Fmf 111.13 9 Line Of Casevac

Front 1

LOCATION OF PICK UP SITE?

Back 1

LINE 1 ITEM

Front 2

Encrypt the grid coordinates of the pickup site. When Using the DRYAD Numeral Cipher, the same “SET” line Will be used to encrypt the Grid zone letters and the
Coordinates. To preclude
misunderstanding, a statement is made that grid zone letters are included in the message (unless unit SOP specifies its use at all times)?

Back 2

LINE 1 EXPLANATION

Front 3

From map?

Back 3

LINE 1 WHERE/HOW OBTAINED

Front 4

Unit Leaders?

Back 4

LINE 1 WHO NORMALLY PROVIDES

Front 5

Required so evacuation vehicle knows where to pickup patient. Also, so
that the unit coordinating
evacuation mission
can plan the route for the
evacuation vehicle (if the
evacuation vehicle must
pick up from more than
one location)?

Back 5

LINE 1 REASON

Front 6

Radio Frequency, call
sign, and suffix?

Back 6

Line 2 Item

Front 7

Encrypt the frequency of the radio at the pickup site, not a relay frequency. The call sign (and suffix if used) of person to be contacted at the pickup site may be transmitted in the clear?

Back 7

Line 2 Explanation

Front 8

FROM SOI?

Back 8

Line 2 Where/How Obtained

Front 9

RTO?

Back 9

Line 2 Who Normally Provides

Front 10

Required for that evacua
tion vehicle can contact
requesting unit while en
rout (obtain additional
information or change
in situation or direction)?

Back 10

Line 2 Reason.

Front 11

Number of Patients by Precedence?

Back 11

Line 3 Item.

Front 12

Report only applicable information and encrypt the brevity codes. A- Urgent
B- Urgent-Surg
C- Priority
D- Routine
E-Convenience
If two or more categories Must be reported in the same request, insert the word “Break” between each category?

Back 12

Line #3 EXPLANATION

Front 13

From SOI?

Back 13

Line #3 WHERE/HOW OBTAINED

Front 14

RTO?

Back 14

WHO NORMALLY PROVIDES IN LINE #3

Front 15

Required by the unit controlling the evacuation Vehicles to assist in prioritizing missions?

Back 15

REASON FOR LINE #3

Front 16

Special Equipment Required?

Back 16

ITEM FOR LINE #4

Front 17

Encrypt the applicable brevity codes
A- None
B-Hoist
C- Extraction Equipment
D-Ventilator?

Back 17

EXPLANATION FOR LINE #4

Front 18

From evaluation of Patient(s)?

Back 18

WHERE/HOW OBTAINED FOR ITEM #4

Front 19

Medic or Senior
Person Present?

Back 19

WHO NORMALLY PROVIDES LINE #4

Front 20

Required so that the equipment can be placed on board the evacuation vehicle prior to the start of the mission?

Back 20

REASON FOR ITEM #4

Front 21

Number of Patients by
Types?

Back 21

ITEM FOR LINE #5

Front 22

Report only applicable information and encrypt the brevity code. If requesting?

Back 22

EXPLANATION OF LINE #5

Front 23

From Evaluations of Patient(s)?

Back 23

WHERE/HOW OBTAINED OF LINE #5

Front 24

Medic or Senior
Person?

Back 24

WHO NORMALLY PROVIDES IN LINE #5

Front 25

Required so that the appropriate number of (patients are treated)?

Back 25

REASON FOR LINE #5

Front 26

Security of Pickup Site
(WARTIME)?

Back 26

ITEM FOR LINE #6 IN WARTIME

Front 27

N- No enemy troops in area
P- Possibly enemy troops in area (approach with caution)
E- Enemy troops in area (approach with caution)
X- Enemy troops in area (armed escort required)?

Back 27

EXPLANATION FOR LINE #6 (During Wartime)

Hint 27

How secure is it?

Front 28

From Evaluation of Situation?

Back 28

WHERE/HOW OBTAINED FOR ITEM OF LINE #6

Front 29

Unit Leader?

Back 29

WHO NORMALLY PROVIDES IN LINE #6

Front 30

Required to assist the evacuation crew in Assessing the situation and determining if assistance is required. More definitive guidance can be furnished the evacuation vehicle while it is enroute (specific location of enemy to assist an aircraft in planning its approach)?

