These U.S. Army field manuals (FM 3-04.301) provide the basic principles of training for Army aviation. Topics covered include: * Training Programs * Altitude Physiology * Hypoxia * Hyperventilation * Stress and Fatigue in Flying Operations * Toxic Hazards in Aviation * Noise and Vibration * Principles and Problems of Vision * Oxygen Equipment and Cabin Pressurization * Hypobaric Chamber Flight Profiles
This manual is intended for use by all Army crewmembers in meeting requirements set forth in Army Regulation 95-1, Training Circular 1-210, and other appropriate aircrew training manuals. Lessons learned from previous military conflicts and recent contingency operations have caused changes in Army aviation doctrine. With the development of more sophisticated aircraft and weapons systems, Army crewmembers must be capable of operating these systems around the clock, in austere environments, and under adverse conditions. The hazards of stress and fatigue in combat operations and concept of operations will eventually take a toll in aircrew performance and could jeopardize mission accomplishment unless crewmembers are trained to recognize and understand these hazards. Proper training prepares crewmembers and prevents stress and fatigue from reducing mission effectiveness, thereby increasing their chances of survival. Training Circular 3-04.93 provides crewmembers with an understanding of the physiological responses that can occur in the aviation environment. It also describes the effects of the flight environment on individual mission accomplishment. In addition, this publication outlines essential aeromedical training requirements (in Chapter 1) that assist commanders and flight surgeons in conducting aeromedical education for Army crewmembers. Subject areas addressed are by no means all inclusive but are presented to assist crewmembers in increasing performance and efficiency. This publication applies to the Active Army, the Army National Guard/Army National Guard of the United States, and the United States Army Reserve unless otherwise stated.
This manual is intended for use by all Army crewmembers in meeting requirements set forth in Army Regulation 95-1, Training Circular 1-210, and other appropriate aircrew training manuals. Lessons learned from previous military conflicts and recent contingency operations have caused changes in Army aviation doctrine. With the development of more sophisticated aircraft and weapons systems, Army crewmembers must be capable of operating these systems around the clock, in austere environments, and under adverse conditions. The hazards of stress and fatigue in combat operations and concept of operations will eventually take a toll in aircrew performance and could jeopardize mission accomplishment unless crewmembers are trained to recognize and understand these hazards. Proper training prepares crewmembers and prevents stress and fatigue from reducing mission effectiveness, thereby increasing their chances of survival. Training Circular 3-04.93 provides crewmembers with an understanding of the physiological responses that can occur in the aviation environment. It also describes the effects of the flight environment on individual mission accomplishment. In addition, this publication outlines essential aeromedical training requirements (in Chapter 1) that assist commanders and flight surgeons in conducting aeromedical education for Army crewmembers. Subject areas addressed are by no means all inclusive but are presented to assist crewmembers in increasing performance and efficiency. This publication applies to the Active Army, the Army National Guard/Army National Guard of the United States, and the United States Army Reserve unless otherwise stated.
This manual, Training Circular TC 3-04.93 Aeromedical Training for Flight Personnel with Change 1 January 2019, provides crewmembers with an understanding of the physiological responses that can occur in the aviation environment. It also describes the effects of the flight environment on individual mission accomplishment. In addition, this publication outlines essential aeromedical training requirements that assist commanders and flight surgeons in conducting aeromedical education for Army crewmembers. Subject areas addressed are by no means all-inclusive but are presented to assist crewmembers in increasing performance and efficiency. This publication contains guidelines for aircrew training program commanders, flight surgeons, rated crewmembers (RCMs), nonrated crewmembers (NRCMs), and nonrated non-crewmembers (NCM). The principal audience for TC 3-04.93 is Army Aviation, primarily fixed-wing (FW) and rotary-wing (RW) crewmembers and UAS operators. It is applicable to division, corps, the Theater Aviation Command, Theater Command, Area Sustainment Command, and the Army Aviation community, including members of allied, coalition, and civil defense support of civil authorities' forces. Implementation of this publication conforms to Army Regulation (AR) 95-1, TC 3-04.11, and appropriate aircrew training manuals.To keep pace with the current operating environment, the development of more sophisticated aircraft, and improvements in weapons systems, Army crewmembers must be capable of operating these systems for extended periods of time, in austere environments, and under adverse conditions. The associated physiological impacts of operating under such conditions could impact aircrew performance and jeopardize mission accomplishment unless crewmembers are trained to recognize and understand these aeromedical factors. Spatial disorientation is the physiologic factor that contributes most often to aircraft mishaps. TC 3-04.93 updates previous doctrine and utilizes lessons learned from recent military conflicts and contingency operations in order to incorporate the most relevant training methods related to spatial disorientation (SD).
