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Medevac vs casevac: the difference

Reviewed by the AirAmbulance.org editorial team · Updated 20 October 2026 · Editorial policy

Medevac and casevac both move casualties to care, but a medevac uses a dedicated, medically equipped vehicle with care on the way, while a casevac uses whatever transport is available.

Medevac

  • Dedicated medical aircraft or vehicles with trained medical crews and equipment.
  • In military use, often marked as medical and requested with a standard format such as the '9-line' medevac request.

Casevac

  • Casualty evacuation using non-dedicated transport, such as a utility helicopter or vehicle.
  • Used when speed matters more than having medical equipment on board, or when no medevac is available.

In civilian life

  • Civilian air ambulances are the equivalent of medevac: dedicated aircraft with medical crews.
  • The terms come mainly from military and disaster-response use.

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Questions

Is casevac less safe than medevac?

It has less medical capability on board, so it's used when getting the casualty out quickly is the priority.

What is a 9-line medevac?

A standard nine-part radio request used by militaries to call for a medevac, giving location, patients, needs and security.

Do civilian services use casevac?

Rarely by that name, though in remote rescues any available aircraft may be used to move a patient.

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