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File: 120596_aacwy_33.txt
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 time to update the aeromedical evacuation system to function
 in an operational command, such as USTRANSCOM, so that a
 truly coordinated, standardized Worldwide Aeromedical
 Evacuation System is developed. The aeromedical evacuation
 system should remain under USTRANSCOM during both peacetime
 and wartime to clarify its chain-of-command and so that it
 can operate efficiently in both situations. The line
 between strategic and tactical unit missions and personnel
 taskings has become blurred as was pointed out previously in
 Operation Just Cause-and again in Desert Storm. This
 operation again reinforced the importance of training all
 operations personnel on how to manage both tactical and
 strategic portions of the aeromedical evacuation system, and
 training medical crewmembers how to function in both
 tactical and strategic situations. It is vital-that the
 concept of a 'crew is a crew' must be fully implemented as
 we go into the concept of supporting low intensity conflict
 situations. This is an urgent requirement for unit's
 currently having a tactical mission. The primary user
 service (U.S. Army) is tailoring its medical service now to
 provide support in low intensity conflict situations. We-
 need to ensure that updates to the aeromedical evacuation
 concept of operations is coordinated with user service
 planning personnel so that their new concepts of medical
 support can be incorporated into our planning process.

 [(b)(6)]

 JOSE A. MARTINEZ, Lt Col, USAFR, MSC, 		2 Atch
 Commander (22 Jan-20 Mar 1991) 			1. Distribution List

 [(b)(6)]
 THOMAS L. SPRUIELL, Col, USAFR, MSC
 Commander (20 Mar-20 May 1991)



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