UNITED NATIONS NATIONS UNIES

MONUC

CASEVAC/MEDEVAC
STANDARD OPERATING PROCEDURES

Update: MAY 2001

 TABLE OF CONTENT

GENERAL.

PRINCIPLES.

PROCEDURES.

At the site

At MONUC HQ
a. Ch G3 Ops/Duty Officer.
b. HQ/Health Cell.
c. Chief Air Ops/Duty Officer Air Ops.
d. Senior Medical Officer/ HQ clinic.
e. Chief Security Officer
f. Administrative Duty Officer

ANNEXES

ANNEX A: FORMAT FOR EMERGENCY MEDICAL MESSAGES (CASEVAC FORM)

ANNEX B: NIGHT LANDING CONSIDERATIONS
ANNEX C: APPROVAL FORM FOR NON EMERGENCY MEDEVAC / REPATRIATION
ANNEX D: CALL SIGNS FOR MEDICAL SERVICES / MONUC
 GENERAL.
The aim of these CASEVAC/MEDEVAC Standard Operating Procedures is to ensure
systematic and timely evacuation of casualties in accordance with the objectives of the medical SOP
for peacekeeping operation in

PRINCIPLES.
1. Sector medical facilities are autonomous. In this way they manage in their sector all
medical matters within the limits of their capability.
2. Air MEDEVAC team will operate from ----- to the sectors where any casualty
should be stabilized initially.
3. MEDEVAC without emergency should be coordinated prior with the HQ/ Health
Cell.

PROCEDURES.

At the site
1. Once the call to activate a CASEVAC has been received, the Duty Officer in the
Sector HQ will page the Duty Medical Officer, the Duty Air Operation Officer, The
Duty Security Officer and the Duty Administrative Officer.
2. The senior person in control at the scene will call the Operations Room. He will
provide initial information stating the location, the number of casualties, and the
extent of injuries using the CASEVAC form (Annex A). Once it confirmed that an
Air CASEVAC is underway, he will take steps to organize a clear area for the pilot
to land (Annex B).
3. The senior person at the scene will assume control in the field, coordinating all
actions necessary to save lives until the arrival of the Medical Team. HQs and other
units near the scene will dispatch help and assistance as requested.
4. The Duty Officer at Sector HQ will initially activate an air CASEVAC by instructing
the Switchboard operator to page the duty Medical Team.
5. When a CASEVAC is activated, the Sector’s Duty Medical Officer will ascertain the
extent of the injury/injuries with the senior person at the scene.
6. The Duty Officer will then collate information, including that required by the
CASEVAC FORM shown at Annex A, while preparation for evacuation is in
progress.
7. Once paged, all parties involved will switch to the reserved Channel and carry out
their actions according to their internal procedures.
8. The decision to take the patient for medical care other than at Sector HQ is to be
coordinated with -HQ (Annex C)
9. MEDEVAC should be to the closest appropriate medical facility to the duty station.
10. It is essential that the patient’s pre-evacuation and in-flight treatment is adequately
documented and accompanies the patient to the next medical facility.
 11. All personnel should carry with them a blank copy of the “CASEVAC form”. Copies
should also be available in all Sectors’ vehicles and in Duty Officer’s Folders.
12. In case of CASEVAC at night, the senior person at the scene must do the following:
- Station 2 vehicles at 45 degrees angles from the direction of the wind across the
center of the helipad and 25 meters away from the center.
- These vehicles must face towards the center of the helipad with windows closed,
the driver inside, and radio communications switched to the reserved Channel as
advised.
- At least one UN Military should be outside to the designated landing to ensure
that unauthorized persons or bystanders do not approach close to the helicopter.
- The lights of the vehicles will not be left on high beam. The vehicles’ drivers are
to dim the lights once the helicopter approaches. (Annex B)

At MONUC HQ
As soon as possible after a casualty occurs (injury or serious illness), it is to be
reported to the Chief G3 Ops / Ops Room Duty Officer (DO) as per the details given below.
Telephone No Telecell No Call sign

a. Chief G3 Ops/Duty Officer.

