MEDICAL READINESS AND SUPPORT REPORT

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	Contingency hospital activation issues immediately validated the
wisdom of establishing NAF/SG staffs. Resolving the haphazard flow of
augmenting medical forces to the UK and Germany was the first major
issue. The presence of medical personnel in the NAF command centers
enabled immediate and direct interaction with the NAF staff to resolve
identified impediments. Regional command, control, and coordination
by the NAF/SGs strengthened medica1 operations while giving deployed
medical unit commanders a local functional authority they could
interact with in a timely manner.

	With the censation of conflict, the NAF/SG's helped manage a
ponderous redeployment effort, and figured heavily in planning and
coordinating the return of medical facilities to their prewar
configuration.

	 The accomplishments and lessons learned at the NAF Surgeon's
Offices were invaluable and clearly validated the decision to
establish them.

AEROMEDICAL EVACUATION

	With the introduction of US forces into CENTCOM, USAFE's
peacetime aeromedical evacuation (A/E) system deployed members from
Rhein Main AB to establish CENTCOM's A/E system Concurrently,
USAFE's A/E system began expansion at seven EUCOM airfields which best
served medical needs and MAC's operational requirements. Intertheater
(strategic) A/E missions began in August 90 utilizing C- l41's to
evacuate over 3,700 patients from CENTCOM to EUCOM before the war even
started! The Intertheater A/E system also transported over 7,400
patients from EUCOM to CONUS during the period August 90 to May 91.

	An Intratheater (tactical) A/E system was established to
distribute arriving CENTCOM patients to specialized treatment
facilities within the EUCOM. USAF and Danish tactical aircraft, along
with German rotory-wing aircraft, were available to support this
patient movement.

	An A/E system is more than just airframes.  medical crews
consisting of flight surgeons, flight nurses, and aeromedical
technicians were needed, along with specialized medical equipment for
in-flight patient care. Supporting A/E Control Centera (AECCs) and
the A/E Liaison Teams. (AELTs) coordinated and controlled A/E
operations both in the air and on the ground. Approximately 2,600 Air
Reserve Component personnel augmented the USAFE European A/E system
and comprised the vast majority of A/E support during DS/PF.

	Another critical part of the A/E process la patient regulation --
the matching of patient treatment needs with available, specialty
specific hospital beds. Each patient who moved from a CENTCOM
hospital to a EUCOM hospital or onward to a CONUS hospital, was first
regulated by the Jointly staffed Joint Medical Regulating Office
(JMRO). Throughout DS/PF, CENTCOM's JMRO, EUCOM's JMRO and the Armed

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