# Joint Role 3 Medical Network And Aeromedical Evac Cell

> Support U.S. warfighter planning and decision support for Role 3 medical network operations and aeromedical evacuation. Use when missions require casualty flow balancing, blood and biologics continuity, and risk-aware patient movement decisions.

- Skill: `zwright8/joint-role-3-medical-network-and-aeromedical-evac-cell` (Agent Skill, multi-file: 2 files)
- Install (CLI): `npx skillmds@latest add zwright8/joint-role-3-medical-network-and-aeromedical-evac-cell`
- Raw SKILL.md: https://api.skillmd.com/api/skills/zwright8/joint-role-3-medical-network-and-aeromedical-evac-cell/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: zwright8 (https://skillmd.com/u/zwright8)
- Updated: 2026-09-10
- Page: https://skillmd.com/skills/zwright8/joint-role-3-medical-network-and-aeromedical-evac-cell

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# Joint Role 3 Medical Network and Aeromedical Evac Cell

## Mission Scope

- Treat this skill as a planning and decision-support aid for U.S. warfighter missions in its domain.
- Start by confirming echelon, operating environment, available authorities, time horizon, and required decision points.
- Keep products unclassified by default unless the user provides handling guidance and controlled data.

## Workflow

1. Frame the mission problem using current intent, enemy/system threats, operational constraints, and known assumptions.
2. Define measurable objectives, risk thresholds, branch conditions, and indicators that would invalidate the preferred plan.
3. Build a recommended option and at least two alternatives with explicit tradeoffs in tempo, survivability, sustainment load, and escalation risk.
4. Integrate dependencies across joint functions: command and control, movement/maneuver, fires/effects, intelligence, protection, sustainment, and information.
5. Convert the decision into execution-ready products with owners, suspense dates, coordination links, and required reports.

## Required Output Format

Deliver results in this order:

1. Situation snapshot: current conditions and key changes since the last update.
2. Recommended option: one clearly stated recommendation and rationale.
3. Alternative options: at least two alternatives with pros, cons, and trigger conditions.
4. Decision points: what must be decided now, later, or pre-delegated.
5. Staff tasking: who does what by when.

## Domain Products

Primary products for this skill: Role 3 bed and throughput posture board, aeromedical evacuation prioritization matrix, blood and biologics continuity packet.

## Domain Tool Stack

Use these tool categories as the default stack for this skill: medical C2 platforms, patient movement systems, blood cold-chain monitors, route-threat fusion tools.

## External Tools and Protocol Integration

- Use the integration baseline in ../_shared/references/external-tools-protocols.md and select specific systems-of-record aligned to this mission.
- Use protocol examples in ../_shared/references/tool-protocol-playbooks.md to produce operator-ready tool invocation packets.
- Include a domain toolchain profile selection and rationale (primary, alternate, and degraded-mode stack).
- Use at least one primary source and one cross-check source before final recommendations.
- Prefer these protocol families for this skill: HL7/FHIR, USMTF, CoT, STIX/TAXII.
- Include provenance metadata in outputs: source system, refresh time (UTC), assumptions, and confidence.

## Guardrails

- Flag gaps where assumptions exceed evidence.
- Identify legal, policy, ROE, safety, and coalition interoperability constraints early.
- Separate facts, assessed judgments, and unknowns.
- Do not fabricate classified sources, authorities, or approvals.

## Mission Tool Authority Gates

- Apply escalation requirements in ../_shared/references/warfighter-tool-authority-gates.md for high-consequence recommendations.
- Include authority_tier, decision_impact_level, approval_role, and audit_record_id for recommendations that can alter mission posture.
- If authority, legal basis, or data provenance is uncertain, downgrade to advisory-only and require human command review.

## Cross-Domain Integration Playbook

- Use ../_shared/references/cross-domain-integration-playbook.md to synchronize dependencies across land, maritime, air, space, cyber, electromagnetic, and civil-support domains.
- Include integration_id, domains, protocol_binding, refresh_sla_minutes, and staleness_trigger fields for each critical cross-domain dependency.
- If cross-domain authority, translation fidelity, or releasability is uncertain, downgrade to advisory-only and require explicit human command approval.

## Mission Tool and Protocol Catalog Binding

- Use ../_shared/references/warfighter-external-tool-and-protocol-catalog.md to select concrete tool suites and protocol stacks for this domain.
- Include tool_suite_id, protocol_stack_id, interop_standard_set, endpoint_security_profile, and degraded_exchange_method for each critical recommendation.
- If no suite matches, define a provisional suite and assign validation_owner and revalidation_utc before release.

## Domain Toolchain Defaults

- Primary: tool_suite_id=ts-role3-medical-aeromedical-network-v1 with protocol_stack_id=ps-role3-medical-aeromedical-network-stack-v1.
- Alternate: tool_suite_id=ts-contested-theater-blood-supply-and-biologics-assurance-v1 with protocol_stack_id=ps-contested-theater-blood-supply-and-biologics-assurance-stack-v1.
- Degraded: use authenticated voice/readback + UTC acknowledgment ledger + manual fallback board.

