1. High Altitude Airdrop Mission Support John T. Carmack, Lt Col, PAANG, MC, SFS 193d Special Operations Squadron

3. Key Points to Remember Supplemental Oxygen ≥10,000 feet 100% Oxygen starting ≥ 20,000 feet Pre-breathing required ≥ 20,000 feet Max exposure limits at altitude ≥ 20,000 feet

4. Sources AFI 11-409 HIGH ALTITUDE AIRDROP MISSION SUPPORT PROGRAM Certified Current, 1 FEBRUARY 2011

5. High Altitude Airdrop Mission Support Program Managed by Air Mobility Command Supports UNPRESSURIZED flight Includes: High Altitude Low Opening (HALO) High Altitude High Opening (HAHO) Equipment drop Psychological operations

6. Physiology Support Physiology Technicians (PT) One PT per 16 jumpers ≥ 20,000 feet PT support < 20,000 feet is recommended Briefs jumpers Briefs AC and crew May substitute: U.S. Army 18 delta medic USAF pararescueman

7. Responsibilities Physiology Technicians (PT) Advises Loadmasters Monitors pre-breathing and exposure times At and/or above 10,000 feet, 20,000 feet, and peak Monitors jumpers, aircrew, aircraft, equipment One PT on interphone at ALL times Will remain on 100% oxygen ≥ 10,000 feet

8. Oxygen Requirements Continue oxygen ≥ 10,000 feet Exceptions to 10,000 feet rule ≥ 20,000 feet PRE-BREATH rules Approved portable oxygen console installed ≥ 25,000 feet MA-1 portable oxygen units

9. Exceptions to 10,000 Foot Rule Supplemental Oxygen NOT required for: US Army Free Fall School Parachutist Course Military Free Fall Jump Master Course During Unpressurized Operations 10,000-13,000 Not to exceed 2 hours

10. PRE-BREATHING Requirements Any mission scheduled exposure ≥ FL 200 All personnel 100% oxygen < 16,000 feet Personally fitted oxygen mask Pre-breathing will NOT be conducted with: Portable oxygen bottles Quick-don

11. High Altitude Drops Airdrops > 3,000 feet AGL PRE-BREATHING: Required ≥ FL 200 Above FL 250: MA-1 portable oxygen/person Continuous oxygen use IF Unpressurized AND >10,000 MSL 100% if > 20,000 MSL

12. Oxygen mask

15. Pre-Breathing Settings

16. Reduced Oxygen Breathing Device and Hypoxia Familiarization

17. Key Points to Remember Supplemental Oxygen ≥10,000 feet 100% Oxygen starting ≥ 20,000 feet Pre-breathing required ≥ 20,000 feet Max exposure at altitude ≥ 20,000 feet

18. Name that jet? B-36 “Peacemaker” – strategic nuclear bomber Introduced into SAC – 1949 (Retired 1959) Range ~ 10,000 miles

19. QUESTIONS???