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must have one "system" that will handle what GDSS, APES, DMRIS, etc., 
individually accomplish. 
 
	e. We need use of C-130s and medical crews early on in contingency 
operations so that they can gain valuable "live" AE experience before they 
start moving combat casualties. In addition, the use of C-130 aircraft to 
move patients may eliminate the need to deploy the C-9 aircraft. C-130s can 
be used to distribute patients in a geographic area while C-9s move patients 
cross country. 
 
My final point concerns a number of issues, which when properly resolved 
will allow for a smoother more timely interface in the movement of patients 
from Europe to the CONUS: 
 
		(1) An exorbitant amount of time was spent by the PAC trying to 
get an accurate, timely patient manifest from the 2AES. Proper patient 
manifest should be routine and accomplished in an orderly, timely manner. 
 
		(2) There is much discussion that the C-9 crews deployed to the 
2AES were not utilized effectively and, perhaps, were not needed during the 
total time they were required to spend in Germany. By limiting the number of 
personnel you have TDY to your unit, you lesson your TDY costs, as well as 
billeting and transportation problems. 
 
		(3) Personnel at the 2AES made a decision not to send 
flight crew orders to the receiving AECE in order to facilitate 
billeting arrangements. Crews were quite irritated by this. 
 
		(4) C-141 missions were not planned coming out of Europe. 
 
		(5) Lack of planning caused problems with baggage. 
 
			(a) Bags on the manifest but not on the plane. 
 
			(b) Bags on the plane but not on the manifest.
 
			(c) No destination on bags. 
 
In order to improve the system, the owner needs to take a look at the 
process, correct it if necessary, and ensure they understand how their 
actions effect the whole patient movement process. 
 
 
ROLAND J. CARROLL JR, Col, USAF, MSC			Attachment 
Deputy/Commander for 					Manpower listing 
	Aeromedical Evacuation 

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