Operations Group Commanders (OG/CC) shall define local operating procedures to AFI 11- 2AE V3 in a unit supplement?
Operating procedures, techniques, etc., which could result in personal injury or loss of life define a___________.
Warning
Caution
Note
Suggestion
Waiver authority for contents of AFI 11-2AE V3 is the .
HQ AMC Stan/Eval
TACC
Air and Space Operations Center
MAJCOM/A3/DO with mission execution authority
During operational aeromedical evacuation missions no later than hour prior to landing a crew member will make the following call to update arrival time and provide_ .
2 / DD Form 2852, Aeromedical Evacuation Event/Near Miss Report
2 / request for fleet service
1 / AF IMT 3858, Aeromedical Evacuation Mission Offload Message information
None of the Above
The MCD will coordinate with PIC to establish immediate communication with TACC/AOC and PMRC anytime:
A patient is removed from flight
A change in patient status
Mission irregularities or equipment/transportation requirements
All of the above
A basic AE crew consists of / for AE missions IAW AFI 11-2AEV3 (EXCEPTION for C-21 missions).
3 Flight Nurses and 2 Technicians
5 total AECs
1 Flight Nurses / 4 AETs
2 FN /3 AET
Once an aircrew begins a basic FDP, only MAJCOM/A3/DO may extend to augmented day regardless of aircrew composition.
The PIC with an augmented crew may accept an augmented FDP as long as:
The C2 agent or PIC discovers the extenuating circumstances before the first takeoff of the day.
PIC verifies all augmenting aircrew members can get adequate rest en route.
The PIC with a basic crew may seek MAJCOM/A3/DO (w/mission execution authority) approval to extend the FDP as much as 2 hours to complete a scheduled mission.
All the Above
Which of the following does not describe a Medical Crew Director (MCD)?
Advised pilot in command on patients’ conditions and use of medical equipment that may affect aircraft operations
Directly responsible for the safety and medical well-being of patients on the aircraft
Final mission authority and will make decisions not assigned to higher authority
Qualified flight nurse
The Squadron’s Chief Nurse after reviewing the Operational Risk Management (ORM) worksheet, may change the crew compliment to consist of no less than one (1) FN and two (2) AETs, and will notify the controlling C2 agency of changes if different from the mission directive.
This is not permissible, the CN can only increase the number of crew members, not decrease
This is permissible, the CN may increase or reduce the crew complement
This is not permissible, a basic AE crew of 2 FNs and 3 AETs must be tasked
Only if approved by A3VM
________ or designee will augment an aircrew when FDP exceeds 16 hours and the mission profile will allow augmenting aircrew members adequate time to rest en route
OG/CC
SQ/CC
Chief Nurse
MCD
The _________ must designate who is going to be the MCD on a flight authorization, IAW AFI 11-401, prior to mission execution.
SQ/CNE
SARM
SQ/CCs shall not schedule an aircrew member to fly nor will an aircrew member perform aircrew duties:
When the flight time will exceed maximum flying time limitations
Within 24 hours after compressed gas diving (scuba or surface supplied diving), a hyperbaric (compression) chamber mission, or aircraft pressurization checks that exceed 10 minutes.
Within 12 hours following a hypobaric (altitude) chamber mission above 25,000 ft.
What is the primary fatigue counter measure available to aircrew members?
Smart scheduling procedures aimed at managing those cycles, strategic inflight and/or ground napping techniques, and proper diet and exercise.
No-Go Pill.
Appropriate management of sleep/rest cycles.
All the above.
Aircrew members will limit use of Ambien (Zolpidem) and Restoril (Temazepam) to a maximum of seven consecutive days and no more than 20 days in a 60-day period.
C2 agents shall not disturb an aircrew member in crew rest except ______.
When authorized by MAJCOM/A3/DO
During emergencies
If the MCD requires room changes to be in close proximity of the crew
A & B
What is the purpose of the assertive statement “Time Out”?
Provides a clear warning sign of a deviation or loss of situational awareness
Provides an opportunity to break the error chain before a mishap occurs
Notifies all crewmembers that someone sees the aircraft or crew departing from established guidelines, the briefed scenario, or that someone is simply uncomfortable with the developing conditions
What is the goal of the Aviation Safety Action Program (ASAP)?
To prevent mishaps by addressing unintentional errors, hazardous situations and events, or high-risk activities, not identified and/or correctable by other methods or through traditional safety reporting sources
To provide an anonymous means to complain about your commander
To ensure aircrew members are punished for potentially unsafe behavior
The ASAP program is not intended for AECMs since we currently use a DD Form 2852 to report actual and near miss medical events.
