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File: aaacf_07.txtDEPLOYMENT PHASE . Iraq invaded Kuwait 2 Aug 1990. C Day was 7 Aug 1990, although selected units were placed on alert prior to that date. At least 9 Wings were alerted by 8 August. Chart 1 reflects the initial deployment timing. Chart 2 depicts the units which deployed aircraft or Squadron Medical Elements (SME's). In all, 43 active duty SME's were deployed. Chart 3 lists the SME's in place at the peak of the deployment. SAC deployed 31 of 78 assigned flight surgeons, and TAC 32 of 87. The SME concept was validated. In most cases, the deployment of Tactical and Special Ops aircrews with their SME's went smoothly and as planned and practiced. In some cases flight surgeons teamed up to deploy a squadron with one gathering optional equipment and providing briefings and the other making his/her personal preparations. AFSOC flight surgeons sat on the Wing "Paring and Tailoring" Committee to decide in advance priorities for limited airlift. In a few cases, flight surgeons were included on ADVON teams. In all cases, flight surgeon involvement in planning facilitated initial employment. Some flight surgeons were excluded from planning sessions due to inadequate security clearances or unfavorable "need to know" determinations. This adversely impacted their ability to make. timely and pertinent recommendations. In a few cases, the Wing deviated from its usual O-plan because "this is the real thing". This often took the form of last minute changes in personnel or deploying with greater than planned numbers of people. Limitations of airlift found several SME's downsizing their ATC pallets on the flight line. Many flight surgeons took advantage of pallets of opportunity, adding supplies to the life support pallet or in one case, having pilots carry a bag of IV fluids with them in the cockpit. Several units were told they would not need their ATC. This was universally bad advice, except to those SME's deploying late to well-established bases where they were able to talk to SME's already in place. Medical intelligence was adequate and accessible; however, frequently the beddown location was unknown or even changed enroute. This also complicated the question of immunization requirements. In addition to routine mobility requirements, some early deploying squadrons gave meningococcal vaccine which was not required at any Air Force locations, and malaria prophylaxis which was only required in Oman. Headquarters guidance was available within an acceptable period of time and recommended the 2 versus 5 cc dose of gamma globulin to conserve stocks. Consideration was not given to whether aircrews at risk of becoming POW's should have different immunization requirements. Many flight surgeons gave predeployment briefings to the maintenance and support units and felt this paid great dividends in decreased morbidity on arrival in the theater. The actual time and date of departure changed frequently and the recurrent "false starts" resulted in increased emotional stress for both airmen and their families. Some crews were given Restoril (No-go pills) to prepare them for an early departure time which then slipped a day. This sequence was repeated several days in a row. Most TAC squadrons took off for the AOR in the lte afternoon. Strategic aircrews had no organic medical support (SME's). SAC, SAC- gained, and Aeromedical Evacuation flight surgeons were deployed as individuals and were severely disadvantaged in having to learn the missions and to establish rapport and integrate with new units from scratch. These flight
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