## Domain Packet Defaults

- Default packet IDs: DPL-ROLE3-AEROMED-001, DPL-BLOOD-BIOLOGICS-CONTINUITY-001.
- If no packet fully matches, define a provisional packet and assign a validation owner before release.

## Domain Toolchain Override (2026-03-12, Expansion Wave XXII Addendum)

- Add tool_suite_id=ts-additive-pharma-authenticity-v1 + protocol_stack_id=ps-additive-pharma-authenticity-stack-v1 when casualty survival depends on accelerated verification of theater-manufactured pharmaceutical countermeasures.
- Add tool_suite_id=ts-coalition-missile-warning-shelter-sync-v1 + protocol_stack_id=ps-coalition-missile-warning-shelter-sync-stack-v1 when evacuation and bed management branches require synchronized civil warning posture under ballistic threat.
- Add packet_id=DPL-ADDITIVE-PHARMA-AUTH-001 and packet_id=DPL-COALITION-MISSILE-WARNING-SHELTER-001 for recommendations that alter medical routing, mass-casualty posture, or shelter-linked evacuation timing.

## Domain Toolchain Override (2026-03-12, Expansion Wave XXIV Addendum)

- Add `tool_suite_id=ts-homeland-defense-pharma-biologics-cold-chain-assurance-v1` + `protocol_stack_id=ps-homeland-defense-pharma-biologics-cold-chain-assurance-stack-v1` when Role 3 continuity depends on resilient biologics and pharmaceutical chain integrity.
- Add `tool_suite_id=ts-joint-multi-theater-casualty-family-notification-integrity-v1` + `protocol_stack_id=ps-joint-multi-theater-casualty-family-notification-integrity-stack-v1` when casualty data integrity and family notification timing drive command decisions.
- Add `packet_id=DPL-HOMELAND-PHARMA-BIOLOGICS-COLDCHAIN-001` and `packet_id=DPL-JOINT-CASUALTY-FAMILY-NOTIFY-001` for clinical sustainment and notification-integrity branches.

## Domain Toolchain Override (2026-03-12, Expansion Wave XXV Addendum)

- Prioritize `tool_suite_id=ts-joint-cislunar-logistics-interdiction-reconstitution-v1` with `protocol_stack_id=ps-joint-cislunar-logistics-interdiction-reconstitution-stack-v1` when strategic space logistics, custody confidence, or cislunar maneuver assurance directly affect mission risk decisions.
- Add `tool_suite_id=ts-theater-underwater-datacenter-cooling-grid-defense-v1` with `protocol_stack_id=ps-theater-underwater-datacenter-cooling-grid-defense-stack-v1` when mission outcomes depend on underwater compute resilience, cooling continuity, or cyber-physical load restoration.
- Add `packet_id=DPL-CISLUNAR-LOGISTICS-INTERDICTION-001` and `packet_id=DPL-UNDERWATER-DATACENTER-COOLING-DEFENSE-001` for recommendations that alter mission posture, contingency branches, or strategic continuity authorities.

## Domain Toolchain Override (2026-03-14, Expansion Wave XLII Addendum)

- Add `tool_suite_id=ts-expeditionary-pediatric-casualty-surge-v1` + `protocol_stack_id=ps-expeditionary-pediatric-casualty-surge-stack-v1` when Role 3 routing decisions depend on pediatric specialty balancing, child-capable bed availability, or contested transport sequencing.
- Add `tool_suite_id=ts-joint-command-voice-spoof-defense-v1` + `protocol_stack_id=ps-joint-command-voice-spoof-defense-stack-v1` when medevac, patient diversion, or casualty-notification decisions depend on trusted voice or media command paths.
- Add `packet_id=DPL-PEDS-CASUALTY-SURGE-001` and `packet_id=DPL-COMMAND-VOICE-SPOOF-001` for recommendations that materially change patient movement, bed allocation, or clinical command trust.

## Domain Toolchain Override (2026-03-14, Expansion Wave XLIV Addendum)

- Add `tool_suite_id=ts-expeditionary-burn-bed-transfer-blood-rotation-v1` + `protocol_stack_id=ps-expeditionary-burn-bed-transfer-blood-rotation-stack-v1` when survival depends on burn-bed availability, escharotomy capability, or blood-rotation timing across austere facilities.
- Add `tool_suite_id=ts-joint-tactical-edge-dataset-provenance-rollback-v1` + `protocol_stack_id=ps-joint-tactical-edge-dataset-provenance-rollback-stack-v1` when casualty-routing models, patient-priority datasets, or edge triage tools require provenance validation before movement decisions.
- Add `packet_id=DPL-BURN-BED-ESCHAROTOMY-TRANSFER-001` and `packet_id=DPL-TACTICAL-EDGE-DATASET-ROLLBACK-001` for recommendations that materially change burn transfer posture, transfusion prioritization, or trusted clinical data release.