Whenever a casualty is reported and CASEVAC deemed necessary by the Sector
Senior Medical Officer, the Chief G3 Ops/Duty Officer will take the following actions:
1. Obtain the necessary information from the individual reporting the casualty and
complete the CASEVAC Form (Annex A)
2. Notify the Chief G3 Ops(if DO takes report), Chief of Staff, Duty physician and
Chief Medical Officer, DO/Air Ops, , Administrative Duty Officer and Security
Duty Officer:
3. Chief G3 Ops/Duty Officer will forward the CASEVAC/ MEDEVAC flight request
to Air Ops.
4. Keep the Sector informed of the action being taken.
5. Duty Officer is to maintain a detailed log of actions, events and timings and enter
these in the Ops Room logbook. It should include time of receipt of initial call, time
information passed to doctors and other concerned, time of arrival of doctors at the
Ops Room, time of take off by the aircraft and time of receipt of casualty.
6. Must report to Chief Of Staff on the process development.
 b. HQ/Health Cell.
1. On receiving the casualty information from the Chief G3 Ops/DO, the Chief Medical
Officer will report to the Ops Room as soon as possible.
2. He will contact the Senior Medical Officer at the Sector who attended the casualty
and liaise with the MONUC HQ Senior Medical Officer and the AME “Air Medical
Evacuation” team to make the necessary arrangements.
3. The AME team will board the CASEVAC/MEDEVAC flight to the Sector and
accompany the casualty to Kinshasa under the most favorable conditions.

c. Chief Air Ops/Duty Officer Air Ops.

1. On receiving the warning order from the Ch G3 Ops/DO, Air Ops will activate its
own procedures to get the CASEVAC/MEDEVAC flight ready for immediate
departure.
2. Coordinate with Mov Con, crew members, technicians and all other concerned to
ensure smooth and timely departure of the CASEVAC/MEDEVAC flight to its
destination.
3. Constantly monitor the progress and keep the Ops Room informed.

d. Senior Medical Officer/ HQ clinic.

1. Coordinate the movement of the ambulance to and from the airport to transport the
casualty to hospital
2. Coordinate with Hospital to receive the casualty.

e. Chief Security Officer

1. Assist the Senior Medical Officer/ HQ clinic in arranging for the ambulance
2. Remain available at the HQ in order to render any kind of assistance required to
facilitate evacuation.
f. Administrative Duty Officer
Remain available in order to render any kind of assistance required

ANNEXES

ANNEX A: FORMAT FOR EMERGENCY MEDICAL MESSAGES (CASEVAC FORM)

ANNEX B: NIGHT LANDING CONSIDERATIONS
ANNEX C: APPROVAL FORM FOR NON EMERGENCY MEDEVAC / REPATRIATION
ANNEX D: CALL SIGNS FOR MEDICAL SERVICES /
 ANNEXE A

UNITED NATIONS NATIONS UNIES

FORMAT FOR EMERGENCY MEDICAL MESSAGES

(CASEVAC FORM)

International (India)
Local (Lima) + digit number
MONUC ID
Military (Mike)
Substantial (Sierra)
A (Alpha) B (Bravo) O (Oscar)
Blood Group Golf
Rh Positive (Papa) Rh Neg (November)

1 (One) 2 (Two) 3 (Three)

Block / no Part block / shallow
Airways Victor Normal
respiration respiration

Bleeding Delta Profuse Some None

Circulation Charlie Shock Pre-shock normal

Fractures Fox-trot Verified Possible None

Neurology Romeo Unconscious Semi conscious Awake

Transportability Tango Must be carried Moves with support Can walk

The message must be read as a series of letters and numbers

Identity: One letter, four or five numbers
Blood group: The letter Golf followed by the letter(s) of the blood group followed by the
letter for positive or negative rhesus.
The 6 clinical parameters one by one, each defined by a single letter and a single number
corresponding to the verbal text.
The medical message will consist of letters that are never duplicated and numbers.

Exemple: L0000 GAN V1 D2 C1 F3 R1 T1

 ANNEXE B

NIGHT LANDING CONSIDERATIONS

WIND DIRECTION

UN UN

KEEP ALL BYSTANDERS CLEAR

MAINTAIN RADIO COMMS
APPROACH FROM THE FRONT ARC; DON’T GO NEAR THE REAR OF THE
AIRCRAFT.
WAIT FOR A ‘THUMBS UP” FROM THE PILOT BEFORE GOING UNDER THE BLADES.
CROUCH WHEN GOING UNDER TURNING BLADES.
KEEP CLEAR OF THE TAIL ROTOR BLADE.
 ANNEXE C

UNITED NATIONS NATIONS UNIES

APPROVAL FORM FOR NON EMERGENCY MEDEVAC /

REPATRIATION
The following information should be submitted for requesting approval of a planned MEDEVAC/
REPATRIATION. (Please tick where applicable):

Personal Information

International UN Staff: Locally recruited staff: MilObs: Civilian: Military:

Name (last, first, middle): .....................................................................……………....…..

