AFI 11-2C-130v3 - BITS

AFI11-2C-130V3 23 APRIL 2012 269
Fire Chief. (NOTE: When servicing with JP-4 or Jet B Fuel, a major aircraft rescue and fire
vehicle will be positioned at the aircraft).The flight crew will coordinate CFR requirements.
20.11.2. At non-AMC bases, non-U.S. military bases, and civilian airfields, the controlling
agency will coordinate the CFR coverage, as necessary. The request for CFR vehicle
coverage may be denied. This will not prevent refueling operations from occurring.
20.12. AE Call Sign/Use of Priority Clearance. If a medical emergency occurs during flight,
and is determined by the MCD to be an urgent situation, a request for AIR EVAC Priority will
be requested. The PIC may request ―AIR EVAC priority‖ for preferential ATC handling if a
delay will affect a patient‘s well being. AIR EVAC priority will only be used for that portion of
the flight requiring expedited handling. Do not request priority for routine air evacuations to
avoid ATC delays or inconveniences. It is the PIC‘s responsibility to use this option only for
bona fide medical situations that demand priority handling. Use this status judiciously.
20.13. Load Message.
20.13.1. The MCD will complete an AF Forms 3858, Aeromedical Evacuation Mission
Offload Message and coordinate for transmission of patient information to C2 a minimum of
30 minutes prior to estimated time of arrival.
20.14. ERO Procedures.
20.14.1. ERO procedures are outlined in AFI 11-2AEV3. ERO procedures for loading
patients are authorized for contingency operations or when AE mission requirements dictate
minimum ground time. ERO procedures can be practiced/trained during Aeromedical
Readiness Missions (ARMS), static trainers, joint training operations, exercises, etc. EROs
will not be used in a non-contingency environment unless mission essential.
20.14.2. The loadmaster will be positioned in a location to observe safety and on headset
during actual on-load procedures. AECM‘s may exit the aircraft to conduct ground duties.
Other guidance (e.g. ROE/Intel/SPINS) may provide additional information.
20.14.3. When litter patients are wearing personal gear (i.e. web belts, canteen, helmets, flak
vests, etc.), consider loading four (4) high versus five (5) high in the center seat and litter
stanchions, to increase space between litters to accommodate gear. If situation
requires/permits, remove personal gear from patients and secure on ramp or in a designated
area.
20.14.4. Baggage will be loaded on the aircraft ramp (or as required for weight and balance)
and will not impede emergency egress. If duties permit, loadmasters will assist AECMs with
securing baggage.
20.15. Floor Loading Procedures.
20.15.1. Floor loading of patients is authorized for all contingency operations when a time
critical environment exists (i.e. non-secure landing zones, areas faced with enemy
siege/hostile fire, humanitarian reasons, etc.), and minimum ground time is essential. Floor
loading procedures can be practiced/trained during ARMS, joint training operations,
exercises, etc. The cargo/ramp floor will be configured with all rollers stowed (cargo
permitting). Maximum altitude for floor loaded patients is FL 350. Patients will have an
EPOS pre-positioned on their litter when floor loaded.