The 9-liner is a standard format used by medical personnel in combat situations to request casualty evacuation (CASEVAC) for an injured soldier. It consists of 9 lines to report critical details like the casualty's location and condition to initiate prompt medical evacuation. Initiating a 9-liner request is an important part of tactical medicine, which provides different levels of care under fire, on the tactical field, and during evacuation from a hostile environment. The 9-liner format varies slightly between organizations but generally includes information like the pickup location, radio contact details, patient priority level, and hazards like contamination.

1. 9 - LINE CASUALTY AND
MEDICAL EVACUATIONS
REQUEST
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2. INTRODUCTION
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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.
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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.
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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.
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6. SCOPE
 9-Liner in Tactical Medicine.
 Steps in Initiating the 9-Liner.
 9-Liner Format.
 Limitations of the 9-Liner.
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7. 9-LINER IN TACTICAL
MEDICINE
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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.
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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:
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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
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11. TACTICAL MEDICINE (CONT)
2. 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.
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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.
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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.
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14. THE 9 LINE FORMAT
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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
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16. GENERAL 9 LINE MEDEVAC
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 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
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18. NATO 9 – LINE
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19. MINUSMA 9 – LINE REPORT
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20. PRECEDENCE FOR CASEVAC
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21. SAMPLE OF 9-LINE MEDEVAC REQUEST
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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
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23. LIMITATIONS OF THE 9-LINE
 Presence of enemy fire power.
 Network accessibility
 Time constraint in meeting the required 10 minutes.
 Unskilled medical attendant.
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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.
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25. Thank you for listening
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