hand) A- Panels- i.e. VF-17 panel B- Pyrotechnical equipment- i.e. pen are, red
star cluster C- Smoke Signal- (provide smoke color) D- None E- Other- i.e. IR ash or beacon

Line 8: Patient Nationality and Status A- US Military B- US Civilian C- Non-US Military D- Non-US
Citizen E- EPW

Line 9: NBC Contamination A- Nuclear B- Biological C- Chemical *During peacetime provide

terrain of pickup site

9 Line MEDEVAC Example

“Bravo ve this is Victor two, request 9 line MEDEVAC“ “Victor two this is Bravo ve prepared to
copy” “Line one, one eight Sierra whiskey papa one two tree one four ve one seven” “Line two,
two seven zero zero Bravo Five” “Line tree, alpha one, bravo tree” “line four, alpha” “line ve,
alpha four” “How to copy over?” At this point, the MEDEVAC line will repeat all given and
initiate movement for MEDEVAC. Once in the air, the operator will relay nal four lines in the
same manner provided. Remember, training to send in a 9Line is necessary for all personnel on
the ground. You never know when YOU may be calling in a MEDEVAC and you never want to wait
until the situation to take place to gure out that you are unable to call it incorrectly. A simple
way to keep a 9Line on you at all times to carry the RE Factor Tactical 9 Line MEDEVAC format
which is available on our website. Made in the USA of tough marine grade vinyl,  they are
precisely cut to t on the back of a PRC-148 radio or the buttstock of a ri e.

M.I.S.T. Report
The M.I.S.T. Report has recently been incorporated into the 9Line MEDEVAC format and
traditionally comes after the 9Line Format.

The M.I.S.T. Report stands for:

M – Mechanism of injury (mine, GSW, RPG, RTA, etc.given)

I – Type of Injury (found and or suspected)

S – Signs (pulse rate, blood pressure, respiratory rate)

T – Treatment is given (morphine, tourniquet, etc.Example) A/C – adult/child (include age if

known)

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