Considerations When Planning/Conducting a 9-line Evac

The 9-line format for casualty evacuations is a standard format.  Due to the uniqueness of situations and different medics’ needs, I will only discuss generic considerations regarding its implementation.  During pre-mission planning, you should be aware of the following:

  1.  Enemy Situation(e.g, barricade, Meth-lab, etc.)

  2. Severity of wounds/injuries (e.g., understand MOI, and injuries you may encounter)

  3. Number of casualties (e.g., number of assaulters on the objective, suspects, etc.)

  4. Response time (i.e., are you close to a Trauma Center, what is the response time of air)

  5. Platforms available (e.g., horse cart, truck, and helicopter)

  6. Level of care on Platforms available (i.e., is there a PA onboard, EMT, medic)

  7. Travel time to next level of care

Obviously the above-mentioned will be in constant flux.  Also, you will not know all of these beforehand (e.g., severity of wounds).  However, you can assess the types of injuries you may encounter due to the type of mission, then plan accordingly with the type of gear you carry and your prepositioned equipment on a dedicated evacuation platform.  For example, if conducting an assault and inserting via fast-rope, then you may encounter long-bone fractures.  You would not carry a splint in your assault bag.  Instead, leave it on the evac-platform in your level 3 kit.  Another example would be a suspected meth-lab.  You may encounter inhalation injuries.  Therefore, you would have the requisite equipment for treatment on the evac-platform.  

Once you have initiated an evacuation, you should consider the following when prepping a casualty for hand-over:

  1. Remove Load bearing equipment

  2. Mission Essential Eqt stays in the field (e.g., ammunition, radios, weapons, etc.)

  3. Bag and tag all other effects (laundry bags or 4-mil heavy-duty trash bags work well)

  4. Lay out in priority – most critical will probably be loaded last

  5. Ensure casualties are marked appropriately with casualty card and glow-sticks (if at night)

  6. Protect your casualty: hypothermia prevention (blanket), Eye Pro, Ear Pro, strap them to the litter, secure IV lines

Hypothermia is of concern in hot climates as well.   Studies from Iraq indicate that in temperatures over 120 F, casualties are arriving at surgical units hypothermic.   You do not need to use external heat sources (e.g., heatpacks) if you PREVENT heat loss at the point of injury.  You must prevent so you do not have to rewarm.

2 replies
  1. starlight_cdn
    starlight_cdn says:

    Troops have start to carry mesh laudry bags folded between their soft armour and hard armour in the armour carrier. You do not notice it. Chance favours the prepared. That way everyone has their own ‘effects bag’…..works for EPW or PUC effect, in a pinch, as well.

    Many troops are also filling out cas tags and carrying them in the same spot as well…with the Hx and any ALG filled out….

    Reply

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