We describe an application of a dynamic replanning technique in a highly dynamic and complex domain: the military aeromedical evacuation of patients to medical treatment facilities. U.S. Transportation Command (USTRANSCOM) is the U.S. Department of Defense (DoD) agency responsible for evacuating patients during wartime and peace. Doctrinally, patients requiring extended treatment must be evacuated by air to a suitable medical treatment facility. The Persian Gulf War was the first significant armed conflict in which this concept was put to a serious test. The results were far from satisfactory--about 60 percent of the patients ended up at the wrong destinations.

We describe an application of a dynamic replanning technique in a highly dynamic and complex domain: the military aeromedical evacuation of patients to medical treatment facilities. Doctrinally, patients requiring extended treatment must be evacuated by air to a suitable medical treatment facility. In early 1993, the DoD tasked USTRANSCOM to consolidate the command and control of medical regulation and aeromedical evacuation operations. The ensuing analysis led to TRAC2ES (TRANSCOM regulating and command and control evacuation system), a decision support system for planning and scheduling medical evacuation operations.