BEEliners enable AE mission

An aeromedical evacuation and critical care air transport team consisting of Airmen from the 375th AE Squadron, 18th AE Squadron, 673rd Medical Group, 36th Medical Group and 124th Medical Group, load a priority care patient onto a C-17 Globemaster III at Kadena Air Base, Japan, May 17, 2018. The C-17 from Travis AFB, Calif., was configured by an AE aircrew to provide aerial transport of patients throughout the Pacific region. (U.S. Air Force photo by Lan Kim)

An aeromedical evacuation and critical care air transport team consisting of Airmen from the 375th AE Squadron, 18th AE Squadron, 673rd Medical Group, 36th Medical Group and 124th Medical Group, load a priority care patient onto a C-17 Globemaster III at Kadena Air Base, Japan, May 17, 2018. The C-17 from Travis AFB, Calif., was configured by an AE aircrew to provide aerial transport of patients throughout the Pacific region. (U.S. Air Force photo by Lan Kim)

Tech. Sgt. John Brenden, 21st Airlift Squadron loadmaster, briefs aeromedics from the 375th Aeromedical Evacuation Squadron and Capt. Kai Yamashiro, 21st AS C-17 Globemaster III pilot, on egress procedures and his load plan at Travis Air Force Base, Calif., May 13, 2018. A 21st AS C-17 embarked on an AE mission supporting aerial transport of patients at various military bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Tech. Sgt. John Brenden, 21st Airlift Squadron loadmaster, briefs aeromedics from the 375th Aeromedical Evacuation Squadron and Capt. Kai Yamashiro, 21st AS C-17 Globemaster III pilot, on egress procedures and his load plan at Travis Air Force Base, Calif., May 13, 2018. A 21st AS C-17 embarked on an AE mission supporting aerial transport of patients at various military bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Capt. Jason Howell, 375th Aeromedical Evacuation Squadron medical crew director, reviews mission details of an AE mission in a C-17 Globemaster III at Travis Air Force Base, Calif., May 13, 2018. A 21st AS C-17 embarked on an AE mission supporting aerial transport of patients at various Air Force bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Capt. Jason Howell, 375th Aeromedical Evacuation Squadron medical crew director, reviews mission details of an AE mission in a C-17 Globemaster III at Travis Air Force Base, Calif., May 13, 2018. A 21st AS C-17 embarked on an AE mission supporting aerial transport of patients at various Air Force bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Capt. Thomas Hagan, 123rd Medical Group critical care air transport team nurse looks on as a patient is consoled by their family inside a C-17 Globemaster III from Travis Air Force Base, Calif., flying over the Pacific Ocean, May 18, 2018. The C-17 was configured by an aeromedical evacuation aircrew to provide aerial transport of patients throughout the Pacific region. (U.S. Air Force photo by Lan Kim)

Capt. Thomas Hagan, 123rd Medical Group critical care air transport team nurse looks on as a patient is consoled by their family inside a C-17 Globemaster III from Travis Air Force Base, Calif., flying over the Pacific Ocean, May 18, 2018. The C-17 was configured by an aeromedical evacuation aircrew to provide aerial transport of patients throughout the Pacific region. (U.S. Air Force photo by Lan Kim)

U.S. Air Force Master Sgt. Virginia Holmgren, a 124th Medical Group respiratory therapist with the Idaho Air National Guard, adjusts a patient’s ventilation levels on board a C-17 Globemaster III from Travis Air Force Base, Calif., after leaving Joint Base Pearl Harbor-Hickam, Hawaii, May 18, 2018. Holmgren was part of a critical care air transport team providing medical supervision of a patient back to Travis. (U.S. Air Force photo by Lan Kim)

U.S. Air Force Master Sgt. Virginia Holmgren, a 124th Medical Group respiratory therapist with the Idaho Air National Guard, adjusts a patient’s ventilation levels on board a C-17 Globemaster III from Travis Air Force Base, Calif., after leaving Joint Base Pearl Harbor-Hickam, Hawaii, May 18, 2018. Holmgren was part of a critical care air transport team providing medical supervision of a patient back to Travis. (U.S. Air Force photo by Lan Kim)

