This instruction implements AFPD 16-12, Pararescue. This publication outlines procedures and techniques to conduct Pararescue operations. It applies to Air National Guard and United States Air Force Reserve units or members. Send recommended changes, additions, deletions, and any conflict or duplication of other reports to HQ AF/XOOP, Air Force Pentagon, Washington DC 20330-1480, on Air Force (AF) Form 847, Recommendation for Change of Publication. MAJCOMs may supplement this instruction. MAJCOMs will send one copy of their printed supplement to HQ AF/XOOP; other organizations send one copy of each supplement to the next higher headquarters. See Attachment 1 for a glossary of references and supporting information. NOTE: This instruction may reference Air Force publications under the old publications scheme (Air Force regulations [AFR] and manuals [AFM]) which remain in force until converted to the new types of publications.

ONTENTS Introduction Operational/Training Restrictions Airmanship Static Line Parachute Operations Military Freefall Parachute Operations Rigging Alternate Method-Zodiac (RAMZ) Procedures Tree Climbing and Letdown Procedures Rescue Jumpmaster Procedures Alternate Insertion and Extraction Methods Cargo Aerial Delivery Procedures Dive Operations Land Navigation Individual Combat Tactics Small Team Tactics Combat Search and Rescue (CSAR) Operations Mission Planning Medical Communications Procedures Attachments Glossary of References and Supporting Information -- D-Ring Threading -- Riser Tie-Off -- Fixed Target Procedures -- Moving Target Procedures -- Crosswind Procedures

INTRODUCTION This handbook is designed to provide concise information regarding management of patients in austere environments. It is a "quick reference‟ and is not meant to provide detailed discussions of physiological events. You are expected to provide the standard of care for your EMT certification, including the unique skills native to Pararescue. Note: No handbook can anticipate every tactical and/or medical situation that might occur in a rescue. When faced with adverse situations, a PJ and his team will have to improvise, adapt, and overcome. Always keep in mind the mission, your safety, and your patient‟s safety. CONTENTS 1. AIR FORCE SPECIALTY CODE 1T2XX PARARESCUE SPECIALTY CAREER FIELD EDUCATION AND TRAINING PLAN - 1 January 2018 2. Pararescue Medication and Procedure Handbook 5th Edition - February 2011 3. Pararescue Medication and Procedure Handbook 2nd Edition - 28 February 2001

“A fabulous read, filled with heroism, history, and hi-jinks, as author William F. Sine recounts his life as an Air Force Pararescue Jumper” (Readers’ Favorite). US Air Force Pararescue is the most skillful and capable rescue force in the world, taking on some of the most dangerous rescue missions imaginable. PJs (short for para-jumpers), are members of an elite unit whose commando skills are so wide-reaching they often seem like something out of science fiction. They routinely tackle perilous operations that are beyond the capabilities of other rescue organizations, and sometimes dare the seemingly impossible. Since their inception in 1947, PJs have saved more than thirty thousand lives. They can pluck near-frozen climbers off jagged mountaintops and recover shot-down jet pilots stranded deep in hostile territory. In the dead of night, the PJs parachute into ominous, black, twenty-foot-tall waves to save distressed seamen, and they brave the cruelest and most desolate deserts to recover victims. US Air Force pararescuemen have played a prominent role in every armed conflict since the Korean War, rescuing thousands of soldiers from behind enemy lines. Guardian Angel provides a rare glimpse at a PJ’s mind-blowing adventures. You follow Sgt. Sine’s trek across exotic lands and share his encounters with mysterious cultures. Learn what it takes to lower from a helicopter onto the slippery decks of storm-tossed ships to rescue dying sailors. Feel what it’s like to be caught in the middle of a bomb blast so powerful that it tears high-rise buildings in half, and flattens armored vehicles hundreds of yards away. Soar high above towering jungle trees and experience the danger of swinging on a slim cable below a helicopter, while performing a mid-air rescue of a pilot, dangling from his chute a hundred feet above a mountain slope. Go to war in Afghanistan and parachute onto a nocturnal battlefield, surrounded by land mines, to help a mortally wounded soldier. This is a deadly serious business: When things go wrong, they can go terribly wrong. Aircraft crash into mountainsides, killing all onboard, while some PJs live through horrendous helicopter crashes only to struggle with freezing temperatures, snapped limbs and torn flesh in a desperate fight for survival. This book presents true stories of uncommon courage told from the perspective of the actual men in the arena. PJs belong to an exclusive brotherhood and forge unbreakable bonds of loyalty, commitment, and sacrifice. They do these things for their country, to protect their brothers in arms, and to honor their motto: “That Others May Live.”

This instruction implements AFPD 16-12, Pararescue. This publication outlines procedures and techniques to conduct Pararescue operations. It applies to Air National Guard and United States Air Force Reserve units or members. This instruction is directive in nature. Organizations requiring variance from procedures within this instruction require a waiver. Waiver authority for this instruction is MAJCOM/ DO. Units with pararescue combat rescue officer personnel assigned may publish local operating procedures to alter or amend the provision of this instruction to make them more restrictive, if necessary. Units will forward, through channels, an informational copy of local unit operating procedures to MAJCOM/DO.

This instruction implements AFPD 16-12, Pararescue. This publication outlines procedures and techniques to conduct Pararescue operations. It applies to Air National Guard and United States Air Force Reserve units or members. Send recommended changes, additions, deletions, and any conflict or duplication of other reports to HQ AF/XOOP, Air Force Pentagon, Washington DC 20330-1480, on Air Force (AF) Form 847, Recommendation for Change of Publication. MAJCOMs may supplement this instruction. MAJCOMs will send one copy of their printed supplement to HQ AF/XOOP; other organizations send one copy of each supplement to the next higher headquarters. See Attachment 1 for a glossary of references and supporting information. NOTE: This instruction may reference Air Force publications under the old publications scheme (Air Force regulations [AFR] and manuals [AFM]) which remain in force until converted to the new types of publications.

This instruction implements AFPD 16-12, Pararescue. This publication outlines procedures and techniques to conduct Pararescue operations. It applies to Air National Guard and United States Air Force Reserve units or members. Send recommended changes, additions, deletions, and any conflict or duplication of other reports to HQ AF/XOOP, Air Force Pentagon, Washington DC 20330-1480, on Air Force (AF) Form 847, Recommendation for Change of Publication. MAJCOMs may supplement this instruction. MAJCOMs will send one copy of their printed supplement to HQ AF/XOOP; other organizations send one copy of each supplement to the next higher headquarters. See Attachment 1 for a glossary of references and supporting information. NOTE: This instruction may reference Air Force publications under the old publications scheme (Air Force regulations [AFR] and manuals [AFM]) which remain in force until converted to the new types of publications.