capabilities, the MRO will coordinate additional ground or air resources and movement
clearance from the movement control center (MCC).
h. The MEDCOM MRO issues these instructions to both the medical brigade
MRO, with the authority to move patients in Army combat zone facilities, and the receiving
hospital centers. The hospital centers must prepare to receive the patients at the
destination airfields, sort them, and move them by Army medical transportation means to
the various general hospitals selected by the hospital center. The instructions mentioned
above will include, as a minimum, the number of patients to be moved, the on-load
airfield, the destination airfield, the Air Force mission number of the aircraft which is to
move these patients, and mission time of arrival at the destination airfield.
i. The medical brigade MRO issues the flight and movement instructions to
subordinate medical group MROs. The group MROs will then direct the evacuation units
and hospitals within their groups to move the patients to the on-load airfield according to
the time of arrival of the aircraft. This movement must be closely controlled since the
mobile aeromedical staging facilities (MASF) can accommodate only a limited number of
patients and they cannot hold them for an extended period of time. As a rule, the patients
must be delivered to the MASF no earlier than four hours prior to arrival of the aircraft and
no later than two hours prior to arrival.
MEDICAL REGULATING WITHIN THE COMMZ
a. Medical regulating within the COMMZ is similar to the system described above
for medical regulating within the combat zone. Attending physicians within the field and
station hospitals notify the hospital patient administrator of patients requiring evacuation to
general hospitals. The PAD will then consolidate the requests from the hospital and
forward the consolidated request to the medical group MRO who will consolidate the
requests and forward them to the MEDCOM MRO.
b. The MEDCOM MRO, based on periodic bed status and availability reports
from subordinate hospital centers, will designate specific hospitals to receive the patients.
The hospitals are designated based on bed availability and specialty beds available to
support the specific patient. The MEDCOM MRO will then notify the requesting group
MRO of the designated hospitals and will notify the designated hospitals through the
hospital center MRO.
c. The group MRO will forward the hospital designations to the subordinate
hospitals and, concurrently, notify the evacuation units subordinate to it of the evacuation