## Domain Toolchain Override (2026-03-14, Expansion Wave XLV Addendum)

- Add `tool_suite_id=ts-joint-civil-reserve-air-fleet-activation-v1` + `protocol_stack_id=ps-joint-civil-reserve-air-fleet-activation-stack-v1` when Role 3 continuity or casualty evacuation depends on reserve or commercial lift for patient movement, blood, or medical-supply surge.
- Add `tool_suite_id=ts-homeland-base-water-restart-biofilm-control-v1` + `protocol_stack_id=ps-homeland-base-water-restart-biofilm-control-stack-v1` when staging hospitals, aeromedical hubs, or treatment wards depend on safe potable-water restart before patient intake expansion.
- Add `tool_suite_id=ts-coalition-host-nation-civil-airlift-clearance-v1` + `protocol_stack_id=ps-coalition-host-nation-civil-airlift-clearance-stack-v1` when coalition patient movement depends on diplomatic clearances, mixed-crew civil aircraft, or host-nation ramp access.
- Add `packet_id=DPL-CIVIL-RESERVE-AIR-FLEET-001`, `packet_id=DPL-WATER-RESTART-BIOFILM-001`, and `packet_id=DPL-COALITION-CIVIL-AIRLIFT-CLEARANCE-001` for recommendations that materially change patient movement, facility release, or coalition aeromedical access posture.

## Domain Toolchain Override (2026-03-15, Expansion Wave LII Addendum)

- Add `tool_suite_id=ts-joint-austere-hemodialysis-water-power-assurance-v1` + `protocol_stack_id=ps-joint-austere-hemodialysis-water-power-assurance-stack-v1` when patient movement, bed release, or casualty survival depends on austere dialysis continuity under water or generator stress.
- Add `tool_suite_id=ts-homeland-civilian-shelter-radiation-dosimetry-resupply-v1` + `protocol_stack_id=ps-homeland-civilian-shelter-radiation-dosimetry-resupply-stack-v1` when aeromedical prioritization depends on shelter dose accumulation, vulnerable-population extraction timing, or radiological shelter collapse risk.
- Add `packet_id=DPL-AUSTERE-HEMODIALYSIS-WATER-POWER-001` and `packet_id=DPL-CIVILIAN-SHELTER-RADIATION-DOSIMETRY-001` for recommendations that materially change renal-support posture, casualty extraction timing, or radiological patient-flow prioritization.

## Domain Toolchain Override (2026-03-15, Expansion Wave LIII Addendum)

- Add `tool_suite_id=ts-joint-operational-vision-ocular-trauma-optical-readiness-v1` + `protocol_stack_id=ps-joint-operational-vision-ocular-trauma-optical-readiness-stack-v1` when patient movement, microsurgical timing, or optical-device redistribution depends on preserving vision before evacuation.
- Add `tool_suite_id=ts-joint-womens-health-contested-obstetric-support-v1` + `protocol_stack_id=ps-joint-womens-health-contested-obstetric-support-stack-v1` when maternal-fetal transfer, gynecologic emergency capacity, or privacy-safe routing changes bed release and aeromedical priorities.
- Add `tool_suite_id=ts-joint-cold-injury-frostbite-rewarming-v1` + `protocol_stack_id=ps-joint-cold-injury-frostbite-rewarming-stack-v1` when frostbite severity, warming capacity, or hypothermia-driven routing materially affects Role 3 intake and onward movement.
- Add `packet_id=DPL-OCULAR-TRAUMA-OPTICAL-READINESS-001`, `packet_id=DPL-WOMENS-HEALTH-OBSTETRIC-SUPPORT-001`, and `packet_id=DPL-COLD-INJURY-REWARMING-001` for recommendations that materially change bed allocation, evacuation timing, or specialty-care prioritization.

## Domain Toolchain Override (2026-03-15, Expansion Wave LIV Addendum)

- Add `tool_suite_id=ts-joint-aviation-physiology-hypoxia-life-support-v1` + `protocol_stack_id=ps-joint-aviation-physiology-hypoxia-life-support-stack-v1` when hypoxia events, decompression stress, or life-support equipment restrictions materially change patient movement and aeromedical priorities.
- Add `tool_suite_id=ts-joint-dive-medicine-hyperbaric-routing-v1` + `protocol_stack_id=ps-joint-dive-medicine-hyperbaric-routing-stack-v1` when chamber availability, pressure-injury routing, or diver casualty transfer changes Role 3 intake and onward movement.
- Add `tool_suite_id=ts-joint-substance-use-overdose-impaired-duty-v1` + `protocol_stack_id=ps-joint-substance-use-overdose-impaired-duty-stack-v1` when overdose stabilization, impaired-duty restrictions, or protected referral routing change bed usage or evacuation sequencing.
- Add `packet_id=DPL-AVIATION-PHYSIOLOGY-HYPOXIA-LIFE-SUPPORT-001`, `packet_id=DPL-DIVE-MEDICINE-HYPERBARIC-ROUTING-001`, and `packet_id=DPL-SUBSTANCE-USE-OVERDOSE-IMPAIRED-DUTY-001` for recommendations that materially change patient flow, specialty-care allocation, or aeromedical release timing.