Date of birth: ............…………………… Passport/VISA No:………..........................…....

Rank/ Title: ..............…………………… SVC/ Index Number: ….............................…...

Duty Station: ...........….......................... Nationality: .......................….…………..............

Home Address: ………….....................…............................................................…..…....

Home Telephone Number: ...................…..............……….………………………………...

MEDEVAC: REPATRIATION:

Due to: Illness: Accident: Injury: Death:

Others: Specify ...........................................................................………..……...

Medevac/ Repatriation requested from:

Name of Location/Hospital: ........................................................................................…..

Address of Location/Hospital: .....................................................................................….
Telephone and Fax Number: ...................................................................................…….
Name of Contact Person: .........................................................................................…....
Station/ Airport: .............................................................................…....…..

Medevac/ Repatriation Requested to (destination):

Name of the Hospital: .......................................................................................... .….….

Address of the Hospital: ....................................................................................... . .….
Telephone and Fax Number: ..................................................................................…..….
Name of Contact Person: ..........................................................................................…....
Airport: .....................................................................................................................……..

Medevac/ Repatriation means: ...........................................................................

Date of Requested Medevac/ Repatriation: ............................……...

Accompanying Personnel Necessary: Yes: No:
Accompanying Personnel/ Profession Requested: ...................…….
Expected Date of Return to Duty: .......................................…………

The following additional information is confidential and should be treated as such, whether within offices
or during transmission to UN HQ.
How, where and when did the accident, injury or illness occur:
.........................................................................................................................................................
.............................…………………………………………….........................................................…..

First hospitalization:

From: ______________ Until: _______________

Hospital: .............…............…...............................................................……..................................
Diagnosis: ………...........….............................................................................................................
Treatment: ............…………...........................................................................................................

Present hospitalization:

From: ______________ Until: _______________

Hospital: ..................…..............................................................………..........................................
Current Diagnosis: .........................................................................................................................
Treatment: ….....................………...................................................................................................
…………………………….............................................................................................................…
....................................................……………………………..................….................................…..
Present Health-Status:....………......................................................…….......................................
……………………………………………………………………………………………………………….
……………………………………………………………………………………………………………….

Special Treatment and Equipment Required During Transport:

………………………………………………………………………..........................................
.........................................................................................................................................................
……………………………………………………………………………………………………………….
.........................................................................................................................................................

Other Comments:
…………………….…………………………………………………………………………………………
……………………………………………………………………………………………………………….
……………………………………………………………………………………………………………….
……………………………………………………………………………………………………………….
……………………………………………………………………………………………………………….
……………………………………………………………………………………………………………….
 ANNEX D

CALLSIGNS
FOR MEDICAL SERVICES / MONUC

Hotel 1 Chief Medical officer

Hotel 2 Medical ops and plan officer
Hotel 3 Aero Medical Operations officer
Hotel 4 Environmental health officer
Hotel 5 Vacant
Hotel 6 Senior Medical Officer HQ clinic
Hotel 7 Medical Officer
Hotel 8 Nurse
Hotel 9 Nurse
Hotel 10 Medical Inventory Clerk
Hotel 11 Medevac doctor
Hotel 12 Medevac doctor
Hotel 13 Medevac nurse
Hotel 14 Medevac nurse
Hotel 15 Medevac medic
Hotel 16 Medevac medic
Hotel 17 Vacant
Hotel 18 Vacant
Hotel 19 Vacant
Hotel 20 – 39
Hotel 40 – 49
Hotel 50 – 59
Hotel 60 – 69
Hotel 70 – 79
Hotel 80 – 89
Hotel Alpha 1 HQ Ambulance
Hotel Alpha 2 Ambulance
Sierra 71 Alpha Medical Administrative Assistant

HOTEL ECHO repeated three times = MEDICAL EMERGENCY

+
Radio silence on the channel for all staff not involved.
AT KINSHASA: CHANNEL 12 IS RESERVED FOR MEDICAL USE