DAFI 48-107V1: EN ROUTE CARE AND AEROMEDICAL EVACUATION MEDICAL…

DAFI 48-107V1 — index record

Number	DAFI 48-107V1
Title	EN ROUTE CARE AND AEROMEDICAL EVACUATION MEDICAL OPERATIONS
Published	December 15, 2020
Certified current	December 15, 2020
Office of primary responsibility	AF/SG
Issued by	Headquarters, Department of the Air Force
Status on the index	Current
Last index action	Rewrite, December 16, 2020
Source index	Air Force e-Publishing
Index last read	October 20, 2026

Copied from Air Force e-Publishing (index). The publication itself is the authority; this page does not summarize or interpret it. Verify the current edition on the index before acting.

From the publication itself

Text below is lifted mechanically from the official PDF (108 pages, read October 20, 2026) with no editing or interpretation. Quote the document, not this page.

Purpose, in the publication’s words

This AFI provides clinical information and guidelines to promote safe and effective en route care for DoD beneficiaries and other authorized, or designated patients. Care is provided by en route care personnel in the patient staging and inflight environment. Information in this AFI provides guidance for patient airlift operations, but is not intended to be used as a substitute for sound clinical judgment.

Summary of changes, as printed

This document has been substantially revised and needs to be completely reviewed. Major changes include updating: validating flight surgeon responsibilities throughout, patient regulating in chapter 3; nursing considerations in chapter 8; patient safety program in chapter 9; and medical logistics in chapter 12. Significant USTRANSCOM information was removed and the user is referred to USTRANSCOM guidelines.

Chapter 1—PROGRAM OVERVIEWp. 9
Chapter 3—REQUESTING AE PATIENT MOVEMENT THROUGH PMRCp. 22
Chapter 4—ORIGINATING AND DESTINATION FACILITYp. 33
Chapter 5—EN ROUTE PATIENT STAGING SYSTEM (ERPSS)p. 38
Chapter 6—PATIENT PREPARATIONp. 43
Chapter 7—FLIGHT PHYSIOLOGY AND STRESSES OF FLIGHTp. 54
Chapter 8—PATIENT CARE RESPONSIBILITIESp. 59
Chapter 9—PATIENT MOVEMENT PATIENT SAFETY PROGRAM (PMPS)p. 172
Chapter 10—MISSION IRREGULARITIESp. 184
Chapter 11—POST-MISSION PROCEDURESp. 191
Chapter 12—MEDICAL LOGISTICSp. 193
Attachment 1—GLOSSARY OF REFERENCES AND SUPPORTING INFORMATIONp. 198
Attachment 2—HELPFUL RESOURCESp. 210
Attachment 4—MEDICAL ATTENDANT DUTY LISTp. 213
Attachment 5—NON-MEDICAL ATTENDANT DUTY LIST (MILITARY)p. 215
Attachment 6—PATIENT PREP CHECKLISTp. 216
Attachment 8—PATIENT MOVEMENT OUTPATIENT HAND-OFF CHECKLISTp. 219
Attachment 10—BURN CENTER REFERRAL CRITERIAp. 222
Attachment 11—MILITARY ACUTE CONCUSSION EVALUATIONp. 224
Attachment 12—ALCOHOL WITHDRAWAL ASSESSMENT SCORING GUIDELINESp. 226
Attachment 13—PAIN ASSESSMENT SCALESp. 227
Attachment 14—AIRCRAFT AIRFLOWp. 230
Attachment 15—RESPIRATORY DISEASE MISSION PLANNING ALGORITHMp. 232
Attachment 17—AE PATIENT AND CUSTOMER SATISFACTION SURVEYp. 236
Attachment 18—EN ROUTE CARE EQUIPMENT MALFUNCTION REPORT TAGp. 237