All AECMs will wear Nomex gloves during taxi, take-off, and landing.
What will be accomplished prior to concurrent servicing (CS) on the C-17 or C-130?
Prior to starting concurrent servicing, the total number of patients, attendants, passengers, and crew on board the aircraft will be given to the fire department.
The Passenger Compartment Monitor (PCM) will brief patients on emergency egress, exit prohibitions, and hazards. Ambulatory patients will remain seated but will not wear seatbelts during CS.
Loading ramps/stairs are in place for immediate use and exits (excluding the overhead escape hatches) are opened for egress.
At what point during the PRICE check of the MA-1 portable walk-around bottle do you fit and adjust your harness?
P- Pressure
R- Regulator
I-Inspection
C- Connections
Demonstration of onboard life sustaining equipment is required for all missions carrying passengers/patients.
When AE crews are augmented for time, how is flight time documented on the AFTO Form 781?
All crewmembers on the aircraft log primary time for the entire mission.
The Chief Nurse determines work/rest cycles.
5 crewmembers log primary time; 2 crewmembers are “resting” and log other time.
All crewmembers will log primary and secondary time
If a Medical Emergency/Change in Patient Status in flight occurs, the MCD/AECMs will immediately notify the PIC regarding the gravity and nature of the situation and will also:
Coordinate to establish immediate radio communication with the Tactical Airlift Control Center/Air Mobility Operations Control Center/Air Operations Center/Patient Movement Requirements Center (TACC/AMOC/AOC/PMRC) for a physician and guidance for landing at an airfield capable of handling the situation, when indicated.
Notify the supporting TACC/AOC and PMRC regarding changes in patient status, mission irregularities, coordination of mission needs, and equipment/transportation requirements ASAP
Be ready to communicate age, gender, diagnosis, subjective and objective data, including vital signs and pulse oximetry, known allergies, and for women of childbearing years, date of last menstrual cycle, if indicated. Also report treatment/interventions, date and time (if indicated) and the outcome.
All of the above.
Which of the following are effective CBRN Passive defense measures?
Up-to-date immunizations
Standard personal hygiene practices
The use of chemoprophylaxis
If the aircraft is configured with airline seats, the will check the security of all patient/passenger seats by lifting upward on the front of the seat frame and gently pushing and pulling on the seat backs. Minimal movement is acceptable.
LM/BO
CMT
PIC
In the AE system, transfer of physical care is complete once:
The patient enters or exits the ground vehicle of transportation
The patient meets the representatives of the MTF
Patient report is completed
Patient records and medications are handed off
All of the following statements are correct except?
On missions with ventilator patients, AECM’s will calculate pre-mission oxygen requirements using 14 LPM for all ventilators
Prior to enplaning ventilated CCATT patients, AEC and CCATT personnel will verify patient oxygen requirements
For C-17 missions, use the therapeutic oxygen as the primary source for ventilated patients
For KC-135 and C-130 missions, ventilated patients will have a dedicated PTLOX/NPTLOX
During Preflight Inspection, the interior inspection will be accomplished by using the abbreviated flight crew checklist; the________is responsible for ensuring emergency passageways are clear.
Boom Operator/Loadmaster
None of the above
When considering placement of an “H” sized compressed gas cylinder to a PSP for an AE mission, it should be secured:
To the floor, under the Neonatal Transport System (NTS) with two cargo tie-down straps
On a litter and secured with two litter straps
Against the inner aspect of the stanchion with two cargo tie-down straps placed on the upper and lower portions of the H-tank.
At AECM duty station as a secondary emergency oxygen source
Operating procedures, techniques, etc., which could result in damage to equipment if not carefully followed define a .
Suggestions
The Emergency Passenger Oxygen System (EPOS) is the preferred oxygen, smoke, and fume protection.
AECM
Passenger
Crew member
Who is responsible for ensuring there are enough EPOS units for each AECM, patient, and attendants?
3AET
AE Crew
The EPOS will not function without the removal of the _. If the red knob separates, grasp the lanyard to pull the _______ off the cylinder and then proceed to use the EPOS as directed.
Pin
Oxygen activator
Metal tab
The PBE/EEBD is a minute self-contained, completely disposable breathing unit, with a solid state oxygen supply source
60
30
17
15
AECMs are responsible for refilling and discharging the MA-1 oxygen issued by Aircrew Flight Equipment (AFE). Prior to turn in the cylinder, the cylinder pressure will be reduced to between and ______ PSIG gage pressure.
