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FEMA-NDMS Conference 2006 Aeromedical Evacuation Operations

FEMA-NDMS Conference 2006 Aeromedical Evacuation Operations. Lt Col Jim Reineke HQ, Air Mobility Command AE Operations. “A tornado the size of Georgia”. AE. OVERVIEW. Aeromedical Evacuation Mission A Subset of Patient Movement Aeromedical Evacuation Unit Type Codes

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FEMA-NDMS Conference 2006 Aeromedical Evacuation Operations

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  1. FEMA-NDMS Conference 2006Aeromedical Evacuation Operations Lt Col Jim Reineke HQ, Air Mobility Command AE Operations

  2. “A tornado the size of Georgia”

  3. AE OVERVIEW • Aeromedical Evacuation Mission • A Subset of Patient Movement • Aeromedical Evacuation Unit Type Codes • Blocks of Capability and How We Employ Them • Command and Control of Assets • Defense Support to Civil Authorities … New Mission • Lessons Learned • What’s Different, What’s Not

  4. AEROMEDICAL EVACUATION MISSION Aeromedical Evacuation: A Critical Lifesaving Link for the Defense Health System • DoD Patient Movement • Transport US Military Casualties From Within The Combat Zone To Field Or Fixed Medical Treatment Facilities Either In Or Out Of The Combat Zone • Aeromedical Evacuation (AE) • The Movement Of Patients By Fixed-wing Aircraft, Under The Supervision Of Aeromedical Evacuation Crews, To And Between Medical Treatment Facilities

  5. AE OPERATIONS EXECUTION PMRC – AIRLIFT INTERFACEMirrors Airlift Process Source/Treatment FacilityRequester • AIRLIFT CONTROL CENTER • Decide Method to Accomplish Mission (Organic vs. Commercial) • Determine Aircraft Best Suited for Mission • Make Final Lift Decision • Schedule Airlift Routes and Missions • Task Mission to Appropriate Agency • Monitor Execution and Flight Follow • C2 of AE Assets During Execution • Verify Patient Usage for Billing AIR FORCE • Patient Movement • Requirements Center • Validate Requirement • Determine Mode • Assign to Service Component • Monitor Performance (QA) • Oversight of MTF Capabilities Pass Requirements* Communicate Non--Support • *Pass Requirement: • # of Patient Requirements • Originating Location • Destination Location(s) • Pick-up and Deliver Times • Special Considerations ARMY/NAVY Other Service Commercial - Purchase Service - CAA • Organic • - Wing • JOSAC (USAF) • Coalition (Using AE Assets) CRAF

  6. GLOBAL PATIENT MOVEMENTThe Global Mission Continued • CENTCOM • EUCOM • NORTHCOM • PACOM • SOUTHCOM CENTCOM NORTHCOM EUCOM PACOM CCATT 25 22 69 70 54 58 47 73 61 65 68 67 62 Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep 03 Oct 05 : 66 Patient Movement Requests [ 2 Urgent / 7 Priority] [BI: 8] CUMULATIVE SOUTHCOM PMRs FY04: 125 Total FY 04: 28,496 (BI = 4,543) FY05: 83 Cumulative FY 05: 27,956 (BI = 4,868) Cumulative FY 06: 43 (BI = 14) FY06: 0 Completed Hurricane Patient Movements: Katrina: 2609 Rita: 1204 CCATT = CRITICAL CARE AIR TRANSPORT TMs

  7. AEROMEDICAL EVACUATIONCAPABILITIES • The AE System Provides • Integrated Control of Casualty Movement by Air • Command and Control (C2) of Theater AE Forces and AE Operations • Specialized Aircrew and Critical Care Transport Teams • Operational Support Personnel • En-Route Staging Facilities on or Near Air Fields for Care of In-Transit Patients • Medical In-Flight Equipment • Support to the Communication Network Between Airlift C2 Agencies

