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Both the aeromedical evacuation and airlift en route systems have a
long and glorious history. Working separately, they provide vital
services to our military. Working in tandem, they represent a
precious resource in our national security framework, for they
reconstitute US combat capability by evacuating and redeploying
combat and combat support personnel. Yet as the US begins its
military transformation and fights rapid, short-duration,
high-intensity conflicts, the tandem partnership between
aeromedical evacuation and the en route system must evolve to
handle faster-paced requirements for moving patients both intra-
and inter-theater. Examining the organizational structures,
missions and governing doctrines of both systems, one finds that
there is little interface between the two, and operational success
is predicated largely on innovation rather than design. In future
operations, innovation may not be enough to guarantee success. As a
result, this author recommends an interface framework to better
educate the two sides of each other's respective missions, to train
together to more fully understand the synergies between the two
functions, and to set the stage for better communication in the
crunch to ultimately save lives.
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