All 120 contents entries

Chapter 1—PROGRAM OVERVIEWp. 9
1.1. Mission Descriptionp. 9
1.2. Purposep. 9
1.3. Scopep. 9
1.4. Standardsp. 10
2.1. United States Transportation Commandp. 11
2.2. Air Force Surgeon General (AF/SG)p. 11
2.3. Air Mobility Commandp. 11
2.4. Pacific Air Forces Command Surgeon (PACAF/SG)p. 16
2.6. Wing Commanderp. 16
2.7. Flight Surgeonp. 17
2.8. Patient Staging and En Route Patient Stagep. 18
2.9. Contingency Operationsp. 18
2.10. AE Squadron UTC Structurep. 19
2.11. Force Protectionp. 20
Chapter 3—REQUESTING AE PATIENT MOVEMENT THROUGH PMRCp. 22
3.1. Patient Movement Considerationsp. 22
3.2. Requesting AE for Patientsp. 22
3.3. Local Flight Surgeonp. 23
3.4. Submitting a PMR for Validation and Movementp. 24
3.5. Determining Movement Precedencep. 26
3.6. Special Category Patientsp. 27
3.7. Determining Patient Classificationp. 27
3.8. PMR Validation and Acceptance for Flightp. 30
3.9. Patient Movement Operationsp. 30
3.10. Validating Flight Surgeon (VFS)p. 31
3.11. TRAC2ESp. 32
Chapter 4—ORIGINATING AND DESTINATION FACILITYp. 33
4.1. General Informationp. 33
4.2. MTFs and ERPS responsibilitiesp. 33
4.3. Theater Medical Data Storep. 33
4.4. Travel Authorizationsp. 33
4.5. Transportationp. 34
4.6. Documentation and Transfer of Patient Recordsp. 34
4.7. Mission Coordinationp. 35
4.8. Accountabilityp. 35
4.9. Entry Requirementsp. 35
4.10. Patient Safety Events/Near Miss Eventsp. 35
4.11. RON Patientsp. 35
4.12. MTF Support Requirements for the Co-Located ERPSp. 35
Chapter 5—EN ROUTE PATIENT STAGING SYSTEM (ERPSS)p. 38
5.1. En Route Patient Stage (Facility)p. 38
5.2. Roles and Responsibilitiesp. 38
5.3. Vehiclesp. 39
5.4. Interface with MTFs/Other Agenciesp. 39
5.5. Trainingp. 40
5.6. Expeditionary Medical Logisticsp. 40
5.7. ERPS Facility Administrationp. 40
5.8. Mission Launch and Recoveryp. 41
5.9. Reports and Communicationp. 42
Chapter 6—PATIENT PREPARATIONp. 43
6.1. Overview of patient preparationp. 43
6.2. Littersp. 43
6.3. Clothing the Patientp. 43
6.4. Equipment and Suppliesp. 44
6.5. General considerations for attendantsp. 44
6.6. Baggagep. 45
6.7. Anti-hijackingp. 46
6.8. Valuablesp. 47
6.9. Patient Identificationp. 48
6.10. Weaponsp. 48
6.11. Nutrition and mealsp. 49
6.12. Patient Briefingsp. 52
Chapter 7—FLIGHT PHYSIOLOGY AND STRESSES OF FLIGHTp. 54
7.1. Flight Environmentp. 54
7.2. Gas Lawsp. 54
7.3. Physiological Stressors of Flightp. 55
Chapter 8—PATIENT CARE RESPONSIBILITIESp. 59
8.1. Aeromedical Evacuation Clinical Protocolsp. 59
8.2. Preflight Assessment and Reportp. 59
8.3. General Nursing Carep. 61
8.4. Airway and Respiratory Managementp. 62
8.5. Hypoxiap. 75
8.6. Pulmonary Embolism (PE)/VTE Events During AEp. 78
8.7. Cardiovascular Managementp. 79
8.8. Shock Managementp. 81
8.9. Burn Managementp. 84
8.10. Hematological and Endocrine Managementp. 88
8.11. Decompression Sicknessp. 92
8.12. Neurological Managementp. 93
8.13. Musculo-Skeletal System/Wound Disorders/Injuriesp. 100
8.14. Wound Managementp. 102
8.15. Medical Devicesp. 104
8.16. Eyes, Ears, Nose, and Maxillofacial Managementp. 106
8.17. Gastrointestinal (GI)/Genitourinary/Tube Managementp. 112
8.18. Obstetrics (OB)/In-Flight Child Birth Managementp. 117
8.19. Pediatric Managementp. 123
8.20. Mental Health Patient Managementp. 129
8.21. Pain Managementp. 136
8.22. Medicationsp. 149
8.23. IV Therapyp. 156
8.24. Management/Administration of Blood and Blood Productsp. 157
8.25. Infection Controlp. 160
Chapter 9—PATIENT MOVEMENT PATIENT SAFETY PROGRAM (PMPS)p. 172
9.1. Generalp. 172
9.2. Objectives:p. 172
9.3. Responsibilitiesp. 172
9.4. Patient Movement Event/Near Miss Reporting Processp. 178
9.5. Event Degree of Harmp. 179
9.6. Event Categoriesp. 180
9.8. PM Comprehensive Systematic Analysis (CSA)p. 181
9.9. PM External Patient Safety Investigation (EPSI)p. 182
9.10. Clinical Operations Patient Safety Alert (COPSA)p. 183
Chapter 10—MISSION IRREGULARITIESp. 184
Chapter 11—POST-MISSION PROCEDURESp. 191
Chapter 12—MEDICAL LOGISTICSp. 193
Attachment 1—GLOSSARY OF REFERENCES AND SUPPORTING INFORMATIONp. 198
Attachment 2—HELPFUL RESOURCESp. 210
Attachment 4—MEDICAL ATTENDANT DUTY LISTp. 213
Attachment 5—NON-MEDICAL ATTENDANT DUTY LIST (MILITARY)p. 215
Attachment 6—PATIENT PREP CHECKLISTp. 216
Attachment 8—PATIENT MOVEMENT OUTPATIENT HAND-OFF CHECKLISTp. 219
Attachment 10—BURN CENTER REFERRAL CRITERIAp. 222
Attachment 11—MILITARY ACUTE CONCUSSION EVALUATIONp. 224
Attachment 12—ALCOHOL WITHDRAWAL ASSESSMENT SCORING GUIDELINESp. 226
Attachment 13—PAIN ASSESSMENT SCALESp. 227
Attachment 14—AIRCRAFT AIRFLOWp. 230
Attachment 15—RESPIRATORY DISEASE MISSION PLANNING ALGORITHMp. 232
Attachment 17—AE PATIENT AND CUSTOMER SATISFACTION SURVEYp. 236
Attachment 18—EN ROUTE CARE EQUIPMENT MALFUNCTION REPORT TAGp. 237

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DAFI 48-107V1

DAFI 48-107V1 — index record

From the publication itself

Purpose, in the publication’s words

Summary of changes, as printed

Contents

Other DAFI publications nearby in the series

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