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File: 102596_sep96_decls5_0006.txt
Subject: NAVGRAM LESSONS LEARNED F H F 1 JAN 91 TO 31 JAN 91
Unit: FLEET HOSP
Parent Organization: NAVCENTCOM
Box ID: BX300052
Folder Title: FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837
Document Number: 58
Folder SEQ #: 11
UNCLASSIFIED
E. COMMENTS: PERSONNEL REPORTING IN THEATER ARE PLACED AT
RISK AND MAY BE UNABLE TO OPERATE IN THEATER WITHOUT PROPER
OUTFITTING.
10. REPLACEMENT PERSONNEL.
A. OBSERVATION: REPLACEMENT PERSONNEL ROSTERS AND TRAVEL
ITINERARIES ARE INCOMPLETE AND OFTEN INACCURATE.
S. DISCUSSION:RECEIVING OPERATIONAL UNITS MUST HAVE COMPLETE
INFORMATION ON PLANED REPORTING PERSONNEL (AUGMENTIES OR
REPLACEMENTS). INADEQUATE INFORMATION LEADS TO IMPROPER PLANNING
WHICH RESULTS IN POOR RECEPTION PROCESS AND NEGATIVE IMPRESSIONS
BY NEWLY REPORTING PERSONNEL.
C. LESSONS LEARNED: SUPPORTING COMMANDS MUST PROVIDE
COMPLETE INFORMATION AND TRAVEL ITINERARY ON ALL PERSONNEL BEING
DEPLOYED. POSITIVE INITIAL IMPRESSION AND START OF NEW PERSONNEL
IS DEPENDENT ON TIMELY AND WILL PREPARED RECEPTION.
D. RECOMMENDED ACTION: TRAVEL ITINERARY BE COMPLETE AND
ACCURATE. INTERIM MODIFICATIONS MUST BE RELAYED BY IMMEDIATE
MESSAGE OR PHONE CALL IF POSSIBLE. ALL INTERMEDIATE POINTS OF
TRANSPORT MUST BE INCLUDED IN MESSAGE INFO CHAIN. REPORTING
PERSONNEL DATA MUST INCLUDE: SERV/PAY/HLTH/DENT, C-STATUS,
OPUIC, NAME, SSN, RANK/RATE, NOBC/NEC, GENDER.
E. COMMENTS: NONE
11. MED-EVAC OF CRITICALLY-ILL PATIENTS.
A. OBSERVATION: IT IS NOW KNOWN BEYOND ANY DOUBT THAT THE
AIR FORCE MEDICAL EVACUATION SYSTEM IS NOT ADEQUATELY EQUIPPED
WITH PERSONNEL OR EQUIPMENT FOR EVACUATION OF CRITICALLY-ILL
PATIENTS AND THOSE WHO REQUIRE MECHANICAL VENTILATION.
B. DISCUSSION: THE MED-EVAC SYSTEM SHOULD BE SELF-SUFFICIENT
IN THE TRANSPORT OF ALL F'ATIENTS INCLUDING THOSE WHO REQUIRE
IVE CANNOT PROVIDE
ATTENDANTS FOR TRANSPORTATION OF ALL CRITICALLY-ILL PATIENTS AND
THOSE ON MECHANICAL VENTILATORS.
C. LESSONS LEARNED: THE MEDEVAC SYSTEM RUN BY THE AIR FORCE
IS INADEQUATE FOR COMBAT SUPPORT. FLEET HOSPITAL FIVE CANNOT
SPARE PERSONNEL TO PROVIDE CARE FOR CRITICALLY-ILL PATIENTS
DURING THEIR AIR EVACUATION. IF PATIENTS ON MECHANICAL
VENTILATORS ARE UNATTENDED OR TAKEN OFF OF VENTILATORY SUPPORT,
THEY WILL SUCCUMB TO THE INJURIES AND DIE. IT IS NOT ADVISABLE
TO KEEP THE PATIENTS WHO REQUIRE MECHANICAL VENTILATORY SUPPORT
FOR MORE THAN 24-48 HOURS AT FLEET HOSPITAL FIVE, SINCE
COMPLICATIONS SUCH AS SEPSIS AND WARDS WILL ENSUE AND WE DO NOT
HAVE ENOUGH RESOURCES TO ADEQUATELY MANAGE THEM.
D. RECOMMENDED ACTION: THE AIR FORCE SHOULD PROVIDE FULL
SUPPORT FOR TRANSPORTATION OF CRITICALLY-ILL PATIENTS. IF THE
AIR FORCE IS NOT CAPABLE OF PROVIDING THE REQUIRED SUPPORT
IMMEDIATELY, ACQUISITION OF FIVE RESPIRATORY TECHNICIANS FROM
CONUS IS RECOMMENDED, WHO COULD PROVIDE THE SUPPORT NEEDED FOR
AIR TRANSPORTATION OF CRITICALLY-ILL PATIENTS.
E. COMMENTS: ALL THE EFFORTS OF SURGEONS IN SAVING THE LIVES
OF INJURED SAILORS AND SOLDIERS MAY BECOME FUTILE IF A PROMPT AND
ADEQUATE MEDICAL AIR TRANSPORTATION SYSTEM IS NOT AVAILABLE
DURING COMBAT SITUATIONS.
UNCLASSIFIED
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Document 20 f:/Week-36/BX300052/FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837/navgram lessons learned f h f 1 jan 91 to 31 jan:1018961451347
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX300052
Unit = FLEET HOSP
Parent Organization = NAVCENTCOM
Folder Title = FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837
Folder Seq # = 11
Subject = NAVGRAM LESSONS LEARNED F H F 1 JAN 91 TO 31 JAN
Document Seq # = 58
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996