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File: aabfg_08.txt(1) (U) It was extremely difficult getting accurate arrival information, no one knew we were coming until we showed up. (2) (U) During the set up of the operating room we noted glaring deficiencies that had been noted and discussed in post-exercise after-action reports. These deficiencies had never been addressed; in particular, the lack of a power source for the pneumatic anesthesia ventilators; the lack of support equipment for the oxygen analyzers e.g. batteries and gel, bags for blood warmers. (3) (U) The majority of drugs were out of date or not stocked. All local anesthetic solutions, as well as the mainstay induction agent and muscle relaxants were all outdated. E. (U) SET-UP: (1) (U) We should consider establishing an advance team UTC for deployment where time would permit. This team should consist of a minimum the administrator, BMET, BEE and logistics, primary duties would include site selection and preparation, determining additional support equipment following UTCs could bring, establishing billeting, passing arrival information to following UTCs, making material handling and storage arrangements, and securing transportation assets. (2) (U) The overall set-up of the ATH went very well. It took some time to get materials for and projects completed before the site could be prepared but it was well worth the wait. Setting up on a hard surface was the ideal way to go. MHE did present a problem. It was difficult to obtain a forklift for any length of time to move ISO shelters and pallets into position. Once these difficulties were taken care of the ATH set-up went smoothly. (3) (U) Additional tentage needed for: Training tent, Mental Health tent and Morgue tent. Provided needed space and privacy for day to day operations. Gained tremendous flexibility in implementing Casualty Management Plan. It Decongested critical areas, routed traffic to several easily accessible entrances and established a mostly one way traffic flow. (4) (U) We should not have to worry about removing or replacing supplies in nesting boxes. Instead, we should have premade supply boxes where all that's needed to be done is remove the front panel, and locate it in an appropriate space on the nursing unit. This would give each unit more space since we would no longer have to work with the bulk of the nesting boxes plus it would cut down 18-24 hours of stocking, storing and inventorying our supplies. (5) (U) Mental Health specifically had to locate abandoned tent sections at our tent city to create treatment space. No furniture, chairs or desks were available in our package.
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