This manual, Training Circular TC 3-04.93 Aeromedical Training for Flight Personnel August 2018, provides crewmembers with an understanding of the physiological responses that can occur in the aviation environment. It also describes the effects of the flight environment on individual mission accomplishment. In addition, this publication outlines essential aeromedical training requirements that assist commanders and flight surgeons in conducting aeromedical education for Army crewmembers. Subject areas addressed are by no means all-inclusive but are presented to assist crewmembers in increasing performance and efficiency. This publication contains guidelines for aircrew training program commanders, flight surgeons, rated crewmembers (RCMs), nonrated crewmembers (NRCMs), and nonrated noncrewmembers (NCM). The principal audience for TC 3-04.93 is Army Aviation, primarily fixed-wing (FW) and rotary-wing (RW) crewmembers and UAS operators. It is applicable to division, corps, the Theater Aviation Command, Theater Command, Area Sustainment Command, and the Army Aviation community, including members of allied, coalition, and civil defense support of civil authorities' forces. Implementation of this publication conforms to Army Regulation (AR) 95-1, TC 3-04.11, and appropriate aircrew training manuals. TC 3-04.93 uses joint terms where applicable. Selected joint and Army terms and definitions appear in both the glossary and the text. Terms for which TC 3-04.93 is the proponent publication (the authority) are italicized in the text and are marked with an asterisk (*) in the glossary. Terms and definitions for which TC 3-04.93 is the proponent publication are boldfaced in the text. For other definitions shown in the text, the term is italicized and the number of the proponent publication follows the definition. TC 3-04.93 applies to the Active Army, the Army National Guard/Army National Guard of the United States, and the United States Army Reserve unless otherwise stated. The proponent of this publication is Headquarters, United States Army Training and Doctrine Command.
CONTENTS: 1. U.S. ARMY AEROMEDICAL EVACUATION CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES - CY23 Version Published January 2023, 318 pages 2. TCCC Guidelines for Medical Personnel - 15 December 2021, 19 pages 3. JTS Clinical Practice Guidelines, 2,260 total pages - current as of 19 September 2023: INTRODUCTION The SMOG continues to go through significant improvements with each release as a result of the collaboration of Emergency Medicine professionals, experienced Flight Medics, Aeromedical Physician Assistants, Critical Care Nurses, and Flight Surgeons. There has been close coordination in the development of these guidelines by the Joint Trauma System, and the Defense Committees on Trauma. Our shared goal is to ensure the highest quality en route care possible and to standardize care across all evacuation and emergency medical pre-hospital units. It is our vision that all of these enhancements and improvements will advance en route care across the services and the Department of Defense. Unit medical trainers and medical directors should evaluate Critical Care Flight Paramedics (CCFP) ability to follow and execute the medical instructions herein. These medical guidelines are intended to guide CCFPs and prehospital professionals in the response and management of emergencies and the care and treatment of patients in both garrison and combat theater environments. Unit medical providers are not expected to employ these guidelines blindly. Unit medical providers are expected to manipulate and adjust these guidelines to their unit’s mission and medical air crew training / experience. Medical directors or designated supervising physicians should endorse these guidelines as a baseline, appropriately adjust components as needed, and responsibly manage individual unit medical missions within the scope of practice of their Critical Care Flight Paramedics, Enroute Critical Care Nurses, and advanced practice aeromedical providers. The medication section of this manual is provided for information purposes only. CCFPs may administer medications only as listed in the guidelines unless their medical director and/or supervising physician orders a deviation. Other medications may be added, so long as the unit supervising physician and/or medical director approves them. This manual also serves as a reference for physicians providing medical direction and clinical oversight to the CCFP. Treatment direction, which is more appropriate to the patient’s condition than the guideline, should be provided by the physician as long as the CCFP scope of practice is not exceeded. Any medical guideline that is out of date or has been found to cause further harm will be updated or deleted immediately. The Medical Evacuation Concepts and Capabilities Division (MECCD) serves as the managing editor of the SMOG and are responsible for content updates, managing the formal review process, and identifying review committee members for the annual review. The Standard Medical Operating Guidelines are intended to provide medical procedural guidance and is in compliment to other Department of Defense and Department of the Army policies, regulatory and doctrinal guidance. Nothing herein overrides or supersedes laws, rules, regulation or policies of the United States, DoD or DA.
