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that, for AE purposes, the theater could easily be divided into two sectors: 
western and eastern. The western sector contained the Army's VII and XVIII 
Corps, and the eastern sector included the Marine Expeditionary Forces (MEFs). 
In the western sector, King Khalid Military City ~as designated as the 
strategic AE-hub for XVIII Corps, and King Khalid IAP (Riyadh) was selected as 
the AE hub for VII Corps. In the eastern sector, Jubail IAP, King Fahd IAP and 
Muharraq IAP shared responsibility as AE hubs for the MEFs. This geographical 
division helped facilitate C-130 AE airflow and basically eliminated the 
anticipated requirement to redistribute patients for bed-leveling purposes. 
Casualties from the Army's corps-level (second-echelon) medical facilities, 
which included mobile army surgical hospitals, combat support hospitals, and 
forward-sited evacuation hospitals, were regulated and moved directly to their 
respective AE hubs whenever possible. The same was true for casualties coning 
from Marine Corps second-echelon medical facilities, which included collecting 
and clearing companies, as well as surgical support companies. This concept 
was combined with a plan for hub-to-hub regulation and movement of patients 
requiring further evacuation to EUCOM. A key aspect of the strategic hub 
concept ~as the use of the Director of Aeromedical Operations, discussed in 
paragraph 8b(4), as the single focal point for all AE-related operations at 
each hub. 
 
b. Hub-to-Hub Regulation and Evacuation to EUCOM. On 4 January 1991, 
USCINCCENT/CCSG hosted an aeromedical evacuation working group to discuss and 
resolve outstanding issues pertaining to strategic AE support for Operation 
DESERT SHIELD/STORM. This productive meeting was well attended by airlift and 
medical personnel from CENTCOM, EUCOM, and CONUS. The CENTAF AECC Director 
presented a concept for hub-to-hub patient regulation and evacuation to EUCOM. 
Under the concept, which was agreed to by the attendees, patients were to be 
regulated from each strategic AE hub in CENTCOM to MTFs near a corresponding 
hub in EUCOM. The CENTCOM hubs and corresponding EUCOM hubs were as follows: 
 
(1) King Khalid IAP 		--> Rhein Main AB 
(2) King Khalid Mil City --> Ramstein AB/Nuremberg 
(3) King Fahd IAP	 --> RAF Upper Heyford 
(4) Jubail IAP 		--> RAF Waddington/RAF Upper 
Heyford 
(5) Muharraq IAP --> RAF Upper Heyford 
 
Note: To facilitate the AE flow discussed in paragraph lla, the EUCOM hubs for 
King Khalid IAP and Jubail IAP were switched. 
_ 
Casualties were to be evacuated from each CENTCOM AE hub to its corresponding 
hub in EUCOM using a combination of preplanned and retrograde C-141 AE 
missions. The CENTCOM JMCC had previously validated 11 preplanned AE channel 
missions, preconfigured for 72 
 
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