AAR MEDICAL EVACUATION SYSTEM REHEARSAL 10 FEB 91

File: 980409_sep96_decls25_0001.txt
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Subject = AAR MEDICAL EVACUATION SYSTEM REHEARSAL   10 FEB 91             

Box ID = BX003208

Folder Title = MED EVAC AAR ODS                                                                                

Unit = OTSG        

Parent Org = HSC         









                                 DEPARTMENT OF THE ARMY
                                114TIl EVACUATION HOSPITAL
                                 OPERATION DESERT STORM
                                      APO, NY 09734



                                                                       10 Feb 91



          MEMORANDUM FOR Commander 803D Medical Group

          SUBJECT: After Acation Review - Medical Evacuation System
          Rehearsal


          1. Problem: Communication in Hospital
          Discussion: No paging system or loud speaker system available
          in hospital of housing area. There are inadequate number of
          field phones resulting in some areas of the hospital being
          difficult to contact. Some of the field phones were not working.
          Certain key personnel (Triage Officers, Chief Surgeon, Chief Nurse,
          Chief Professional Services) were difficult to locate when
          they were out of their offices. The location of physicians was not
          known, notification--was difficult for consults, surgeries, and
          MASCAL. Solution: Installation of loud speaker system in hospital
          and compound. Paging system of radio for Rey personnel. List of
          assigned ward physicians and physician call schedules will be
          placed in EMT and Commo Section. Personnel key to MASCAL on call
          physicians must remain in hospital compound area and keep commo
          section, assigned wards, and orderly room informed of their location.

          2. Problem: Communication outside hospital.
          Discussion: MRO was difficult ot contact on the Tactical Phone.
          MRO did not call back in a timely fashion and had to be called
          more than once. Patients arrived at the hospital with no advanced
          warning foom 'either the MRO, helicopter, or ambulance. Communication
          with key personnel in other Evae Hospitals was difficult.
          Solution: Additional phones and personnel support at MRO. Better
          informed communication in other hospitals.

          3. Problem: Transportation of Patients.
          Discussion: An inadequate number of litter bearers in Triage area.
          Notification of litter..teams different due to internal communication
          problem. Requirement for 4 person litter teams depletes the force
          both numerically and physically. Litter bearers did not know
          hospital layout. Control and accountability of litter bearers was
          inadequate. Litter bearers were not well trained in litter commands
          and techniques, and procedures of loading and unloading helicopter
          and ambulance. Solution: Identify and train more litter teams
          both within the hospital and the compound. During a RASCAL some
          off duty physicians and nursing personnel may need to be litter
          beare;7s.



            .DECLASSIFIED
             ON: 27 MAR 98
             BY: SEC ARMY (ADA) UNDER SEC 3.5 EO 12958