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File: 120596_aacwy_04.txt
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 Landstuhl, 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. -

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