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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 267<br />

20.9.2.1. Roller conveyers will be stowed, unless required for comfort/baggage pallets.<br />

Rollers on the ramp will be stowed during patient on-loading or off-loading operations.<br />

20.9.2.2. Litter patients will be enplaned feet first and deplaned head first due to minimal<br />

degree of ramp incline. This eliminates the need to turn litter patients around on the cargo<br />

ramp prior to placing them in the litter tier. Patient diagnosis may determine that they be<br />

loaded head first.<br />

20.9.2.3. A five (5) high configuration using the center seat and litter stanchions is<br />

approved for all AE missions.<br />

20.9.2.4. The seat and litter stanchion ladder will be installed for all AE missions when<br />

cargo requirements permit.<br />

20.9.2.5. Litter support straps will be secured to the aircraft floor prior to take-off. If<br />

litters are not in the tier, loose litter support straps will be secured in a top and bottom<br />

litter support bracket on the center seat and litter stanchion. This will remove a freeswinging<br />

strap hazard.<br />

20.9.3. Available litter spaces and ambulatory seating will depend on the aircraft cabin‘s<br />

mission configuration.<br />

20.9.4. Therapeutic Oxygen. Therapeutic oxygen is not an integral system on the C-130<br />

aircraft. Use the PTLOX/NPTLOX system.<br />

20.9.5. Integral patient/passenger emergency oxygen is not available on the aircraft. In the<br />

event of an emergency, patients and passengers will use the EPOS.<br />

20.9.6. AECMs will have portable oxygen available. AECMs normally use an MA-1<br />

portable oxygen bottle. If MA-1 bottles are not available, PBE‘s may be used as portable<br />

oxygen. NOTE: If a pressure demand regulator is used, the oxygen supply will be turned<br />

―off‖ when the personal oxygen equipment is removed.<br />

20.9.7. Do not secure aircraft or medical equipment adjacent to an emergency exit in a<br />

manner that will prevent or impede egress.<br />

20.9.8. Life Preservers. Use the Adult/Child life preserver for patients.<br />

20.10. Passengers and Cargo.<br />

20.10.1. The PIC, with the concurrence of the MCD, will ensure maximum aircraft<br />

utilization for passengers and cargo. Passenger restrictions based upon patient considerations<br />

will be identified when seats are released. The PIC will advise the appropriate C2 agency of<br />

the number seats available for passengers.<br />

20.10.2. Cargo and passengers may be carried with patients unless a clear detriment to the<br />

health and well being of the patient or passengers can be demonstrated. The decision will be<br />

made by the MCD, considering the need for maximum utilization of the aircraft. Refer to<br />

AFMAN 24-204 for hazardous product special provisions rating. P4 and P5 rated hazardous<br />

material have no AE restrictions. Conflicts will be referred to the respective tasking AE<br />

command element for decision. Litter patients will be positioned forward of cargo pallets.<br />

EXCEPTION: If cargo is in place, and the PIC and MCD agree, patients may be transported<br />

aft of the cargo. The MCD and loadmaster will ensure patient egress is not affected by<br />

mixed cargo/patient loads.

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