Afsoc Handbook 48 1 Emt Intermediate Paramedic Treatment Protocols For Air Force Special Operations Medical Technicians

This handbook incorporates requirements, information, and procedures formerly contained in AFSOC SG policy letters. This Handbook applies to all active duty AFSOC 4F0X1 and 4N0X1 personnel, certified at the Emergency Medical Technician- Intermediate and Paramedic level, as outlined in AFSOCI 48-101. Medical Control Care of injured personnel in combat or rescue situations requires medical command and control by licensed medical providers. Paramedical and Emergency Medical Technician-Intermediates providing care in these situations are acting under the principal of ‘delegated authority’, where the provider(usually a physician) allows appropriately trained personnel to perform specified diagnostic and therapeutic interventions. There are several types of medical control: - On Line Medical Control: A physician is either present on the scene and personally directs patient care, or is contacted by radio or other means and gives ‘live’ instructions. -Off Line Medical Control: Contact with a control physician is impossible or impractical, care is given based on specific physician approved protocols. The medical control chain for AFSOC medical technicians assigned to Operations Support Squadron Medical Flights(OSS/OSM) is in the following precedence: On Line Medical Control: - Senior AFSOC Flight Surgeon present at the scene. - Special Tactics Flight Surgeon present at the scene. - Senior US military physician present at the scene. - Qualified(training equivalent to US physician) Allied country senior military physician present at the scene - Qualified civilian physician(training equivalent to US MD or DO) present at the scene, provided he/she agrees to assume responsibility for care and accompany the patient to higher level of care. - Senior AFSOC Physician Assistant present at the scene - Any of the above in direct radio contact Off Line Medical Control: On line medical control is the preferred means of medical control for all casualty situations. In the event on line control is not possible the following will apply: - The Senior medic is responsible for directing medical care at all scenes where on line control is not possible. He/she will direct medical control in strict adherence to the established protocols contained herein. - AFSOC medical technicians assigned to OSS/OSM flights will attempt to contact on line medical control in all situations prior to reverting to protocol use, with the exception of an immediate life threat and then will attempt to establish on line control as soon as possible after the patient is stabilized.

The Advanced Tactical Paramedic Protocols Handbook (ATP-P) 8th Edition contains the 2014 updates for the US Special Operations Command Tactical Trauma Protocols and Tactical Medical Emergency Protocols.The ATP-P handbook is a checklist to emergent medical care protocol. The guidelines contained in this handbook are created, compiled, and reviewed annually by the Curriculum and Examination Board, which consists of a combined group of Special Operations Forces (SOF) physicians, advanced tactical paramedics (ATPs), SOF medical personnel from all branches, and civilian medical personnel. For quick reference in a lifesaving situation, the uniform pocket-sized ATP-P Handbook contains the USSOCOM Tactical Trauma Protocol and Tactical Emergency Medical Protocol; Canine-TCCC; the Recommended Drug List (RDL), (which covers the side-effects / adverse effects / contraindications / warnings, adult and pediatric dosages, and what protocols they would be relevant to); Burn and Nerve Charts, and the Military Acute Concussion Evaluation (MACE) and pre-hospital Combat Medic/Corpsman Algorithm (CMA) Charts that are approved for use by the ATP.

The Special Operations Forces Medical Handbook is a comprehensive reference designed for combat and special forces medics in the field, it is also a must-have reference for any military or emergency response medical personnel, particularly in hostile environments. Developed as a primary medical information resource and field guide for the Special Operations Command (SOCOM). As a grid-down medical reference for the doomsday prepper it can't be beaten. Defines the standard of health care delivery under adverse and general field conditions. Organized according to symptoms, organ systems, specialty areas, operational environments and procedures. Emphasizes acute care in all its forms (including gynecology, general medicine, dentistry, poisonings, infestations, parasitic infections, acute infections, hyper- and hypothermia, high altitude, aerospace, dive medicine, and sanitation.). DO NO HARM, DO KNOW HARM The following medical texts should be in the preps of every serious off-grid survivor: Ranger Medic Handbook Special Operations Medical Handbook STP 31-18D34-SM-TG A MOS 18D Special Forces Medical Sergeant PART A: Skill Levels 3 and 4 STP 31-18D34-SM-TG B MOS 18D Special Forces Medical Sergeant PART B: Skill Levels 3 and 4

This handbook was previously distributed as a supplement to the Journal of Special Operations Medicine. The realm of special operations forces (SOF) medicine is a unique and ever-changing one that demands specialized training for our joint SOF. Managing trauma on today’s battlefield presents a dynamic array of challenges where limited resources can be rapidly overwhelmed. An austere environment, hostile gunfire, and delays in casualty evacuation (CASEVAC) are the norms for the special operations medic. The material in this handbook was gleaned from special operations medics operating in the Global War on Terrorism and other operational environments. It should not be viewed as a substitute for the professional training and judgment of special operations medics; rather, it is designed to be a hip-pocket reference on the tactics, techniques, and procedures (TTP) of SOF-relevant tactical combat casualty care. Key Lessons Ninety percent of combat loss of life occurs before casualties ever reach a military treatment facility (MTF); treatment prior to casualty evacuation is vital. Litter carries are fundamental for good patient care; they prevent further injury and get individuals off target as soon as possible. Rehearse manual carry methods prior to deployment. Every special operations warfighter should carry a tourniquet and be thoroughly familiar with its application. When managing multiple casualties, apply the principles of triage in classifying the priority of treatment and evacuation. Rehearse and employ all of the mechanics of CASEVAC from the point of injury to the handover at a MTF. This handbook provides a number of considerations when employing medical support to SOF in combat. The challenges are numerous, but the special operations medic must deliver medical care to save Soldiers’ lives. The collection of TTP in this handbook will enhance the medic’s ability to determine the optimum method to deliver casualty survival assistance.

The Advanced Tactical Paramedic Protocols Handbook (ATP-P) 9th Edition -Print

This manual is designed to serve as a starting point for the development and implementation of a Tactical Medical Emergency Support unit at the local level. It was originally developed for the Marietta, Georgia Special Weapons and Tactics Team and the Tactical Emergency Medical Support unit which was formed in 2005. As the TEMS unit evolved, this manual was developed. Due to demand and interest, it has been revised for more general application.The guidelines and philosophies in this manual have been developed after researching the policies of a number of different civilian departments, examining the policies and procedures currently in place for training military medical and nonmedical personnel, recognizing the limitations imposed by the Scope of Practice procedures in the State of Georgia, and recognizing the limitations of the guidelines imposed by the National Registry of Emergency Medical Technicians. The policies and procedures that follow must be individualized to allow for the local Medical Director's guidelines and to follow local Scope of Practice guidelines.The concept of Tactical Medical Emergency Protocols was developed by the Curriculum and Examination Committee of the United States Special Operations Command Surgeon General's Office for the military and has been adapted for civilian use; the Tactical Combat Casualty Care concepts were developed by the Committee on Tactical Combat Casualty Care and have been expanded upon for application by the Committee on Tactical Emergency Casualty Care; the Ranger Medic Handbook (2007) edition served as the starting point for developing the Triage recommendations, the flow charts, and the aid bag configurations; and the USAF PJ Handbook provided valuable information on environmental injuries. In addition to the Guidelines on Tactical Combat Casualty Care (TCCC), the Adult and Pediatric Guidelines on Tactical Emergency Casualty Care (TECC) are also included.Ideally, this manual will provide a starting point for further discussion and development of TEMS units, and will provide a basic framework from which these units' individual policies and procedures may be developed.