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    (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.
    
    (6) (U) No patient care supplies were available except through
    other ATH sections (medical ward, surgical ward) to provide barest
    necessities to psychological casualties (toiletries, pajamas, beds or
    cots, sheets, blankets or towels); nor administrative supplies; i.e.,
    sufficient supplies of pens and SF 600's.
    
    (7) (U) The operating room is functional - only recently did we
    finally solve the problem of pneumatic power for the anesthesia
    ventilator with the acquisition of "Lox boxes". This is, however in
    itself a problem since the liquid oxygen bleeds down very frequently.
    If this was a more remote location with limited supply capability,
    these too would be inoperable; a more viable solution would be to
    procure electronic powered ventilators. In addition, monitoring
    capabilities are very hampered, there are now available very portable
    monitors which include capabilities such as 2-channel pressure
    recorders with trending, as well as, oximetry, EKG and caporgraphy in
    very compact modules which are readily transportable.
    
    (8) (U) There is a paucity of suction and oxygen supply equipment
    throughout the ATH e.g. ER, wards.
    
    (9) (U) Arterial blood gas laboratory capability should be a
    requirement to enhance our ability to care for casualties, even in
    the face of delayed and scarce aeromedical evacuation capabilities.
    
    (10) (U) Consistent with this, we should also have more adequate
    Respiratory therapy capabilities e.g. ventilators so as to be able
    to handle postop recovery patients awaiting transfer to 3E or 4E
    facilities or to be able to support a chemical nerve agent casualty
    while he recovers from his insult.
    
    

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