  8. TODAY’S TOTAL FORCE31 AE Squadrons – Active/Guard/Reserve 18 AES (PACAF) Kadena AB, Japan 439 AES Westover ARB, MA 86 AES (USAFE) Ramstein AB, GE 109 AES St. Paul, MN 914 AES Niagara Falls, NY 514 AES & 714 AES McGuire, NJ 139 AES Stratton, NY 934 AES Minneapolis, MN 446 AES McChord AFB, WA 911 AES Pittsburgh, PA 142 AES New Castle, DE 932 AES Scott AFB, IL 445 AES Wright-Patt, OH 187 AES Cheyenne, WY 459 AES Andrews AFB, MD 375 AES Scott AFB, IL 349 AES Travis AFB, CA 167 AES Martinsburg, WV 43 AES Pope AFB, NC 146 AES Channel Islands, CA 156 AES Charlotte, NC Kelly USA/FKELLY 452 AES March AFB, CA 137 AES Oklahoma City, OK 433 AES Lackland AFB, TX 118 AES Nashville TN 622 AES MacDill AFB, FL Equipment Hub AD AES AFRC AES ANG AES 315 AES Charleston, SC 183 AES Jackson, MS 908 AES Maxwell AFB, AL 94 AES Dobbins ARB, GA

  9. Hurricane Katrina Efforts Deployed AE Assets Patients Evacuated

  10. Hurricane Rita Efforts Deployed AE Assets Patients Evacuated

  11. USTRANSCOM SG – Surgeon General GPMRC – Global Patient Movement Requirements Ctr Director of Patient Safety Program (USTC/SG) AMC A31M – Mobile C2 A33E – AE Operations A35P – Deliberate Planning A37TP - Training A37VM – Stan/Eval A58F – Concept Development 18 AF/TACC XOBN – AE Barrel XOCA – Execution Cell XOGC – Global Channels XOPA – Mission Support AMC/SG SGL – Reserve Liaison SGO – Clinical Operations SGP – CCATT SGS – Medical Equipment SGX – Ground Medical Interface PM, AE PLAYERSJust at Scott AFB

  12. AE OPERATIONSLIGHT, LEAN AND CAPABLE Flexible for Full Spectrum Response - Peacetime, HUMRO, DSCA …

  13. UNIT TYPE CODESAEROMEDICAL EVACUATION • AE Command Squadron (8) • Command Element, Management • AE Crew (5) • Flight Nurses, AE Technicians • Inflight Care, Equipment • AE Operations Team (8) • Mission Support, Launch/Recovery, Crew Management • Mobile Aeromedical Staging Facility (11) • Staging … no MDs … Limited Definitive Care

  14. UNIT TYPE CODESAEROMEDICAL EVACUATION • AE Liaison Team (2) • Flight Nurse, Medical Service Corps Officer • Critical Care Air Transport Teams (3) • MD, Critical Care Nurse, RT • ABSOLUTE LINK BETWEEN PATIENT MOVEMENT AND AEROMEDICAL EVACUATION PLAYERS! • Jnt Patient Movement Teams, Global PM Req Ctr (USTC) • AE Planners, Mission Support, Execution (TACC) • EMEDS, CASF, AE Equipment (AMC/SG) • Now – Strengthen Link W/ Civilian Partners

  15. COMMAND AND CONTROLNETWORK XOPA

  16. JTF-CS JPAC 3 COCOM OPCON TACON COORD JTF-Katrina Wiring Diagram(reflects original chart posted from HQ JTF-Katrina, 8 Sep 05) PETERSON AFB PFO (Director FEMA) NORTHCOM ADM KEATING FORT GILLEM CAMP SHELBY BATON ROUGE JTF KATRINA LTG HONORÉ JTF KATRINA (FWD) MG COLGLAZIER DCO MS JTF- KATRINA SOUTHERN LOUISIANA BG GRAHAM DCO LA LCC MS Maj Gen CROSS LCC LA MG LANDRENEAU 13 COSCOM (TLC) BG TERRY TF AVIATION COL SHANNAHAN TF ALL AMERICAN MG CALDWELL SJFHQ-N BG MOULTON PAD 38 IN (-) MG VADNAIS 35 IN (-) MG MASON AVN Assets 1 AETF (ACC) Maj Gen MAYES TF O’DELL (SPMAGTF) MajGen O’DELL TF KILKENNY (MCC) RDML KILKENNY 1 CAV 2 82 FWD (ACCE) Maj Gen MORROW SEA ECHELON RDML BOOKERT SHORE ECHELON RDML TURCOTTE BG CAMBELL TF AVN