5/10
8/30
5/38
5/28
The adult/child (A/C) LPU is the preferred LPU for AECMs and patient/passengers during ditching situations. The LPU can be used on children greater than old.
18 months
14 years
36 months
7 years
PSP-S: Six PSP seats supporting up to six ambulatory patients, medical attendants or crewmembers. Each seat is rated to hold LBS.
320
220
160
260
When three patients are transported on a PSP litter tower, each litter position is rated to hold_ LBS.
350
300
On the C-130 J aircraft, six 3-pin "household type" service outlets can be used with AE equipment that operates on 115 Volt/400 Hz. Each outlet will provide amps for a total of amps.
20/60
15/60
30/90
15/90
A primary 115V/60 Hz converter is installed on-board the C-17 which provides 60 Hz electrical power to the aeromedical electrical outlet panels. There are two 115 VAC/60Hz outlets on each panel.
12
9
6
3
A minimum quantity of liters of LOX is required for scheduled aeromedical evacuation missions on a C-17 originating from staged/home station.
45
75
100
To increase C-17 electrical amp capability, a Avionics/Unitron Frequency converter may be plugged directly into one of the 115-200V/400 Hz AC outlets located on the six aeromedical electrical outlet panels. Do not exceed 20 amps per aircraft left side and 20 amps per aircraft right side to the Hz system for a total of amps when using the Avionics/Unitron Frequency converter.
200/20
400/20
400/40
200/40
For the KC-135 the two primary egress points are the aft emergency escape hatch and the crew entry chute. The aft escape hatch is equipped with a slide; the crew entry chute is equipped with a ladder typically stored in the cargo compartment.
The release of TCTO 1C-135-1806 provides three additional electrical outlets on the KC-135 R/T block, 40 aircraft. The three new outlets and the galley plug provide a total of amps.
180
135
When connecting the pigtail adaptor to the galley plugs on the KC-135, ensure both circuit breakers marked and are pulled.
Galley PWR/Station 445
Circuit breaker/Station 225
Frequency PWR/Galley PWR
Station 225/445
The KC-135 air conditioning system is not operated on the ground. AE crews will request ground air conditioning units when ambient air temperature is degrees or greater.
74
84
94
104
Latrine capacity in the KC-135 is limited. If not equipped with the Improved Toilet Assembly (TCTO 1C-135-1596), the aircraft will depart home station with an operable latrine and a minimum of ________ and _________ .
Two rolls of toilet paper; two hand sanitizer dispensers
Two urine tubes; two latrine cartridges
Two extra flight suits; two sets of undergarments
Two urinals; two bed pans
A total of _______ litter patients can be floor-loaded on the C-130. An additional two pallet positions are available on the C-130J-30 model that can accommodate an additional litter patients.
8, 6
8, 3
15, 6
15, 3
On the C-17, a total of ________ litters patients can be floor-loaded. An additional litters patients can be placed on the ramp for a maximum utilization of the aircraft.
30/15
48/12
48/15
30/12
On the KC-135 the maximum floor-loaded litter capacity is _______ patients. Maximum altitude for floor-loaded patients is flight level ________ .
10, 300
8, 300
8, 350
15, 350
If a waiver request for a piece of non-certified/non-standard medical equipment is approved, there is no need to complete a DD Form 2852.
It is the responsibility of the _______ to ensure each aeromedical evacuation crewmember (AECM) and/or other medical personnel supporting AE elements assigned to their unit receives training on the applicable equipment contained within this publication.
AES Chief Nurse
Unit property custodian
AES Commander
Chief of Aircrew Training
If equipment malfunction/failure occurs during an AE mission the MCD will ensure the following paperwork/actions are accomplished:
Complete AFTO 350
Upon arrival to home station, immediately send tagged equipment and all accessories to host medical equipment maintenance activity/MTF
Complete DD Form 2852
After delivery of all medical equipment from HQ AMC/SGXM, receipt of the Initial Capabilities Document, and AMC/A3TM generated training plan, the implementation phase will be as follows?
90 days for Active Component and Deployed units and 180 days for Air Reserve Component units (AFRC/ANG).
90 days for Active Component and Deployed units and 90 days for Air Reserve Component units (AFRC/ANG).
45 days for Active Component and Deployed units and 90 days for Air Reserve Component units (AFRC/ANG).
120 days for Active Component and Deployed units and 180 days for Air Reserve Component units (AFRC/ANG).
