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	(3) Suction. It is recommended that several light powerful portable suction machines be 
added to the TA.

	(4) CO2 Monitor. It is recommended that an end tidal CO' monitor be
added to the TA.

	(5) Several code drugs were not on the TA and should be. Refer to the text of the report 
for these drugs. .

	(6) Anesthesia machines. The Ohio 885 anesthesia machines are good field machines but 
increased training needs to be done to familiarize anesthesia personnel with these devices.

j. DENTAL DEPARTMENT. The Dental Department consisted of one dentist and one oral surgeon as 
well as support technicians. Additionally, during the latter portion of the deployment, we were 
joined by a second general dentist.
These personnel performed in exemplary fashion throughout the deployment.
Refer to the text of the report for an exhaustive list of dental instrumenta
tion and equipment requirements.

2. This concludes the departmental review and summary of the Air Transportable
Hospital deployment in support of Operation Desert Shield/Storm. There are
several other items that should be considered as lessons learned from this
deployment. When the 1st ATH arrived at King Abdul Aziz Air Base, it was set
up to go to war. The hospital personnel were billeted on the hospital grounds
which was essentially inside a guarded compound. Air Transportable Hospital
personnel were used for security and performed quite well ; As the deployment
progressed past the 30 day point though several problems were evident. These
problems are as follows:

	a. Hospital personnel should be billeted away from the compound if the
deployment is to last For more than 30 days. Close living conditions over a
prolonged period of time foster many personnel problems including personality
conflicts, officer/enlisted problems, etc. It is important that personnel De
billeted away from the compound, and I would further recommend that officers
and enlisted be billeted in separate areas.

	b. Security system. For short periods of time, It is possible to use
hospital personnel for securer. [(b)(5)]






	c. Commander Training. The Air Transportable Hospital Commander is sometimes deployed 
without specific training in the function and authority of a military commander. A simple and 
abbreviated commander's course emphasizing such items as use of the chain of command, 
appropriate delegation of authority, UCMJ authority and responsibility, common personnel 
problems to expect, and relations which Wing staff would be most effective in preparing 
inexperienced ATH commanders to meet the challenge of a prolonged Air Transportable Hospital 
deployment.

[(b)6)]

RICHARD S. WILLIAMS, Major, USAF, MC
Commander, 1st Air Transportable Hospital


6.

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