Standard Medical Operating Guidelines Cy 2023

The purpose of the handbook is to provide these medical professionals a printed resource that outlines the latest techniques and procedures used by the US Army Medevac and critical care flight paramedic communities.

CONTENTS: 1. U.S. ARMY AEROMEDICAL EVACUATION CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES - CY23 Version Published January 2023, 318 pages 2. TCCC Guidelines for Medical Personnel - 15 December 2021, 19 pages 3. JTS Clinical Practice Guidelines, 2,260 total pages - current as of 19 September 2023: INTRODUCTION The SMOG continues to go through significant improvements with each release as a result of the collaboration of Emergency Medicine professionals, experienced Flight Medics, Aeromedical Physician Assistants, Critical Care Nurses, and Flight Surgeons. There has been close coordination in the development of these guidelines by the Joint Trauma System, and the Defense Committees on Trauma. Our shared goal is to ensure the highest quality en route care possible and to standardize care across all evacuation and emergency medical pre-hospital units. It is our vision that all of these enhancements and improvements will advance en route care across the services and the Department of Defense. Unit medical trainers and medical directors should evaluate Critical Care Flight Paramedics (CCFP) ability to follow and execute the medical instructions herein. These medical guidelines are intended to guide CCFPs and prehospital professionals in the response and management of emergencies and the care and treatment of patients in both garrison and combat theater environments. Unit medical providers are not expected to employ these guidelines blindly. Unit medical providers are expected to manipulate and adjust these guidelines to their unit’s mission and medical air crew training / experience. Medical directors or designated supervising physicians should endorse these guidelines as a baseline, appropriately adjust components as needed, and responsibly manage individual unit medical missions within the scope of practice of their Critical Care Flight Paramedics, Enroute Critical Care Nurses, and advanced practice aeromedical providers. The medication section of this manual is provided for information purposes only. CCFPs may administer medications only as listed in the guidelines unless their medical director and/or supervising physician orders a deviation. Other medications may be added, so long as the unit supervising physician and/or medical director approves them. This manual also serves as a reference for physicians providing medical direction and clinical oversight to the CCFP. Treatment direction, which is more appropriate to the patient’s condition than the guideline, should be provided by the physician as long as the CCFP scope of practice is not exceeded. Any medical guideline that is out of date or has been found to cause further harm will be updated or deleted immediately. The Medical Evacuation Concepts and Capabilities Division (MECCD) serves as the managing editor of the SMOG and are responsible for content updates, managing the formal review process, and identifying review committee members for the annual review. The Standard Medical Operating Guidelines are intended to provide medical procedural guidance and is in compliment to other Department of Defense and Department of the Army policies, regulatory and doctrinal guidance. Nothing herein overrides or supersedes laws, rules, regulation or policies of the United States, DoD or DA.

Tactical Combat Casualty Care (TCCC) has saved hundreds of lives during our nation's conflicts in Iraq and Afghanistan. Nearly 90 percent of combat fatalities occur before a casualty reaches a medical treatment facility. Therefore, the prehospital phase of care is needed to focus on reducing the number of combat deaths. However, few military physicians have had training in this area and, at the onset of hostilities, most combat medics, corpsmen, and pararescue personnel in the U.S. military have been trained to perform battlefield trauma care through civilian-based trauma courses. These courses are not designed for the prehospital combat environment and do not reflect current practices in the area of prehospital care. TCCC was created to train Soldiers and medical personnel on current best practices for medical treatment from the point of injury to evacuation to Role 3 facilities

This document provides the comprehensive list of Chinese National Standards and Industry Standards (Total 17,000 standards).

The purpose of the handbook is to provide these medical professionals a printed resource that outlines the latest techniques and procedures used by the US Army Medevac and critical care flight paramedic communities.

COVID-19 accelerated healthcare’s transition towards digital technology since it helped expand the capacity of healthcare organizations (HCOs) through extended patient access and isolation. In addition to HCOs, this transition was adopted by other participants in the healthcare ecosystem, such as independent digital health platform (DHP) vendors, self-insured employers, drug chains/pharmacy benefit managers, and insurance companies. It was not long before independent DHPs, payers, and self-insured employers realized the value of digital technology, so they increased their commitment towards this transition. The goal of this book is to help HCOs understand, prepare, implement, and leverage digital transformation. The book opines that, to be successful, digital transformation must be led and supported by senior management. Equally important is the cultural transformation of HCOs towards successful change management, which requires an evolutionary approach to continuous process improvements of increasing scope and complexity. Next, HCOs must generate a comprehensive digital transformation roadmap that aligns with their strategic plan for enhancing clinical and related capabilities while improving patient engagement. To accomplish their digital transformation, HCO management and key stakeholders must comprehend and meet prerequisite requirements for: digital health platforms, advanced information technology, and work transformation methodologies. DHPs, and associated hardware and software complements, form the foundation of digital health technologies prevalent in modern-day healthcare and have gained increasing importance since COVID-19. Advanced information technology includes concepts vital to healthcare transformation such as EHRs, interoperability, big data, artificial intelligence, natural language processing, data security, and privacy. Lastly, work transformation methodologies address work redesign that incorporates different levels of process improvements and phases of digital transformation, lean/six sigma, agile methodologies, and human factors engineering to ensure well-designed interfaces for care providers and patients. The overarching goal of this book is to provide a roadmap for US healthcare towards an organized digital transformation which will lead to improved outcomes, reduced costs, and improved patient satisfaction.

Almost nine months since the first recorded case, the novel betacoronovirus; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has now passed 18 million confirmed cases. The multi-disciplinary work of researchers worldwide has provided a far deeper understanding of COVID-19 pathogenesis, clinical treatment and outcomes, lethality, disease-spread dynamics, period of infectivity, containment interventions, as well as providing a wealth of relevant epidemiological data. With 27 vaccines currently undergoing human trials, and countries worldwide continuing to battle case numbers, or prepare for resurgences, the need for efficient, high-quality pipelines for peer-reviewed research remains as crucial as ever.