The following statements about the Minilator are correct, except:
The oxygen flow control valve, from the PTLOX/MOST system accessory kit, may be used with the Minilator
Connect standard low-pressure oxygen hose to the connector, and the connector to the Minilator inlet valve.
The Minilator was not designed for and will not be used to support ventilatory devices.
Prior to connecting to an oxygen source, a flow meter with index set at zero must be attached to any oxygen hose connected to the Minilator.
The Next-Generation Portable Therapeutic Liquid Oxygen (NPTLOX) System when filled with liquid oxygen (LOX) will provide for an uninterrupted supply of therapeutic oxygen. The system has the capacity to store _______ of liquid oxygen (LOX) and convert the LOX to a gaseous state.
15 L
20 L
30 L
10L
The NONIN 9550 Onyx II has a tricolor LED display provides a visual indication of the pulse signal quality. Which of the following is not true?
Green indicates a good pulse signal
Yellow indicates a marginal pulse signal
Red indicates an inadequate pulse signal
Red indicates no pulse
During all operational and Aeromedical Readiness Missions, the MCD will document on the AF Form 3829, or on the computer generated TRAC2ES cover sheet the following?
total patient oxygen requirement
total pre-mission, mid -mission and post -mission PTLOX/therapeutic oxygen level
max cabin altitude
All the above
Synchronized cardioversion is permitted by ACLS flight nurses without physician supervision utilizing which piece of equipment?
Zoll M-Series CCT Monitor/Defibrillator
Phillips MRx Monitor/Defibrillator
a and b
_____ and _______ indicate a mandatory requirement.
Should/May
Will/Shall
Will/May
Should/Shall
The Propaq Encore monitor is not interchangeable with other monitors. Use of the Propaq SpO2 with other monitors will cause inaccurate readings.
The Turbo cuff function on the Propaq Encore monitor will automatically measure NIBP at what intervals?
Every five minutes
At an interval initiated by the user
Automatically and continues to take as many measurements as possible within five minutes
Turbo cuff function is not used inflight
When utilizing the Unitron Portable Power System do not exceed 45 amps for the unit or 15 amps for any one duplex receptacle.
When utilizing the Unitron Portable Power System and connecting to aircraft power:
Always check the aircraft outlet with the ECAS tester
Check ECAS cords with ECAS tester if connected to 60 Hz outlets on the C-17
Turn off the unit when connecting to aircraft power
If the _______ lamp is illuminated (steady light) on the Unitron Portable Power System, move the unit control on/off switch breaker to the off position, voltage being applied to the input of the portable power system is improper for unit operation.
Green
Yellow
Red
Which of the following is true regarding the IMPACT 326M Portable Suction Unit?
The unit simultaneously operates and recharges the battery when plugged into either 115/230 VAC, 50-400 Hz or 28 VDC power source
The internal battery operates for a minimum of two hours and takes a maximum of 16 hours to recharge
The charge light will not illuminate if the battery is fully charged
When inserting tubing into the IVAC Medsystem III infusion pump; with tubing , use a 45 degree , motion to insert cassette into channel.
up/upward
down/upward
up/downward
down/downward
The Atrium Express 4050 Dry Seal Chest Drain is a disposable, waterless operating system with 2100 ml collection volume, dry suction regulator, and dry one-say valve for seal protection. Since this medical piece of equipment is approved for flight, ensure a Heimlich valve is in place.
Placement of the Atrium Express Dry Seal Chest Drain include:
Always place the chest drain below the patient’s chest in an upright position
To avoid knocking over the chest drain, you may hang the system from the litter
The system is sealed and can be placed on its side
Both a and b
When transporting an infant in the ALSS, take the temperature of the infant every ________ unless directed otherwise by the medical attendant. Document temperature on Patient Evacuation Record (IMT 3899, Patient Movement Record).
Every 15 minutes
Every 30 minutes
Every hour
Every two hours
The NATO Litter Backrest is used to provide elevation for patient’s head. The 90 degree position on the NATO litter backrest will not be used during __________ .
Take off
Landing
Enplaning/Deplaning
Use a minimum of ________ litter bearers to enplane The North American Rescue Over Sized Litter (OSL). However, there are four attached carrying straps on each side of the litter to accommodate up to ________ personnel.
4/8
6/8
4/6
Ensure there are compatible/operable restraint keys available and caregivers know placement for leather restraints prior to flight.
It is acceptable to use K-Y jelly or EKG gel with the Ultrasound Stethoscope Fetal Monitor- Medasonics Model FP3A if Ultrasound Coupling Agent is not available.
