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File: 970207_aadcd_012.txt(3) Recommendation: Physicians need to be more vigilant in their follow up of such conditions which are chronic. Individuals with chronic medical problems such as allergies should not be qualified for worldwide duties. A test for upper arm strength should also be mandatory for individuals involved in lifting patients. The ability to lift seventy pounds is a requirement for other branches of the military. It should be a routine part of the physica1 exam. i. Training (1) Observation: There was a significant difference in training levels between various units. Virtually no one had any real training in setting up and operating a camp under field conditions. (2) Discussion: At present there appears to be a significant difference in the training received between individual units and becween the numbered Air Force. Many APSS members deployed have never had the opportunity to observe or work in an ASF or to be part of a live peacetime mission. Lack of training on setting up a camp under field conditions resulted in gross inefficiency and having to reaccomplish many tasks. For example no one in camp had any knowledge or training on how to construct bunkers. Bunkers were constructed and reconstructed several times, only to have most of them condemned by the Marines in the end. This inefficiency resulted in a loss of personnel to other mission essential tasks and a high level of frustration among unit members. (3) Recommendation: There should be an uniform training program for all APSS units. All APSS members should be allowed at least annually to become a part of the management of an ASF. More realistic training on field conditions needs to be accomplished on a regular basis, e.q., how to pitch tents, operate radio communication equipment, test the potability of water, build bunkers, perform guard duties, etc. Reservists should be given priority for such classes as Battlefield Nursing, Advance Trauma Life Support & C4 courses if their involvement is to remain at the same level as in the Persian Gulf War. 11
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