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(6) AECC Location. 
 
Observation. The AECC had insufficient working space and was not collocated 
with the airlift control center (ALCC). 
f 
Discussion. The AECC moved four times due to insufficient work space or 
directed relocations from CENTAF. This resulted in the AECC and ALCC being 
geographically separated. The distance, although only one-half mile, caused 
occasional delays in communication and coordination of AE mission 
requirements. 
 
Recommendation. Funds should be made available for the purchase of modular 
hard-wall facilities for the AECC similar to the ones used by the ALCC. These 
units would allow the AECC to "attach" to the ALCC, thus enhancing 
operational efficiency and effectiveness. 
 
(7) Improper Patient Preparation 
 
Observation. In spite of numerous directives and inservice training sessions, 
patients continued to arrive at the MASFs and flight lines ill-prepared for 
flight. 
 
Discussion. HQ MAC directives on patient preparation were largely ignored by 
most MTFs. For example, patients did not come with adequate medications, 
casts bivalved, or with attendants for ventilator patients. Oftentimes, MTFs 
were such a distance from the flightline that discrepancies could not be 
rectified. The need for constant contact with MTFs and enforcement of the 
directives by the liaison team is essential. 
 
Recommendation. Consideration should be given to assigning a qualified flight 
nurse or technician to selected liaison teams to provide ~ knowledgeable 
interface with the MTF regarding patient preparation issues. 
 
(8) MASF Deployment. 
 
Observation. MASF management personnel, including the OIC and NCOIC, were not 
always involved in site surveys to potential MASF locations. 
 
Discussion. Prior coordination with host service personnel expedites MASF 
establishment. The initial face-to-face contact of MASF key personnel with 
the host service counterparts helps to establish an essential rapport that 
could be beneficial 
. to AE operations. When MASFs to be deployed to a potential site had not yet 
arrived in the AOR, the AECC deployed teams for site surveys that sometimes 
did not include experienced MASF personnel. On occasion, this resulted in 
incomplete coordination. 
 
Recommendation. Whenever possible' it should be standard practice to include 
the MASF OIC/NCOIC in site surveys . . 31 

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