b. Evacuation by Air. When the ASMRO provides the JMRO with ZI (CONUS)
hospital designations, the JMRO disseminates this information to the MEDCOM MRO
(and to the MROs of other service components). The MEDCOM MRO then requests air
transportation from the AECC (para 7-2la). When the MEDCOM MRO receives the
flight schedules from the AECC, he authorizes the subordinate medical units to move
the patients to the appropriate MAC terminal(s). The USAF operates an aeromedical
staging facilities (para 7-2lb) at each MAC terminal used for aeromedical evacuation.
When the patients are delivered to the aeromedical staging facilities, MAC assumes
responsibility for their care. On arrival in CONUS, patients will normally be held for 24
to 36 hours in the aeromedical staging facilities at the aerial port of debarkation. Then
they will normally be loaded aboard C-9 aircraft for further movement to destination
airfields, where they will be met by medical personnel of their respective services and
moved by an appropriate means to their destination hospitals.
c. Evacuation by Ship. It is possible that, under certain circumstances,
patients may be returned to CONUS by surface vessel rather than by air. Such
transportation is the responsibility of the MSC of the USN. The MEDCOM MRO would
coordinate his evacuation requirements with MSC and issue movement instructions to
the hospital centers concerned. The MEDCOM would be responsible for establishing
patient holding facilities at COMMZ ports. Patients would be delivered to these facilities
and held until loaded aboard designated ships. Once in CONUS, patients would
normally be taken to the nearest MAC terminal for further airlift to destination hospitals.
The medical regulating system in a TO is illustrated graphically in figure 7-7.
Figure 7-7. Medical regulating in a theater of operations.