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Always Ready: 86th Aeromedical Evacuation Squadron Executes Negatively Pressurized Conex-Lite Training Mission

RAMSTEIN AIR BASE, Germany (AFNS) —

The 86th Aeromedical Evacuation Squadron held a COVID-19 patient movement training using the Negatively Pressurized Conex-Lite at Ramstein Air Base, Dec. 14-18.

The week-long training ended with a proof-of-concept flight on a C-130J Super Hercules, solidifying the entire process of U.S. Air Forces in Europe and Air Forces Africa COVID-19 patient transfer capabilities for the 86th Airlift Wing.

“It was the first time an NPC-L has taken off, at least in U.S. European Command, having a training mission on it, all the assets, and coordinating the integration from the ground piece to the in-flight piece,” said Capt. JD Pilger, 86th AES training flight commander. “Previously, everything was done on the ground, so this is a big deal. The capstone for the week was getting this thing airborne and proving this concept and capability for EUCOM.”

Operations such as these are historically placed within the Air Mobility Command, specifically at Joint Base Charleston, South Carolina. The initial force training was only conducted there for the entire Air Force, which would then piece together teams and send on deployments to provide this capability operationally.

In July, however, AMC started a flagship initiative to send certified trainers to Ramstein AB to certify 86th Medical Group and 86th AES personnel to be the initial cadre on the NPC-L. This established an organic capability located overseas, therefore widening the pool of certified personnel to the force, said Maj. Josh Williams, 86th AES operations flight commander.

From the 721st Aerial Port Squadron, loading the NPC-L onto the aircraft to the 86th MDG and 86th AES infectious disease team ensuring proper personal protective equipment was worn during each scenario, multiple units were called upon to contribute to the training.

“The training was for developing another force package for the 86th AW, to enable us to move COVID-positive patients utilizing the NPC-L,” Pilger said. “The force package entails members from the 86th MDG, the 86th AES and additional folks over at Landstuhl Regional Medical Center, such as our Critical Care Air Transport Team.”

The NPC-L is a smaller version of the Negatively Pressurized Conex, an isolated containment chamber intended to transport individuals with infectious diseases like COVID-19. While the NPC is used on C-17 Globemaster III, the NPC-L was developed for use on a C-130J.

“Pursuant to a U.S. Transportation Command joint urgent operational need request, (the NPC) was fielded, and the follow on to that was the NPC-L,” Williams said. “That is what we’ve now developed our teams and force packages within the 86th AW to support. (The NPC) is actually loadable on a C-130 and can transport patients in EUCOM, as well as U.S. Africa Command.”

Up to nine ambulatory patients, four litter patients, two CCATT critical care patients, or variations thereof, can be transported in the NPC-L.

During the training, Airmen were presented with various patient-transfer scenarios and worked together to execute the mission both on the ground and in the air.

“It was a true team sport throughout the whole thing,” said Capt. Zachary Gooch, 86th AES operations support flight commander. “We could not have done it without the support from Air Terminal Operations Center, maintenance or the medical group.”

Having this organic capability enables Ramstein to provide COVID-19 patient movement overseas without the need for assets deployed from AMC.

“I think we proved that this can be done without having a deployed asset that rolls in and sets up shop,” Gooch said. “We did it, basically, from grassroots.”

By SrA John R. Wright, 86th Airlift Wing Public Affairs

3 Responses to “Always Ready: 86th Aeromedical Evacuation Squadron Executes Negatively Pressurized Conex-Lite Training Mission”

  1. AbnMedOps says:

    That’s a good capability to have, maybe not so much for COVID19, but certainly with a mind towards Ebola and all the other funky stuff we are likely to encounter with a growing footprint in Africa. And for the next round of accidently-on-purpose bio war…

    Is that a D-Day commemorative paint job on that C-130J? Looks like Invasion Stripes and numbering. Pretty cool!

  2. TKS says:

    As a 30 year military doctor, useless masks outside on the stretcher bears? Why? A mask on the patient? Yes. If something real, respirators on the involved. Wearing surgical gowns outside the aircraft just brings all the outside junk into the aircraft.

    Please, someone use common sense. This is all theater!

    • James says:

      That’s the thing about a segregated system like this- dirty side and clean side. Already bringing the nasties into the dirty side, the gown is a stand in for any protective clothing. Debatable whether it’s providing any protection from Covid-19 but outer layer stripping can be somewhere from 80-90% decon for droplets when done properly. Masks, yeah, complicated issue , and I waffle on it from virtue signaling to sign of compliance to probably not a horrible Idea- really don’t know who’s infectious because the data’s bad( over-collection, under-discrimination? “Welcome to big data!”)