Mobilization

File: aaabf_32.txt
Page: 32
Total Pages: 51
- Coordination of operations and aeromedical problem solving were impaired because not all locations (including CENTAF forward 
initially) had credible senior flight surgeon experience.

-Conflicts arose at some locations when the senior ranking flight surgeon was from the ARC but had less aeromedical expertise 
than the active duty flight surgeon.

-The 1990 ATC Concept of Operations made no clear provision for integration of multiple SME's at a single location resulting in 
poor coordination at many bases

-Security and accountability of controlled drugs was a problem in a few locations
Training
.

-Exercise deployments are the best training for wartime mission

- Operational Readiness Exercises and the Combat Casualty Care Course taken at Camp Bullis were judged very valuable

-Despite directives, most SME flight surgeons and technicians felt inadequate in
assessment of food and water quality -- this was particularly true of
Commands/components without SME's.

-Aeromedical technicians were poorly trained to assist with patient care

-Maintaining currency in wartime skills for both flight surgeons and technicians
is a problem.

-The average experience level of deployed night surgeons was low.
ATC Equipment

-Not all ATC'a were stocked with the May 1990 Table of Allowances resulting in a
variety of functional deficiencies, most notably an outdated formulary.

-The plan for ATH backup within 30 days was seldom realized, forcing ATC's to
care for growing base populations up to 1200 in some cases -- at the end of the first
month, 13 of 17 Air Force beddowns were supported only by SME's

-Squadrons deployed to Desert Shield with much higher numbers of individuals
than predicted by exercise experience and planned for in the ATC Concept of
Operations

-Condition of the ATC's on arrival was variable but moat of the problems were
related to heat in theater or poor maintenance while in WRM storage

-Continually growing base populations overstressed the designed supply
capabilities of the ATC and routine sick call medications were' rapidly depleted.

-Although the ATC ConOps requires ability to communicate with crash, rescue
and other agencies, there was no system in place to guarantee this capability.

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