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AFI 11-2C-130v3 - BITS

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<strong>AFI</strong><strong>11</strong>-<strong>2C</strong>-130V3 23 APRIL 2012 265<br />

20.3.4. AE mission requirements can change depending on clinical status of patient(s) and<br />

aircraft availability. There will be occasions when aircraft cannot depart (i.e. MX problems)<br />

or emergency patient movement that may separate an AE crew from the front-end crew. The<br />

MCD is responsible for communicating these changes with the PIC and local AMC C2<br />

agency to de-conflict problems<br />

20.4. Pilot in Command Responsibilities.<br />

20.4.1. Establish communications link with the MCD during pre-mission planning and<br />

throughout the mission.<br />

20.4.2. Brief AE crew on the mission, flight plan, flight profile, and current threat (as<br />

applicable). Identify armed crewmembers (as required).<br />

20.4.3. The PIC will fully integrate front-end and Aeromedical Evacuation Crew Members<br />

(AECM) into single crew throughout mission including enroute transportation, dining,<br />

billeting, etc.<br />

20.4.4. Coordinate with MCD and C2 agencies for cabin altitude/flight restrictions based on<br />

patient requirements. When the sortie is being flight managed, coordinate flight restrictions<br />

with the FM if the FM provided plan needs to be modified.<br />

20.4.5. For missions with combined cargo and patients, coordinate with the MCD for<br />

loading, positioning, and egress considerations as outlined in paragraph 20.10.<br />

20.4.6. Comply with hazardous cargo/passenger restrictions in AFMAN 24-204/TM 38-<br />

250/NAVSUP PUB 505/MCO P4030.19I/DLAI 4145.3.<br />

20.4.7. Advise AECMs of intentions to start engines, taxi, itinerary changes, in-flight<br />

difficulties, and additional responsibilities of the flight crew.<br />

20.4.8. Transmit load messages and radio transmissions to tasking AE C2 agency as<br />

requested by the MCD.<br />

20.4.9. Brief the MCD on additional responsibilities of the flight crew.<br />

20.5. Loadmaster Responsibilities.<br />

20.5.1. Assist the AE crew with aircraft systems.<br />

20.5.2. Coordinate emergency evacuation plan with the MCD.<br />

20.5.3. Operate aircraft systems, (i.e. doors, ramps, emergency exits, etc).<br />

20.5.4. Assist the AE crew as necessary, providing such assistance does not interfere with<br />

primary duties.<br />

20.5.5. Operate galley and prepare food and beverages for food service provided to patients<br />

by AECMs.<br />

20.5.6. Assist with aircraft configuration for AE operations.<br />

20.5.7. The LM will provide the MCD with an interphone cord.<br />

20.6. Aeromedical Evacuation Crew Responsibilities.<br />

20.6.1. Responsible for patient clinical care activities including loading, positioning, and offloading.

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