Back 30

REASON FOR LINE #6

Front 31

Number and Type of Wound,
Injury, or Illness in
PEACETIME?

Back 31

Line #6 item in peace time

Front 32

Specific information regarding patient wounds by type (gunshot or shrapnel). Report serious bleeding, along with patient blood type, if known?

Back 32

Line #6 of the explanation in peacetime

Front 33

From evaluation
of patient?

Back 33

WHERE/HOW OBTAINED of Line #6 during peace time

Front 34

Medic or Senior Person Present?

Back 34

WHO NORMALLY PROVIDES in Line #6 during peacetime

Front 35

Required to assist evacuation personnel determining treatment and special equipment needed?

Back 35

REASON for Line #6 during peace time

Front 36

Method of Marking Pickup Site?

Back 36

Line #7 item

Front 37

Encrypt the brevity codes.
A- Panels
B- Pyrotechnic signal
C- Smoke Signal
D- None
E- Other?

Back 37

EXPLANATION of Line #7

Front 38

Based on
Situation and
Availability?

Back 38

WHERE/HOW OBTAINED of Line #7

Front 39

Medic or Senior Person Present.?

Back 39

WHO NORMALLY PROVIDES in Line #7

Front 40

Required to assist the evacuation crew in identifying the specific location of the pick up. Note that the color of the panels or Smoke should not be transmitted until the evacuation vehicle contacts the unit (just prior To its arrival). For security the crew should identify the Color and unit verify?

Back 40

REASON for Line #7.

Front 41

Patient
Nationality
And Status?

Back 41

Line item #8

Front 42

The number of patients in each category need not be transmitted. Encrypt only the applicable brevity codes.
A- U.S. Military
B- U.S. Civilian
C- Non U.S. Military
D- Non U.S. Civilian
E- EPW?

Back 42

EXPLANATION of Line #8

Front 43

From Evaluation of Patient of Line #8?

Back 43

WHERE/HOW OBTAINED of Line #8

Front 44

Medic or Senior Person Present?

Back 44

WHO NORMALLY PROVIDES in Line #8

Front 45

Required to assist in planning for destination facilities and need for guards. Unit requesting support should ensure that there is an English speaking representative at the pickup site?

Back 45

REASON for Line #8

Front 46

NBC
Contamination
WARTIME?

Back 46

Line item #9 in Wartime

Front 47

Include this line only when applicable. Encrypt the applicable brevity codes.
N- Nuclear
B- Biological
C- Chemical?

Back 47

EXPLANATION of Line #9 in Wartime

Front 48

From Situation?

Back 48

WHERE/HOW OBTAINED of Line #9 in Wartime

Front 49

Medic or Senior
Person Present?

Back 49

WHO NORMALLY PROVIDES in Line #9 in Wartime

Front 50

Required to assist in planning for the mission (Determine which evacuation vehicle will accomplish the mission and when it will be accomplished).

Back 50

REASON for Line #9 in Wartime

Front 51

Terrain Description?

Back 51

Line item #9 of in Peacetime

Front 52

Includes details of terrain features in and around proposed landing site. If possible, describe relationship of site to prominent terrain feature (lake, mountain, tower)?

Back 52

EXPLANATION of Line item #9 of in Peacetime

Front 53

From Area Survey?

Back 53

WHERE/HOW OBTAINED of Line #9 during Peacetime

Front 54

Medic or Senior
Person Present?

Back 54

WHO NORMALLY PROVIDES of Line Item #9

Front 55

Required to assist in planning for the mission (Determine which evacuation vehicle will accomplish the mission and when it will be accomplished)?

Back 55

Reason for Line Item #9

Front 56

Terrain
Description?

Back 56

Line item #9 of in Peacetime

Front 57

Includes details of terrain features in and around proposed landing site. If possible, describe relationship of site to prominent terrain feature (lake, mountain, tower)?

Back 57

EXPLANATION of Line item #9 of in Peacetime

Front 58

From Area Survey?

Back 58

WHERE/HOW OBTAINED of Line #9 during Peacetime

Front 59

Personnel at Site?

Back 59

WHO NORMALLY PROVIDES of Line Item #9 During Peacetime

Front 60

Required to allow evacuation personnel to assess route/avenue of approach into area. Of particular importance if hoist operation is required?

Back 60

Reason for Line Item #9 in Peacetime