Lt. Col. Corey Akiyama, 21st Airlift Squadron C-17 Globemaster III pilot, loads a flight plan inside the cockpit before departing Anderson Air Force Base, Guam, May 16, 2018. A 21st AS C-17 aircrew, 860th Aircraft Maintenance Squadron flying crew chiefs and aeromedics with the 375th AES and 18th AES departed Anderson AFB in support of the aerial transport of patients at various military bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Lt. Col. Corey Akiyama, 21st Airlift Squadron C-17 Globemaster III pilot, loads a flight plan inside the cockpit before departing Anderson Air Force Base, Guam, May 16, 2018. A 21st AS C-17 aircrew, 860th Aircraft Maintenance Squadron flying crew chiefs and aeromedics with the 375th AES and 18th AES departed Anderson AFB in support of the aerial transport of patients at various military bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Maj. Twana Hadden, 375th Aeromedical Evacuation Squadron 2nd flight nurse, reviews and updates patients’ medical history on board a C-17 Globemaster III from Travis Air Force Base, Calif., May 14, 2018. 860th Aircraft Maintenance Squadron flying crew chiefs and aeromedics with the 375th AES and 18th AES had left Joint Base Pearl Harbor-Hickam, Hawaii, supporting aerial transport of patients at various military bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Maj. Twana Hadden, 375th Aeromedical Evacuation Squadron 2nd flight nurse, reviews and updates patients’ medical history on board a C-17 Globemaster III from Travis Air Force Base, Calif., May 14, 2018. 860th Aircraft Maintenance Squadron flying crew chiefs and aeromedics with the 375th AES and 18th AES had left Joint Base Pearl Harbor-Hickam, Hawaii, supporting aerial transport of patients at various military bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Senior Master Sgt. Brad Markwood, 18th Aeromedical Evacuation Squadron 2nd AE technician, checks the vitals of a patient on board a C-17 Globemaster III from Travis Air Force Base, Calif., May 16, 2018, at Anderson Air Force Base, Guam. AE teams provide and sustain critical care in the air for military members and their families as they travel to follow-on medical treatment facilities for medical care. (U.S. Air Force photo by Lan Kim)

Senior Master Sgt. Brad Markwood, 18th Aeromedical Evacuation Squadron 2nd AE technician, checks the vitals of a patient on board a C-17 Globemaster III from Travis Air Force Base, Calif., May 16, 2018, at Anderson Air Force Base, Guam. AE teams provide and sustain critical care in the air for military members and their families as they travel to follow-on medical treatment facilities for medical care. (U.S. Air Force photo by Lan Kim)

Airmen with the 375th Aeromedical Evacuation Squadron and 18th AES pause during a flight for a group photo on board a C-17 Globemaster III from Travis Air Force Base, Calif., May 14, 2018. The AE team along with a 21st Airlift Squadron C-17 aircrew and 860th Aircraft Maintenance Squadron flying crew chiefs departed Joint Base Pearl Harbor-Hickam, Hawaii, in support of the aerial transport of patients at various military bases in the Pacific. (U.S. Air Force photo by Lan Kim)

Airmen with the 375th Aeromedical Evacuation Squadron and 18th AES pause during a flight for a group photo on board a C-17 Globemaster III from Travis Air Force Base, Calif., May 14, 2018. The AE team along with a 21st Airlift Squadron C-17 aircrew and 860th Aircraft Maintenance Squadron flying crew chiefs departed Joint Base Pearl Harbor-Hickam, Hawaii, in support of the aerial transport of patients at various military bases in the Pacific. (U.S. Air Force photo by Lan Kim)

TRAVIS AIR FORCE BASE, Calif. – It’s a Sunday morning on Travis Air Force Base, California, and a flightline normally buzzing with activity is unusually void of the sounds one would expect from the busiest military air terminal in the United States.

The lull does not last long.

