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Discussion. AECMs familiar with TAES operations
and the role of the MASF enhance patient airlift operations. A
majority of the AECMs in the AOR where unfamiliar with the
airfield operation of the MASF. This led to confusion as to what
AECMs could expect regarding patient preparation, enplaning-and
reception capability. Conflict between MASF and AECMs was
sometimes the result. AECMs familiar with the role and operation
of the MASF can function more effectively when assigned and
collocated with a MASF site. AECMs were not assigned to many
MASFs until near the onset of the ground campaign. When they were
assigned to those elements to support retrograde operations, MASF
personnel were required to orient them as to their role in Support
of the unit and site operation. Initially, this detracted from
the operation of the MASF. Secondly, due to inadequate initial
briefings, AECMs were unsure of their role in support of the MASF.
Questions as to chain-of-command and AECM manning of MASF
positions arose. This delayed the full operational readiness of
the MASF site.

Recommendation. Incorporate familiarization training and actual deployment of AECMs to MASF sites to ensure these personnel have an appreciation of the role and operation of the MASF. Additionally, when aeromedical crews are collocated with MASFs, ensure the move is completed in sufficient time to allow for integration of these personnel into the MASF operation.

(g) MASF Patient Care.

Observation. MASF personnel and attached AECMs demonstrated varied capability in trauma patient management. Their performance varied from a high degree of proficiency to none.

Discussion. Multiple-trauma patients were a major patient category at the onset of hostilities. While those AE personnel with extensive trauma experience could easily manage such patients, many personnel did not function from an adequate knowledge base. With the violent and lethal nature of modern weapons systems, battle injuries are severe. AE personnel, particularly those manning front line units such as MASFs, must demonstrate a high degree of competency.

Recommendation. All AE medical personnel should be trained in basic trauma life support (BTIS) or pre-hospital trauma life support (PHTLS). This training could be obtained through the Combat Casualty Care Course, an emergency medical technician course, or through in-house training if instructor personnel were .available.

-- - Observation. Medical technicians assigned to MASFs are neither trained nor permitted to administer medications when in field conditions.

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