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ALCC to the JMCC. Those channels were approved and implemented in 
late November. The Samaritan channel missions, with modifications as 
necessary, were continued throughout Operation DESERT SHIELD/STORM. 
The following are other issues that required attention in the 
establishment of a pre-hostilities system: ~ 
 
a. Balancing the primary mission of contingency planning with the 
immediate concern of moving disease/non-battle injuries. 
 
b. Orienting the tactically-trained AECC and AELT personnel toward 
working with the Joint Medical Regulating Office (JMRO) peacetime 
patient reporting system requirements. 
 
c. Developing a mechanism to process patient movement requests from 
medical facilities not supported by an AELT. 
 
In spite of a number of growing pains, an effective prehostilities 
evacuation system was quickly established. The system ultimately 
supported 5,401 patient movements (1,745 intratheater and 3,656 
intertheater) during the 24 weeks of Operation DESERT SHIELD (see 
Table 9). 
 
	.	Table 9, operation DESERT SHIELD AE Rorkload 
		(12 August 1990 - 16 January 1991) 
 
			Litter 	Amb 		Total 	Missions 
 
Intratheater 	551 		1,585 	2,136	242 
Intertheater 	1,194 	2,071 	3,265	157 
 
	Total	1,745 	3,656 	5,401	399 
 
11. Contingency System (17 January - 3 March). The contingency AE 
system developed to support Operation DESERT STORM was based upon two 
key concepts: 
 
	a. Strategic Hub Concept. As the focal points for tactical and 
strategic AE interface, the strategic hubs became critical points in 
the AE operation after the onset of hostilities. Major user-service 
medical facilities were located at or near each hub. These hospitals, 
designated as "echelon above corps" (EAC) facilities, were considered 
to be theater assets. Treatment facilities provided at least 2000 
hospital beds at each hub, with -the exception of the Jubail hub, 
which supported approximately 1300 beds. Patients were regulated to 
these EAC beds from second echelon facilities for definitive care 
and/or stabilization prior to their regulation and evacuation to 
EUCOM. As time progressed, and the order of battle developed, it 
became apparent to the AECC 
 
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