The Aircraft Wireless Intercom System (AWIS) is approved for use on the following:
C-17 and C-130
C-21
KC-135
a and c
Regarding Electronic Health Record documentation, _______ will provide initial hardware (laptops, printers, and routers) and refreshes on the normal cycle (4-years)?
Sq/CC
HQ AMC/A3V
HQ AMC/SG
The patient classification for an outpatient on litter for comfort, going for treatment is:
2A
2B
5D
5E
Should Electronic Health Record system failure(s) occur or the MCD determines electronic documentation of clinical care will impede mission times, the ____ will direct the use of paper documentation by AECMs.
TPMRC
Sq/CN
When two or more licensed clinicians are caring for the same patient, __________ will document and sign for their care provided and/or services rendered.
the primary caregiver
each licensed clinician
the MCD
the 2FN
All patients will be identified using at least _____ unique identifiers.
one
two
three
For paper documentation, if an error is made, line through or discontinue the order and annotate with date, time and initials or signature.
The AF Form ________, Patient Movement Record Enroute Critical Care, is used by any clinician in the AE system to document on critically ill or injured patients.
3899I
3899J
3899K
3899L
When filling out AF Form 3899M, Patient Movement Record PCA/PNB/Epidural Hand-Off Form, the infusion running total _____ be cleared.
may
should
will
will not
ERCC (En Route Critical Care) personnel are trained to interface with aircraft systems and do not need to be tasked with appropriate service-specific personnel capable of interfacing between ERCC team/equipment and airframe’s crew/systems?
Documentation for regional and epidural pain management infusions will include?
Medication, Dosage, Location, Rate of infusion
Drug concentration,
Pump type
All of the Above
Urgent (“U”) Precedence requires immediate PM to save life, limb, eyesight, or prevent serious complications of injury or existing medical condition.
Routine (“R”) Precedence requires expedient PM and prompt medical intervention when care is unavailable locally and medical condition could deteriorate.
Flight Surgeon will make rounds with the staging nurse at a minimum every ____ hrs and update the AF Form 3899 or EHR equivalent.
6 hrs
8 hrs
12 hrs
24 hrs
The originating MTF must ensure ambulatory patients will wear the appropriate service uniform or civilian clothes to include _____ shoes.
Shielding
Protective
Open Toe
Close Toe
_________________ are the mechanical effects of expansion and contraction can exert a differential pressure on the surrounding tissues, which can cause severe, potentially disabling pain and potential physical damage to tissues (e.g. ear, sinus, GI tract, and lungs).
Barometric Pressure Changes (Boyle’s Law).
Decreased Partial Pressure of Oxygen (Dalton’s Law).
Henry’s Law
Charles’ Law
Time between the evening and breakfast meals will not exceed ___ hrs.
14 hrs
11 hrs
15 hrs
If an AECM utilizes any AE Clinical Protocol they must:
Document its use on the AF Form 3899 series or the EHR equivalent.
Include the statement “IAW AE Clinical Protocol – XXX.”
Complete a DD Form 2852.
Symptoms of decompression sickness. Skin: Itching, tingling, cold or warm sensations, and occasionally a mottled rash are referred to as the _____?
Bends
Chokes
Creeps
Staggers
For mental health patients, position litter patients in the lowest litter space, away from the flight deck, emergency exits and O2 shutoff valves. Assign ambulatory patients a seat near the bulkhead, away from the flight deck, emergency egits and O2 shutoff valves. Assess potential safety risks of nearby objects and cargo.
If a multi-dose vial has been opened or accessed (e.g. needle punctured), the vial should be dated and discarded within ____ days unless the manufacturer specifies a different (shorter or longer) date for that opened vial.
5
10
28
What event classification is described as an event involving temporary patient harm or status change requiring emergency evaluation and treatment. Immediate notification to C2 and PMRC. Submitt DD Form 2852 into TRAC2ES PMQ-R database within 24 hours.
Medical Class B
Medical Class C
Medical Class D
Medical Class E
Prior to flight, verify the DNR order with the patient and/or the patient’s family. DNR orders will not be written more than ____hours before the originating flight.
24
48
72
When malfunctioning equipment is identified and removed from a patient, assess the patient for any harm. Do not Clear any settings from the malfunctioning equipment removed. This will aide biomedical maintenance in their investigation.
The airflow direction on a C-17 is:
Top to bottom/aft to forward
Aft to forward
Top to bottom
Bottom to top/forward to aft
