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File: 120596_aacwy_31.txt3. Recommendation: Pass on to Ramstein AB support activities our congratulations for a job well done AR. Reserve aeromedical evacuation personnel performed in an excellent fashion throughout the Operation. 1. Observation: With only a few exceptions, reserve personnel assigned to the Ramstein AB AECE performed assigned duties in an excellent fashion. 2. Discussion: The aeromedical evacuation control element was formed from many different reserve units, both strategic and tactical. Although there is a need to better identify in writing how to structure and operate a deployed AECE, the personnel assigned to Ramstein AB pulled together and got the job done with minimal problems. This was possible through the excellent cooperation and coordination of all affected management personnel and individual - crewmembers. Both management and crewmember personnel pulled together and formed a cohesive unit which performed its mission in an outstanding fashion. Although there are a significant number of observations with recommendations for improving aeromedical evacuation during future deployments, the basic element-(the individual medical reservist) proved to be highly trained and adaptable to a variety of situations. As long as we can keep reservists of this caliber, the success of future deployments is ensured. 3. Recommendation: Improve the aeromedical evacuation structure, equipment, and system as recommended throughout this after action report so that aeromedical evacuation personnel will be able to perform in an even more effective and proficient fashion in future deployments. 10. Commander's summary. Operation Desert Storm provided valuable training experiences to the aeromedical evacuation community, and at the same time, identified numerous weak- nesses which currently exist. The six most critical areas having a negative effect on operations during Desert Storm were: 1) the lack of a single Air-Force level regulation describing the aeromedical evacuation concept of opera- tional and the working relationship between various medical organizations, 2) not having aeromedical evacuation under a single operating command (such as USTRANSCOM) during both wartime and peacetime, 3) inadequate personnel authoriza- tions in aeromedical evacuation command and control unit type codes (aeromedical evacuation control centers/elements and liaison teams), 4) lack of standardized administrative and medical equipment, 5) inadequate prepositioned medical supplies, and 6) inadequate training in management of the aeromedical evacuation system. In spite of the problems identified, aeromedical operations were run in a highly professional manner with full support of aeromedical evacu- ation personnel, base support personnel, and the local medical treatment centers. The Ramstein AECE was placed on Page 31
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