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File: 120596_aacwy_33.txttime 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) Page 33
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