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sed in the CONUS. Recommended Action Office: 375 MAW/AK. b. 
qualified tactical evacuation operations officers must be 
deployed to the CONUS AECC to help with C-130 operations. 
Recommended Action Office: HQ MAC/SGX.  c. Standard 
configurations must be disseminated to the AECEs prior to receipt 
of casualties. Recommended Action Office: 375 MAW/AK.
 
	b. Title: CONUS AE Levy Flow.
 
		(1) Observation: Initially a levy flow for CONUS AE 
assets was not provided.
 
		(2) Discussion: During the initial deployment of 
CONUS AE assets to the hubs, HQ MAC was reluctant to provide a 
levy flow. 375 MAW/LOX insisted upon having one to properly 
deploy our assets. After some discussion a levy flow was 
provided.
 
		(3) Recommended Action: HQ MAC/SGX should provide a 
levy flow for all deploying AE assets during a contingency, not 
just for assets deploying overseas. Recommended Action Office: 
HQ MAC/SGX. 
 
	c. Title: Receipt of Accurate and Timely Patient Manifests 
and Operational Data from EUCOM.
 
		(1) Observation: The CONUS AECC did not receive 
accurate patient manifest and operational data from EUCOM in a 
timely manner. A definitive method for receipt of the required 
data has not been established.
 
		(2) Discussion: We continued to have a severe problem 
getting timely manifest and operational data for incoming 
missions from EUCOM. Many times the manifest was not received 
until 4 hours prior to the mission landing at the Andrews hub. 
This did not allow us to plan continuation missions efficiently. 
Further, on one mission, all the patients were annotated as 
destined for Malcolm Grow Medical Center indicating the EUCOM 
AECC allowed the mission to depart prior to receipt of the final 
destinations from ASMRO. Numerous discussions were held to 
determine how manifest and other operational data would flow from 
EUCOM to CONUS and within the CONUS hub system. A hodgepodge of 
systems were to be used to include Fax, DMRIS, GDSS, APES, and 
PRAMS.
 
		(3) Recommended Action: a. EUCOM AECCs and AECEs 
must strive to supply timely and accurate manifest and 
operational data to the CONUS AECC before the mission departs. 
Recommended Action Office: 435 TAW/AE. b. Establish a 
personnel exchange program from EUCOM AECC/AECEs to the PAC and 
vice versa for training purposes to enlighten each on the 
respective scope of operations. Recommended Action Office: 435 
PAW/AK and 375 MAW/AK. c. Establish a patient reporting 
deadline within EUCOM so mission loads are determined well in 
 

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