INTERTHEATER MEDICAL REGULATING
a. Many of the patients who are evacuated within and to the COMMZ will be
treated there and returned to duty within the theater. Others, however, cannot be returned to
duty within the transfer and must be further evacuated to the zone of the interior. The
attending physician at the hospital will notify the PAD of those patients which must be
evacuated. The PAD will then consolidate these requests and forward them to the MRO at
the next higher headquarters (hospital centers in the case of general hospitals or medical
groups in the case of the field and station hospitals.) The group and hospital center MROs
forward the consolidated request to the MEDCOM MRO who consolidates and forwards
the request to the TPMCR , if it exists, or to the joint agency known as the GPMRC. If the
TPMCR exists, the requests from each component service will be consolidated and
forwarded to the GPMRC.
b. Upon request of the TPMRC for authority to evacuate patients to the zone of
the interior, the GPMRC will direct the distribution of these patients into hospitals
throughout the continental United States, advise the JMRO of the destination hospital, and
provide the authority for such movement. As a rule, these will be military hospitals. Other
Federal hospitals, however, may also receive patients. The Veterans Administration
hospitals, for example, may receive patients who are expected to be discharged from the
service. The GPMRC continues to coordinate with and inform MAC concerning future
movement of patients.
c. When the TPMRC receives the authorization to move patients, it will notify the
MEDCOM MRO of destination hospitals in CONUS. The TPMRC will coordinate with the
Joint Military Transportation Brigade (JMTB) to arrange movement of the patients to
CONUS. When the JMRO is not activated, the MEDCOM MRO, through his AELO, will
accomplish this task. The MEDCOM MRO will then authorize the movement of patients to
aeromedical staging facilities (ASF) collocated on airbases capable of handling long-
range aircraft (e.g., C-141). Transportation will be arranged, within Army channels, to
move patients from the hospitals to the staging facilities. The hospital centers will then
notify the subordinate general hospitals of the flight schedule and the evacuation
arrangements that have been completed.
d. The medical group MROs will notify their subordinate hospital of the flight
schedule pertinent to their evacuation request and task their subordinate evacuation units
to move the patients to the MAC terminals. At each of these MAC terminals, there is an
ASF established by the U.S. Air Force. When the patients are delivered to the Air Force
the responsibility for those patients is transferred from the MEDCOM MRO to MAC. Upon
arrival in the continental United States, the GPMRC assumes control but further movement
responsibility is that of the Air Force.
e. All patients will not be able to move by air from the theater to CONUS. In that
event, the Military Sealift Command (MSC) will be used to move them by surface means.