9 - LINER PROCEDURE.pptx

Combat Medic

1. 9 - LINE CASUALTY AND MEDICAL EVACUATIONS REQUEST 1 UN RESTRICTED UN RESTRICTED

2. INTRODUCTION UN RESTRICTED 2 UN RESTRICTED

3. INTRODUCTION The 9-liner is a military term medic or first aiders use to call for medical assistance in combat injury. The 9- Liner is a standard format for requesting for casualty evacuation (CASEVAC). It’s the best way to calmly and accurately report that a soldier needs medical attention. UN RESTRICTED 3 UN RESTRICTED

4. INTRODUCTION (CONT) It comprises 9 guide lines to assist personnel to determine priorities of injuries and precedence for CASEVAC. Same procedure for air or ground requests. The initiating unit should complete and send the 9-liner immediately to initiate the casualty evacuation process. UN RESTRICTED 4 UN RESTRICTED

5. INTRODUCTION (CONT) The main aim of the 9-line report is to promptly initiate CASEVAC of an injured combat. Enhances compliance to the 10-1-2 Doctrine. Component of Tactical Medicine. UN RESTRICTED 5 UN RESTRICTED

6. SCOPE 9-Liner in Tactical Medicine. Steps in Initiating the 9-Liner. 9-Liner Format. Limitations of the 9-Liner. UN RESTRICTED 6 UN RESTRICTED

7. 9-LINER IN TACTICAL MEDICINE UN RESTRICTED 7 UN RESTRICTED

8. TACTICAL MEDICINE Civilian medical systems have established first aid and pre-hospital guidelines. Presumes that first aiders and responders are able to provide care without putting their life at risk. In military medicine, treatment of casualty is weighed against such considerations as mission goals and on going hostilities. UN RESTRICTED 8 UN RESTRICTED

9. TACTICAL MEDICINE (CONT) For operational reasons, some treatments and intervention that may be appropriate in civilian setting could lead to additional loss of life and increased risk in military setting. Three levels of care in tactical medicine: UN RESTRICTED 9 UN RESTRICTED

10. TACTICAL MEDICINE (CONT) 1. Care Under Fire. Medical treatment provided while actively engaged in hostile environment. Limited to self aid and application of tourniquet. Aim is to engage and suppress the threat. Superior fire power is the objective UN RESTRICTED 10 UN RESTRICTED

11. TACTICAL MEDICINE (CONT) Tactical Field Care. Delivered when the casualty and responders are no longer under direct fire. Includes ABC’s and Rapid Trauma Assessment. IV’s and Fluid Resuscitation, Dressings, Splints. CPR, airway adjuncts and chest decompression. 9-Liner activated at this point. UN RESTRICTED 11 UN RESTRICTED

12. TACTICAL MEDICINE (CONT) 3. Evacuation Care. Carried out when evacuation assets arrive with additional medical supplies. The casualty is removed from the hostile environment. Includes en-route casualty care. UN RESTRICTED 12 UN RESTRICTED

13. STEPS IN INITIATING 9-LINER Render the scene safe. Ensure Care under fire. Determine the number of patients by type. Contact CASEVAC channel. Use 9 line request format to call in for CASEVAC. UN RESTRICTED 13 UN RESTRICTED

14. THE 9 LINE FORMAT UN RESTRICTED 14 UN RESTRICTED

15. 9 LINE FORMAT Varies based on operational element. All persons on ground should have a 9 line CASEVAC request format on him at all times. Various formats include: 1. US military 9 line 2. NATO 9 line 3. Internally Generated 9 line UN RESTRICTED 15 UN RESTRICTED

16. GENERAL 9 LINE MEDEVAC UN RESTRICTED 16 UN RESTRICTED Line 1: Location of the pick up site, Map, GPS. Line 2: Radio frequency and call signs. Line 3: Number/Name of patient/Priority. Line 4: Special equipment required. Line 5: Number of casualties by type. Line 6: Security of the pick up site. Line 7 : Marking the pickup site. Use brevity codes. Line 8: Casualty nationality and status. Line 9: NBC Contamination / Terrain

17. US MILITARY 9 – LINE 17

18. NATO 9 – LINE 18

19. MINUSMA 9 – LINE REPORT UN RESTRICTED UN RESTRICTED 19

20. PRECEDENCE FOR CASEVAC UN RESTRICTED 20 UN RESTRICTED

21. SAMPLE OF 9-LINE MEDEVAC REQUEST UN RESTRICTED 21 UN RESTRICTED

22. ACTIVATION OF 9-LINE MEDEVAC REQUEST UN medical support system provides a continuum of care for injured personnel during combat mission. With occurrence of casualties; Medic or First Aider sends a 9-Liner MEDEVAC request through his Unit TOC to the TOC Duty Officer. The 9-Line report is relayed to all concerned including the Air Region Air Ops offr , RMO, Sector Comd , HoO . The RMO provides the destination for the casualties. The Sector Comd / HoO authorises the CASEVAC Launch UN RESTRICTED 22 UN RESTRICTED

23. LIMITATIONS OF THE 9-LINE Presence of enemy fire power. Network accessibility Time constraint in meeting the required 10 minutes. Unskilled medical attendant. UN RESTRICTED 23 UN RESTRICTED

24. CONCLUSION The 9-Liner CASEVAC request is a formal request for medical aid from personnel at the field to the higher authorities. Its essence is to initiate and facilitate timely evacuation of injured personnel from the point of injury to a medical facility. UN RESTRICTED 24 UN RESTRICTED

25. Thank you for listening UN RESTRICTED 25 UN RESTRICTED