  17. AOC Structure(Tyndall AFB) NORTHCOM NORAD CSAF ADM Keating COMACC JTF-Katrina CC LTG Honore JFACC 1 AETF/CC COMAFFOR CONR/CC 1 AF/CC MGen Mayes ACCE Chief of Staff A1 A9 A2 SE A3 PA A4 JA A5 SG A6 HO A7 HC A8 IG AOC DIRECTOR DIRSPACEFOR, SOLE, JPRC, etc DIRMOBFOR 2 x DDM4s Strategy Div Air Mobility Div ISR Div Combat Ops Combat Plans Div

  18. NEW MISSIONDOD’s Role as Homeland Responder • Integrated Ops • Staging • Pt Prep • Inter-Agency • “Orchestrate, not own the mission” • “Bring the right operational expertise” General Moseley, A/TA, 28 Oct 2005

  19. SPECIAL NEEDSDiagnoses/Populations/Equipment

  20. LESSON -- RESPONSECOMMAND/CONTROL/COMMUNICATION • C2 – Command and Control • USNORTHCOM Planning Mtg – DODD 6010.22 • “Defines DoD roles and responsibilities and activation procedures…” • Communication • Early Dialogue • Identify Requirements • Validated • Vetted • UTC Capability or “just manpower” • Comm Equip

  21. LESSON – RESPONSEPLANNING AND TIMELY EXECUTION • Phased Approach • UTCs Employed to Meet Requirement • Airlift Requirement For Total Ops • REMEMBER – Support Role • Early Planning • Local and National Tabletop Exercises • Coordination on USNORTHCOM Plans • “Cost of Homeland Readiness” • Quick Reaction Assets • Think Multi-Modal • Early!

  22. Lessons for the DSCA Partnership“In the Works” • Patient Tracking • Manifesting and Records Continue as Issues • Equipment • Special Needs • Return of Litters (and Straps) • Patient Preparation • Identification • Medications • Supplies • i.e., Ostomy, Peds

  23. AE SUMMARY • Aeromedical Evacuation Mission • A Subset of Patient Movement • Aeromedical Evacuation Unit Type Codes • Blocks of Capability and How We Employ Them • Command and Control of Assets • Defense Support to Civil Authorities … New Mission • Lessons Learned • Real Progress Made • The Spotlight is Already Focused

  24. AEROMEDICAL EVACUATIONMeeting the Mission … Everyday “Next To Moving The President, There Is No Other Special Mission More Important Than AE”

  25. BACK UP SLIDES

  26. TANKER/AIRLIFT CONTROL CENTERAeromedical Evacuation Mission Support • AE Global Mobility planner for USTRANSCOM & AMC supported exercises, contingencies, crisis, Non-combatant Evacuations, and humanitarian events • Focal Point for all CJCS approved AE Requirements • WARNORD/PLANORD/OPORD/EXORDs • Mission Assignments, Request for Forces • Source, task, & rapidly deploy AE UTCs • AE C2, MASF, AELT, AE Crews, CCATTs, etc • AE Equipment, Communications, Re-supply, etc • Central coordinating division among AMC/TACC AE functionals, COCOM medical planners, and other Federal agencies to determine, validate, and size AMC (or AMC gained) AE forces and equipment • Develop implementation/execution plans • Coordinate site operating & AE support logistics • Input to Common Medical Operations Plan

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