Abstract
Abstract : The aim of this study was to determine the ability of the U.S. Navy Air Expeditionary Squadron (AES) Authorized Medical Allowance List (AMAL) 0960 to meet the medical needs of current AES operations. The study compared the capabilities of AMAL 0960 with two proposed variations, one developed by AES flight surgeons, and the other developed using Naval Health Research Center (NHRC) medical requirements modeling processes. NHRC statisticians collected data on patient presentations seen by AES medical personnel during 20 squadron deployments in support of Operation Enduring Freedom, Operation Iraqi Freedom, and other military operations. This information was used to develop a patient condition occurrence frequency table based on 336 International Classification of Diseases, 9th Revision, codes. Computer simulation models were built for each of the three AMAL 0960 versions: (a) the original AMAL currently deployed with squadrons, (b) the flight surgeon-proposed revision, and (c) the NHRC-developed revision. The modeling showed the NHRC line list was the only AMAL version capable of treating the full spectrum of probable patient conditions seen during AES missions with only a moderate increase in weight, cube, and cost.
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