AAR MEDICAL EVACUATION SYSTEM REHEARSAL 10 FEB 91

File: 980409_sep96_decls25_0002.txt
Page: 0002
Total Pages: 2
Subject = AAR MEDICAL EVACUATION SYSTEM REHEARSAL   10 FEB 91             

Box ID = BX003208

Folder Title = MED EVAC AAR ODS                                                                                

Unit = OTSG        

Parent Org = HSC         












                                                                        10 Feb 91
             SUBJECT:. Continuation of Memorandum

             Acquisition of NATO litter carts, gurneys, and wheel chairs would
             reduce the physical strain on bearers and at least double the
             number of available teams. Addit;onal sigras will be placed in the
             hospital. Litter bearers will be oriented to hospital layout.
             Additonal training and coordination of operations sergeant and
             traffic control officers should improve control and accountability.

             4. Problem: Patient accountability.
             Discussion: An ID number assignment of patients in Triage area
             are generaly good. Disposition of immediate patients form EMT was
             not relayed to PAD. Ward assignments of delayed patients were not
             maintained. No system to identify available beds and assign
             patients equally was in place, resulting in some wards being filled
             and other receiving no patients. A physician or PAD person had to
             go from ward to ward to finally locate all patients. Solution: PAD
             representative in Triage area and Traffic Controll Officer in traffic
             control tent should maintain.list of patients by ID number.of records,
             and their ward assignments Both persons should have a list of wards
             with available beds and direct patients equally to all appropriate
             wards. This list would need to be coordinated regularly during
             a MASCAL. As an additional check, wards should notify PAD of new
             patient admissions when time permits.

             5. Problem: Transportaion of Patients of ASF and MASF.
             Discussion: Present number of ambulances and drivers inadequate to
             transport large volume Qf-p4tients. External assets from ambulance
             units were not readily available. MRO failed to give early warning
             of time patients were needed at MASF and ASF. Solution: Litter buses
             allow transport of large number of patients by proportionally
             fewer personnel. Regulating and approaching of ambulance assets by
             MRO or Groups S-3. Improved communication with MRO.


             FOR THE COMMANDER:





                                               THOMAS M. L
                                               LTC, MD
                                               Chief of Professional Services