TASK FORCE III DESERT SHIELD/STORM

File: aaacf_162.txt
Page: 162
Total Pages: 273
to their duty station rather than a facility that could effectively manage their 
medical condition. This expectation started when the patient was briefed in the 
Gulf region that he/she would be returning to ''home" when in fact the patient was 
regulated to another facility. Many times the patients destination on the manifest 
did not match the regulated destination. Medical crews and CONUS ASFs were 
required to reconfirm destinations with the PAC prior to offloading patients if a 
discrepancy was identified. destination changes from ASMRO do not always download 
into the APCS computer so are not always identified in the PAC, resulting in 
changes being missed. 
 
		(3) Recommended Action: EUCOM AECEs must emphasize to the MTFs 
serviced to accomplish detailed patient briefing IAW AFR 164-5. Recommended Action 
Office: 435 TAW/AE. 
 
	w. Title: Patient Reporting During Contingency. 
 
		(1) Observation: Attempts were made to establish a decision regarding 
the amount of patient information to be entered into the DMRIS system prior to 
casualty generation. The EUCOM AECEs were projecting an automatic switch to 
contingency reporting in DMRIS rather than the numbers of casualties driving a 
gradual phase down. 
 
		(2) Discussion: Full patient reporting involves completion of the 
entire data screen in DMRIS. Gradual phase down of reporting would be from full 
reporting to 13 lines (administrative data, diagnosis and special equipment) to 9 
lines (administrative data and diagnosis) to contingency reporting (no patient 
information at all, only numbers of patients to be moved by medical specialty 
code). Without at least 9 line reporting, the information does not interface with 
APES, resulting in reverting back to manual mission management. 
 
		(3) Recommended Action: a. A foreign policy regarding patient 
reporting procedures should reflect a gradual phase down driven by actual 
casualties, not expectations. Recommended Action Office: HQ MAC/SGX. b. Change the 
contingency reporting requirements to reflect the 9 data lines as a minimum to 
allow interface with APES. Recommended Action Office: HQ MAC/SCAM. 
 
	x. Title: Activation of the CONUS AECEs. 
 
		(1) Observation: The CONUS AECEs were activated after the ASFs. 
Failure to partially activate the AECEs at the same time resulted in 
disorganization at the base level. 
 
		(2) Discussion: AE operations as envisioned for Operation DESERT STORM 
differed from how most Reserve units are trained. That is not to say that they 
were unable to meet the 'limited AE missions we encountered; however, had there 
been substantial casualties , the lack of preparation would have been 
compromising. Co-activation with the ASF would enable the AECF