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OAAUZYUW RHCUAAA9000 3560110-UUU--RHIUFAA 
ZNR UUUU
O 212005Z DEC 90
FM HQ MAC SCOTT AFB IL//SGON//
TO AIG 8020//SG//
AIG 8321//SG//
AIG 8320//SG//
RUSNNOA/USCINCEUR VAIHINGEN GE//ECMD//
RHIPAAA/USCINCCENT//CC/SG//
RUCJAACC/USCINCCENT REAR MACDILL AFB FL//CC/SG//
RHIUFAA/USCENTAF//COMALF/AECC/SG//
RHDIAAA/USCENTAF REAR LANGLEY AFB VA//SGX//
RHIUFIA/1610 ALDP//CC//
RHIUFIA/1611 AESP//CC//
RHFQAAA/HQ USAFE RAMSTEIN AB GE//SG//SGX//SGN//
INFO RUEAHQA/HQ USAF WASHINGTON DC//CSS-SG//
RUVKBRK/USAFSAM BROOKS AFB TX//EDN//
RHCUAAA/HQ MAC SCOTT AFB IL//SGO//
BT
UNCLAS
SECTION   3  OF 4
IN USE BEFORE TRANSPORT SHOULD BE LEFT IN PLACE DURING EVACUATION 




PAGE   2  RHCUAAAA9000  UNCLAS
OR INSERTED PREFLIGHT IF URINARY RETENTION IS A PROBLEM.       THE  
INTERNAL BALLOON SHOULD BE FILLED WITH STERILE, NORMAL SALINE, 
 INSTEAD OF AIR,  TO AVOID GAS EXPANSION DURING FLIGHT.  
 N.     INTRAVENOUS FLUIDS:   THOSE PATIENTS  REQUIRING  IVS ON THE 
GROUND WILL ALSO  REQUIRE THEM INFLIGHT DUE  TO  THE  EXCESSIVELY 
DRY ENVIRONMENT.   CATHETER FUNCTION SHOULD BE ASSESSED PRIOR TO MOVEMENT,  ENSURING THE CATHETER IS SECURELY IN PLACE.     PATIENTS 
REQUIRING ANTIBIOTICS  WITHOUT FLUID REPLACEMENT SHOULD BE
 SWITCHED TO A HEPARIN LOCK WITH   HEPARIN FLUSHES PROVIDED.   
 O.     VASCULAR INJURIES:    VASCULAR REPAIRS SHOULD BE CLEARLY 
RECORDED ON THE DD 602.     IF  CASTS ARE APPLIED AND THEY ARE LESS
 THAN 48 HOURS OLD, THEY SHOULD BE VALVED AND WINDOWED OVER THE 
INJURED AREA  IN CASE EXCESSIVE SWELLING OCCURS INFLIGHT.   
 P.     CIRCULAR CASTS.    IDEALLY , FRESH CASTS ON RECENT FRACTURES 
SHOULD BE AT LEAST 48 HOURS OLD.    CASTS SHOULD BE BI-VALVED IF 
EXCESSIVELY LARGE  (E.G. AIRPLANE, SPICA OR TOTAL BODY CASTS)  AS 
THESE MAY IMPEDE EMERGENCY EGRESS FROM THE AIRCRAFT.   
 Q.    DRESSING CHANGES:     AS  A  RULE,  DRESSINGS  WILL BE REINFORCED 
BUT NOT CHANGED INFLIGHT DUE TO THE INFLIGHT  ENVIRONMENT.     
SERIOUS COMPLICATIONS AS BLEEDING,   INCREASING PAIN  OR   SWELLING 


PAGE   3  RHCUAAA9000   UNCLAS

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