Call a CASEVAC when the casualty needs something no one on scene can give, or cannot be fixed in the field.

• No Medic on scene and the casualty needs fluids, TXA, an i-gel or a surgical airway.
• Complex fracture. It cannot be treated in the field.
• More casualties than the element can treat and still fight.
• The casualty has been converted and has to reach the evacuation point. See the Evacuation guide.

Call early. Finish MARCH while the vehicle is on its way.

The unit uses the 6-line CASEVAC card in Quiver. Sending it opens a high-priority task.

• Lines marked REQ on the card must be filled in before it sends.
• Use line 6 for what the casualty needs on arrival: blood, airway, a Medic on board.
• Hand the crew a MIST report for each casualty at pick-up. See the MIST guide.

Pick the priority from what the casualty will die of and how soon. This mapping is a proposal, not unit policy yet.

Why the urgent ones are urgent:

• Saturation under 67 causes cardiac arrest and under 55 causes death.
• A pneumothorax worsens for as long as the casualty breathes.
• Low blood volume and hemothorax both need the Medic's kit: IV, fluids, TXA, chest tube.

A casualty is ready for pick-up when MARCH is done as far as CLS can take it.

1. All external bleeding stopped and wrapped.
2. Airway clear, NPA or OPA in, or the casualty in the recovery position.
3. Chest sealed, NCD done if needed.
4. AED pads on if there is any doubt about the pulse.
5. Fractures splinted so a conscious casualty can walk to the vehicle.
6. MIST report ready.
7. Pick-up site secured and marked as sent on line 5.

• Carry or drag an unconscious casualty. The recovery position is for waiting, not moving.
• Re-check airway and pulse after every move.
• A bleeding casualty cannot be converted. Stop it first if conversion is the plan.

One unconscious casualty with a chest wound and a weak radial pulse, no Medic on scene.