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File: 120596_aacwy_04.txtLandstuhl, Germany. Only LARMC has beds and the ancillary support for inpatients. During Desert Storm it was decided to hold all bed at LARMC for Desert Storm patients from Southwest Asia. This resulted in all other military patients, including medical crewmembers assigned to Ramstein AB, being sent to local German civilian hospitals whenever they required inpatient medical care. This was done even though inpatient beds were available at LARMC. In addition to being in a foreign environment, these patients usually encountered a language barrier when trying to communicate with the hospital physician and support staff Finally, military flight surgeon were not available to these patient. Some patient records received from these hospitals were in German and were not translated into English 3. Recommendation: Medical crewmembers should not be referred to foreign hospitals unless there are no beds available in military hospitals supporting the assigned medical crews. In addition, medical crewmembers should be transferred to the closest Air Force military hospital having flight surgeons assigned as soon as their condition allows. C Medical crewmembers were not all issued weapons. 1. Observation: Under the published CONOPS Medical crewmembers were required to carry weapons when assigned to missions originating from or transiting bases in Southwest Asia. 2. Discussion: Not all medical crewmembers, including physicians assigned to the AECE, assigned to Ramstein AB were issued weapons. 3. Recommendation: Issue weapons to all medical crewmembers if mission requirements demand that they carry weapons. - D. Concept of flight surgeons on TAC missions has proven itself in AOR. 1. Observation: Flight surgeons on tactical aeromedical evacuation missions allow patients to be moved more quickly. 2. Discussion: All patient are evaluated hands on -by FS and properly prepped for flights or delayed until ready. More critical patients can be moved promptly to advanced care facilities. - Page 4
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