GUIDELINES FOR PREPARING AND TRANSPORTING CASUALTIES

File: aaalw_02.txt
Page: 02
Total Pages: 10

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DURING TRANSPORT, SUPPORTIVE NURSING CARE, THE LEVEL OF THIS
CARE IS LIMITED BY THE AUSTERE ENVIRONMENT OF THE CARGO
COMPARTMENT OF C-130 OR C-141 AIRCRAFT, THE LIMITED AVAILABILITY
OF EQUIPMENT AND SUPPLIES, AND SHEER VOLUME AND CROWED
CONDITIONS OF WARTIME EVACUATION.
B. THE MILITARY AIRLIFT COMMAND WILL USE C-130 AND C-141
AIRCRAFT WITHIN THE AOR AND C-9, C-130 AND C-141 AIRCRAFT IN EUCOM
AND CONUS. THE NORMAL MEDICAL CREW COMPLEMENT IS TWO FLIGHT
NURSES AND THREE AEROMEDICAL TECHNICIANS ON C-9 AND C-130
AIRCRAFT AND THREE FLIGHT NURSES AND FOUR AEROMEDICAL TECHNICIANS
ON C-141 AIRCRAFT. ALTHOUGH AIR FORCE FLIGHT SURGEONS MAY BE ON
SOME MISSIONS, THIS SHOULD NOT BE EXPECTED. AS THE NORM,
THEREFORE, IT IS IMPORTANT THAT THE PATIENTS ARE AS STABLE AS
POSSIBLE AND MEDICAL ORDERS ARE CLEARLY WRITTEN ON DD 602 OR 1380.
ORDERS SHOULD INCLUDE PRIMARY AND ALL OTHER SIGNIFICANT DIAGNOSES, CORRECT PATIENT CLASSIFICATION, ORDERS FOR ALL ENROUTE
MEDICATIONS, CARE AND SPECIAL DIETS. CONCISE, PERTINENT NURSING
NOTES FROM THE REFERRAL MEDICAL TREATMENT FACILITY (MTF) SHOULD BE DOCUMENTED ON THE BACK OF THIS FORM AS A TRANSFER NOTE, AND AT A
MINIMUM, IT SHOULD INCLUDE DATE/TIME OF LAST MEDICATIONS AND

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TREATMENT RENDERED. A NARRATIVE SUMMARY SHOULD BE ATTACHED, IF AVAILABLE.
C. CHEMICALLY AND BIOLOGICALLY CONTAMINATED PATIENTS WILL NOT
BE ACCEPTED INTO THE AE SYSTEM DUE TO LACK OF DECONTAMINATION
FACILITIES AT THE MOBILE OR FIXED AIR STAGING FACILITIES.
PATIENTS WILL BE TRANSPORTED WITH THEIR VALUABLES, PERSONAL
EFFECTS (INCLUDING CW GEAR IF APPLICABLE) AND MEDICALLY ESSENTIAL
ITEM. WEAPONS, ORDNANCE AND ALL OTHER ITEMS SHOULD BE
TRANSPORTED USING OTHER MEANS AS DEFINED BY THE SERVICE. LITTER
PATIENTS MUST BE PROVIDED WITH A MINIMUM OF ONE LITTER, TWO
LITTER STRAPS, TWO SHEETS, TWO BLANKETS (AIRCRAFT BECOME VERY COLD
AT ALTITUDE), AND A LITTER PAD AND PILLOW ID AVAILABLE. THE AE
SYSTEM DOES NOT PROVIDE A ONE FOR ONE LITTER EXCHANGE. THIS
SHOULD BE ARRANGED THROUGH YOUR LOCAL MEDICAL LOGISTICS CENTERS.
3. MEDICAL CONSIDERATIONS:
A. PATIENT STABILIZATION: PREFLIGHT PATIENT STABILIZATION AND
PREPARATION BY THE ORIGINATING FACILITY IS THE KEY TO SAFE AND
SUCCESSFUL EVACUATION. PRIOR TO MOVEMENT, PATIENTS SHOULD BE
STABLE ENOUGH TO TOLERATE A SIX HOUR BED-TO -BED MOVE WITHIN THE
AOR, AN EIGHT TO TWELVE HOUR MOVE FROM THE AOR TO EUCOM, OR A 24

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HOUR MOVE TO CONUS. A JCS COMMITTEE DEFINED A STABLE PATIENT AS,