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TOPIC AREA: AEROMEDICAL STAGING FACILITY (ASF) / LACK OF 
		STANDARD OPERATING PROCEDURES FOR ASF
 
SUBMITTED BY: HQ AFRES/SGXO 
 
ISSUE: No standardized training program on how to onload/offload patients for ASF personnel. 
 
OBSERVATION: ASF personnel were not familiar with flightline operations dealing with 
aeromedical evacuation mission aircraft (C-141, C-9A, C-130). This includes how to properly 
drive and park ambuses, use of NATO buses, flightline safety and so forth. 
 
DISCUSSION: During initial aeromedical evacuation missions it was determined that the ASF 
took an extremely long time to offload patients from aeromedical evacuation aircraft. ASF 
personnel were not knowledgeable of the proper procedures in handling litters when taking 
patients to and from the ambus and to and from the aircraft. Lack of patient sensitivity and 
sometimes safety was evident throughout their patient movement. ASF personnel tended to use 
actual patient movement for training in their mission. 
 
IMPACT: Could have caused unnecessary injury to patients. 
 
RECOMMENDATION: Develop and publish an ASF training program in an Air Force level regulation 
that requires proficiency qualification training in patient litter movement and flightline 
driver training. 
 
 
 
 
 
 
 
 
 
 
 
 
 
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