GUIDELINES FOR PREPARING AND TRANSPORTING CASUALTIES

File: aaalw_04.txt
Page: 04
Total Pages: 10

IMMEDIATE

OAAUZYUW RHCUAAA8998 3560110-UUUU--RHIUFAA
ZNR UUUU
O 21205Z DEC 90
FM HQ MAC SCOTT AFB IL//SGON//
TO AIG 8020//SG//
AIG 8321//SG//
AIG 8320//SG//
RUSNNOA/USCINCEUR VAIHINGEN GE//ECMD//
RHIPAAA/USCINCCENT//CC/SG//
RUCJAACC/USCINCCENT REAR MACDILL AFB FL//CC/SG//
RHIUFAA/USCENTAF//COMALF/AECC/SG//
RHDIAAA/USCENTAF REAR LANGLEY AFB VA//SGX//
RHIUFIA/1610 ALDP//CC//
RHIUFIA/1611 AESP//CC//
RHFQAAA/HQ USAFE RAMSTEIN AB GE//SG//SGX//SGN//
INFO RUEAHQA/HQ USAF WASHINGTON DC//CSS-SG//
RUVKBRK/USAFSAM BROOKS AFB TX//EDN//
RHCUAAA/HQ MAC SCOTT AFB IL//SGO//
BT
UNCLAS
SECTION 2 OF 4
THE REFERRAL MTF. BAROMETRIC PRESSURE CHANGES AND DECREASED

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PARTIAL PRESSURE OF OXYGEN CAN IMPACT BOTH EQUIPMENT AND PATIENTS
AND MAY NECESSITATE VENTILATOR ADJUSTMENT AT CRUISE ALTITUDE.
ONE PULSE OXIMETER AND OXYGEN ANALYZER WILL BE CARRIED AS PART OF
THE INFLIGHT KITS FOR INTERMITTENT USE ON PATIENTS. REQUIREMENTS
FOR A DEDICATED OXIMETER/ANALYZER MUST BE NET BY THE REFERRING
MTF.
E. MAXILLOFACIAL INJURIES: DUE TO INCREASED POTENTIAL FOR
NAUSEA AND VOMITING, PATIENTS WITH WIRED, IMMOBILIZED UPPER AND
LOWER JAWS MUST HAVE A QUICK RELEASE MECHANISM APPLIED OR HAVE
EASY ACCESS TO WIRE CUTTERS IN THEIR POSSESSION. PATIENTS PRONE
TO MOTION SICKNESS, SHOULD BE PREMEDICATED WITH AN ANTIEMETIC. CEREBROSPINAL FLUID LEAKS DO NOT PRECLUDE EVACUATION. LEAKAGE MAY INCREASE AT ALTITUDE AND MUST NOT BE IMPEDED.
F. HEMATOLGIC PROBLEMS: OXYGENATION PROBLEMS AT GROUND LEVEL
ARE COMPOUNDED AT ALTITUDE. AT CRUISE LEVELS, CABIN ALTITUDES
OFTEN REACH 8 TO 10,000 FEET. IDEALLY, PATIENTS SHOULD HAVE A
PREFLIGHT HGB OF 10GM AND HCT OF 30%. PREFLIGHT TRANSFUSIONS ARE RECOMMENDED FOR HCT LESS THAN 25%. PATIENTS WITH A HCT OF LESS
THAN 30% MAY BE TRANSPORTED IF ACTIVE BLEEDING IS NOT PRESENT, SUPPLEMENTAL OXYGEN IS CONSIDERED, AND BLOOD AND BLOOD TRANSFUSION

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