Medic Reports Explained

Jack T
Jack T
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Detailed Explanation of the Reports in the Provided File


The attached Medic Kneeboard includes several critical frameworks for managing and reporting casualties during in-game operations. Below is an elaboration on each section, providing further clarity for practical use.


1 - Status Codes (9-Line MEDEVAC)


This is the 9-Line MEDEVAC Request format, which ensures effective communication for casualty evacuation. Each line corresponds to specific information:
  1. Frequency and Standby:
    • Provide the radio frequency for the MEDEVAC request. Include the appropriate callsign and suffix.
  2. Grid Location:
    • Clearly specify the exact grid coordinates for the pickup site to ensure accurate MEDEVAC dispatch.
  3. Number of Patients by Precedence:
    • A - Urgent (Within 90 minutes).
    • B - Priority (Within 4 hours).
    • C - Routine (Within 24 hours).
  4. Special Equipment Required:
    • Indicate any special requirements:
      • A - None.
      • B - Hoist.
      • C - Extraction equipment (e.g., "Chemical").
  5. Number of Patients by Type:
    • L - Litter (patients requiring a stretcher).
    • A - Ambulatory (patients able to walk).
    • E - Escorts for children or dependents.
  6. Security of Pickup Site:
    • Indicate security conditions:
      • N - No Enemy.
      • P - Possible Enemy.
      • E - Enemy in the Area.
      • X - Hot Pickup Site.
  7. Marking the Pickup Site:
    • How the site will be identified:
      • A - Panels.
      • B - Pyrotechnics.
      • C - Smoke.
      • D - None.
      • E - Other (must specify).
  8. Patient Nationality and Status:
    • Clarify patient affiliation:
      • A - U.S. Military.
      • B - U.S. Civilian.
      • C - Non-U.S. Military.
      • D - Non-U.S. Civilian.
      • E - Enemy Prisoner of War (EPW).
  9. Pickup Site Description:
    • Include hazards and ingress recommendations.

Important Notes:
  • MEDEVACs will confirm smoke color only when they see it; do not preemptively provide this detail.

2 - MIST Report


Used for relaying detailed casualty information:
  1. M (Mechanism of Injury):
    • Examples: Gunshot wounds, blast injuries, vehicle crashes.
  2. I (Injury or Illness Sustained):
    • Describe the specific injuries (e.g., hemorrhage, fractures).
  3. S (Signs, Symptoms, and Vitals):
    • Provide critical health information:
      • Heart Rate (HR).
      • Blood Pressure (BP).
      • Consciousness status.
  4. T (Treatment Given):
    • Outline all medical interventions provided:
      • Tourniquets, bandages, drugs administered.

3 - ACE Report


Summarizes the team’s combat readiness:
  1. A (Ammo):
    • Total ammunition remaining.
  2. C (Casualties):
    • Specify the number and severity of injuries.
    • Identify any KIA (killed in action).
  3. E (Equipment):
    • Status of critical mission equipment.

4 - TCC (Tactical Combat Casualty Care) Phases


Breakdown of medical priorities into three key phases:
  1. Phase 1: Care Under Fire:
    • Priority: Security and suppression of threats.
    • Apply tourniquets for life-threatening limb hemorrhages.
  2. Phase 2: Tactical Field Care:
    • Conduct detailed medical assessments.
    • Treat injuries and stabilize patients.
  3. Phase 3: Tactical Evacuation Care:
    • Prepare patients for evacuation.
    • Monitor and adjust treatments as needed during transport.

5 - MARCH-PAWS Protocol


A systematic approach to casualty care:
  1. Massive Bleeding:
    • Control life-threatening hemorrhages with tourniquets or hemostatic dressings.
  2. Airway:
    • Ensure a patent airway (use NPAs or intubation if required).
  3. Respiration:
    • Treat sucking chest wounds with chest seals; manage tension pneumothorax.
  4. Circulation:
    • Restore blood flow with IV/IO fluids or blood products.
  5. Hypothermia/Head Injuries:
    • Prevent hypothermia; manage intracranial pressure for head injuries.
  6. Pain Management:
    • Administer Red (Morphine) or alternative analgesics.
  7. Antibiotics:
    • Prevent infections for open wounds.
  8. Wounds:
    • Close non-life-threatening injuries.
  9. Splinting:
    • Stabilize fractures and immobilize injured limbs.

6 - Patient Status Codes

  • Green: Minor injuries, no immediate medical intervention needed.
  • Yellow: Major injuries requiring medical supervision (e.g., hemorrhage Class 1).
  • Red: Severe injuries needing constant care (e.g., hemorrhage Class 2, unstable vitals).
  • Black: Cardiac arrest or deceased.

7 - Key Reminders for Medics

  • Always prioritize security.
  • Follow the 9-Line MEDEVAC structure for clear evacuation requests.
  • Use the MIST report for in-depth casualty updates.
  • Apply the MARCH-PAWS protocol systematically.
  • Know your drug colors:
    • Yellow (Epinephrine): Boost circulation.
    • White (Metoprolol): Reduce heart rate.
    • Blue (Naloxone): Reverse overdoses.
    • Red (Morphine): Pain management.
    • Green (Phenylephrine): Stabilize blood pressure.
    • Ammonium Carbonate (Smelling Salts): Revive unconscious patients.