As a C-17 Globemaster III aircrew consisting of three pilots and two loadmasters from the 21st Airlift Squadron bus their way to a parked C-17, ground crews and a couple of 860th Aircraft Maintenance Squadron flying crew chiefs are busy running checklists and prepping the cargo jet for departure.

The primary reason this C-17 is departing Travis is apparent by the green Conex box marked with a red cross, loaded in the cargo compartment.

The mission at hand is aeromedical evacuation – and a crew from the 375th Aeromedical Evacuation Squadron and other AE teams stationed at various bases in the Pacific execute that rapid AE capability alongside their Travis counterparts on a routine basis.

“This mission is the standard [Pacific Air Forces] mission where a five-man crew is deployed to Travis AFB, where the mission originates,” said Maj. Twana Hadden, 375th AES flight nurse. “There, the crew configures either a C-17 or KC-135 for litter patients and medical equipment.”

An AE crew consists of a medical crew director, a flight nurse charged with overseeing the overall medical aspect of the mission and three AE technicians who assist with patient care, medical equipment operability, aircraft integration and coordination.   

 “The crew then flies out to Joint Base Pearl Harbor-Hickam Hawaii, where three out of the original five-man crew, now combine with a two-man crew out of Kadena Air Base, Japan. The remaining two from the original five-man crew sit in alert at Hickam, standing by for any urgent or priority missions there. The new five-man crew will then fly out of Hickam, either picking up or dropping off patients at Anderson AFB, Guam, and Kadena AB,” Hadden said.

Once that crew returns back to Hickam, they reunite with their original two crew members and transport any remaining patients back to the continental United States, according to Hadden.

Though these missions are routine in the Pacific area of operation, the effects are anything but for the Airmen involved.

“AE missions are rewarding missions because it affords us the opportunity to serve military members and their families,” said Capt. Kai Yamashiro, 21st AS aircraft commander of the C-17 that departed that Sunday morning with the 375th AES crew.

“Without our ability to coordinate and work side by side with each other, this mission wouldn’t be feasible,” he said. “Our teams work and train hard every day to be able to provide operational support for our fellow Airmen and their families in times of need.”

Hadden echoed this sentiment and stressed how “important it is for teams to work as a unit to ensure patients receive the best care in a safe and timely manner,” said Hadden.

Altogether, the 21st AS and their AE counterparts provided aerial transport for seven patients in the span of a week for that specific mission. And because two of those patients were classified as needing urgent and priority care, respectively, another important component of the AE system came into the fold—Critical Care Air Transport Teams.

When patients require intensive care and aerial transport to higher echelons of medical care, CCATTs consisting of a physician, critical care nurse and respiratory therapist, are deployed to provide in-flight medical care and supervision to patients as they make their way to follow-on medical care, said Master Sgt. Virginia Holmgren, a 124th Medical Group respiratory therapist with the Idaho Air National Guard and CCATT member onboard the AE mission.

Master Sgt. Tyler Jacoby, 36th Medical Group respiratory therapist and his fellow CCATT members linked up with the 21st AS air crew at Anderson AFB, Guam on one of their leg flights in the Pacific, with their priority patient and provided critical care all the way back to Travis.

“As CCATT, we are responsible for knowing how the aircrews, to include the AE teams we fly with, operate during missions,” said Jacoby. “We are constantly mixed and matched with different crews for every mission, so knowing how they operate is integral to the success of the mission because without any one part of the AE team, we would not be able to do our mission.”

Missions like these provide a certain level of pride for the aeromedical professionals who perform them.

“Whether it is here in the Pacific or deployed to one of the areas that has CCATT, hearing about the success stories when patients make a recovery to lead a somewhat normal life, as opposed to the condition that we left them in at the receiving medical facility, makes this job worth it,” said Holmgren.

“We see a majority of our patients on one of the worst days of their lives, so hearing success stories is very gratifying.”  

The focus was the rapid AE capability that Yamashiro’s crew and medics were able to perform successfully.

“We spent a week delivering critically injured patients to hospitals so they could receive proper medical treatment,” he said. “Everyone’s hard work translated to making a difference for these military members and their families.”