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        Policy UpdatesNewsroomReoptimizationBIOGRAPHIESAF Senior Leaders      Capt. Natasha Cardinal, 86th Aeromedical Evacuation Squadron critical care nurse, monitors her patient during a flight from Bagram Airfield, Afghanistan to San Antonio, Texas, Aug. 18, 2019. Critical care air transport teams are rapidly deployable teams consisting of a physician, critical care nurse and a respiratory therapist who provide a mobile intensive care unit for complex, critically wounded patients. (U.S. Air Force photo by Airman 1st Class Ryan Mancuso)190818-F-QB902-209
                        
                        
                        Capt. Natasha Cardinal, 86th Aeromedical Evacuation Squadron critical care nurse, monitors her patient during a flight from Bagram Airfield, Afghanistan, to San Antonio, Aug. 18, 2019. Critical care air transport teams are rapidly deployable teams consisting of a physician, critical care nurse and a respiratory therapist who provide a mobile intensive care unit for complex, critically wounded patients. (U.S. Air Force photo by Airman 1st Class Ryan Mancuso)
                
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No effort spared to bring wounded Soldier homePublished Oct. 3, 2019
                    
                    By Alexandra Soika
                    
                    
                    Air Mobility Command Public Affairs
            **SCOTT AIR FORCE BASE, Illinois (AFNS) --**Over four days, three aircraft, 18 medical specialists, more than 24,000 gallons of fuel and 100 liters of blood were committed across an 8,000-mile journey toward a single goal – saving the life of one Soldier.
In mid-August, Air Mobility Command’s 618th Air Operations Center was notified of an injured Soldier in need of urgent aeromedical evacuation out of Bagram Air Base, Afghanistan. Immediately, AOC Airmen started to build a mission – REACH 797 – to help save one Soldier whose survival was in question after being critically wounded in a blast.
Within the first hour of the Soldier’s arrival to the Craig Joint Theater Hospital at Bagram Airfield, medical teams administered multiple blood transfusions and a lead surgeon determined the Soldier was in need of a special team from Brooke Army Medical Center in San Antonio.
To form this team, the 455th Expeditionary Medical Group worked with the Enroute Patient Staging System, known as ERPSS. This flight is a specialized section in the hospital with personnel who are experts in patient movement to coordinate transport out of the area to more specialized care.
During those critical days following the injury, the surgical services team at Bagram AB performed multiple life-saving and stabilizing surgeries. Additionally, a walking blood bank was initiated and more than 100 Soldiers lined up to donate within 15 minutes of the call to ensure a sufficient supply of blood.
“Their quick work led to the patient being taken to a higher echelon of care in under 48 hours,” Maj. Lisa Haik, 455th ERPSS flight commander said. “Overall, the actions of all involved represent just a fraction of what the CJTH can provide to our warriors.”
Twenty-four hours later, after being diverted from another mission, a Dover Air Force Base, Delaware, C-17 Globemaster III and its crew arrived at Bagram AB and immediately went into crew rest in preparation for a non-stop, 8,000-mile flight to San Antonio.
“We had to load up a very complex flight plan into the software on the aircraft,” Maj. Dan Kudlacz, REACH 797 C-17 pilot and aircraft commander from Dover AFB’s 436th Airlift Wing said. “Couple that with the fact that we were flying into a combat zone, carrying 18 additional medical crew members, and transporting a critical patient whose injuries require a cabin-altitude restriction. You can begin to see that there was a lot to manage from alert to liftoff.”
The next day, the Soldier was evacuated out of Afghanistan on the C-17 for the long journey home and was treated by aeromedical evacuation and Critical Care Air Transport Team Airmen from the 10th Expeditionary Aeromedical Evacuation Flight, alongside an Extracorporeal Membrane Oxygenation team from the 59th Medical Wing.
“There were so many moving parts to this mission that we knew we had to get every aspect 100% correct the first time,” Kudlacz said. “Should one thing have fallen out of line during the flight, it could have ... impacted this Soldier's life, which is something that weighed heavily on all of us when we received notification of this mission.”
Just hours into the flight from Bagram AB, a KC-135 Stratotanker crew out of MacDill AFB, Florida, was preparing for a routine mission from the tarmac at RAF Mildenhall, United Kingdom, when they got the call to rendezvous with and offload more than 24,000 gallons of fuel to keep the life-saving C-17 airborne during its non-stop AE journey from Afghanistan to Texas.
“MacDill (AFB) Airmen fueled the hands that heal during this critical mission,” Col. Stephen Snelson, 6th Air Mobility Wing commander said. “Days where we can flex to support our joint teammates reminds us why we signed up to serve in the first place.”
As the topped-off C-17 pulled away from the KC-135 in the skies over Europe, a second MacDill AFB tanker crew, near Bangor, Maine, was diverted to complete the air bridge to Texas.
Although refueling during an AE flight is uncommon due to the turbulence it can cause, it was necessary to ensure the Soldier reached specialized care in the U.S. as quickly as possible.
“This mission involved a tremendous amount of teamwork; between the skill of the aircrews operating under exhausting conditions, to our AOC planners who determined aircraft and aircrew availability, provided mission support and tailored specialized AE care enroute and the medical professionals who provided unrivaled critical care,” Brig. Gen. Jimmy Canlas, 618th AOC commander said. “With a Soldier’s life on the line, these Airmen worked 24/7, across multiple time zones, to pull together all the pieces and ensure this Soldier made it home.”
Following the non-stop, 20-hour journey, the injured Soldier reached Kelly Field, Texas. From there, he was transported to Brooke Army Medical Center to continue receiving life-saving care – and reunite with his family.
“Everyone working around the clock to safely bring our patriots home is awe-inspiring,” Snelson said. “This mission was a demonstration of the promises we make to care for those who serve.”
The Soldier, whose name is being withheld due to personal and family privacy, is currently receiving intensive care in San Antonio.
“The priority our military places on saving the lives of its service members is unparalleled,” Lt. Col. Scott King, CCATT chief said. “REACH 797 demonstrates that for those who go into harm’s way, no expense or effort will be spared to bring them home to their families and loved ones.”LR 



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