AFTER ACTION REPORT I MEF CASUALTY SECTION 9 APR 91

File: 970725_dec96_decls30_0013.txt
Page: 0013
Total Pages: 52
Subject = AFTER ACTION REPORT  I MEF CASUALTY SECTION  9 APR 91           

Parent Organization = MCCDC       

Unit = WDID        

Folder Title = MCLLS SEQUENCE 01058  01059  WDID SWA 0113                                                      

Document Number =          1

Box ID = BX600150




                                   UNCLASSIFIED



       LIMITATIONS: Initial and ongoing acquisition of supplies and
   mat'@rials, at inception of Casualty Section on 22 January 1991, i.e.,
   buses, vehicles, computers, international telephone line, message
   PLADS, ELMS/LAN system, telefax machine; to be used for rapid
   co-,nunication to field commanders, CONUS and European commands. The
   cc jept of a Casualty Section within the 0-1, I MEF (Rear) did not
   originate until well into Operation Desert Shield, therefor
   pre-positioning was not planned for.
  @L@MAJOR PARTICIPANTS: Not Applicable
   IV4,OBSERVATIONS: (Not in any order of precedence - nor any fixed
   solutions for the next one (operatioii/engagement).)

       A. UNIFORM REPLACEMENTS: @- Patients admitted.to hospitals with
   wounds that require immediate attention have usually had their
   uniforms cut to accommodate this action. when discharged or medevae'd
   from hospitals they are in need of i complete uniform to return to duty
   or proceed to the next medevac facility in-Europe. The necessity to
   acquire these uniforms was slow to be identified and subsequent action
   addressed to the FSSG Issue Point resolved this situation.

       B. BILLETING OF PATIENTS - Most patients returned to duty from
   hospitals within theatre of operations require temporary billeting
   before returning to their parent command. Since transportation is at a
   -@--um, delays are frequent. Some patients need additional time to
   I   tti.
   rw,Aperate from illness not deemed noteworthy for further "bed-time" at
   the discharging hospital, or if illness exceeds time parameters of the
   Fleet Hospital, they are automatically medevao'd to the European
   tb-atre for additional care. During the course of the Ground Assault
   t@ s problem was, to be rectified by creating a Casualty Company at the
   Combat Replacement Regiment that would hold patients for an additional
   14 days   or to a time they were deemed medically fit within the 14 day
   window   and then returned to duty, with appropriate transportation
   to get them to their unit. Due to the successful execution of
   operation Desert Storm the Casualty Company was not formed. See
   Appendix D.

       C. TRANSPORTATION - Acquisition of transportation was always a
   constant problem due to the late establishment of a Casualty Section
   and the availability of assets at the beginning of operation Desert
   Storm. At its height, the Casualty Section had approximately 90
   personnel scattered over eight hospitals in the theatre of operations -
   from the island nation of Bahrain to the northern city of Al Mishab and
   Westward approximately 175 kilometers. The eight hospitals had daily
   patient discharges requiring transportation to their units or one of
   the MSC's rear pickup points, i.e., IstMarDiv, 2ndMarDiv Rear elements
   at Camp 15, Al Jubail from Fleet Hospitals 5 and 15. Constant
   transportation requirements for moving patients, personnel, clothing,
   782 gear, mail, assistance visits, etc., necessitated those hospital
       ison teams and the Casualty office have their own transportation
       kcles. During the course of Desert Storm a passenger van was made
   available to accomplish these trips. See Appendix E.

                          UNCLASSIFIED

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