Us Army Medevac Critical Care Flight Paramedic Standard Medical Operating Guidelines Smog

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.

CONTENTS: 1. U.S. ARMY MEDEVAC CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES - CY20 Version Published January 2020, 278 pages 2. TCCC Guidelines for Medical Personnel - 1 August 2019, 24 pages 3. Joint Trauma System Clinical Practice Guideline Special Edition v2.0 - Management of COVID-19 in Austere Operational Environments (Prehospital & Prolonged Field Care) - 28 May 2020, 40 pages 4. DoD C-19 PRACTICE MANAGEMENT GUIDE - Clinical Management of COVID-19, 124 pages 5. COVID-19 Considerations in the Deployed Setting (Presentation) - 27 May 2020, 35 pages INTRODUCTION The STANDARD MEDICAL OPERATING GUIDELINES (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 (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.

CONTENTS: 1. U.S. ARMY MEDEVAC CRITICAL CARE FLIGHT PARAMEDIC STANDARD MEDICAL OPERATING GUIDELINES 2. Tactical Evacuation After Action Report & Patient Care Record 3. INSTRUCTIONS: DA Form 4700 OP4, Tactical Evacuation (TACEVAC) After Action Report (AAR) and Patient Care Record (PCR) [MEDICAL RECORD-SUPPLEMENTAL MEDICAL DATA] 4. DD Form 1380 TACTICAL COMBAT CASUALTY CARE (TCCC) CARD 5. JOINT TRAUMA SYSTEM DEVELOPMENT, CONCEPTUAL FRAMEWORK, AND OPTIMAL ELEMENTS 6. The United States Military Joint Trauma System Assessment: A Report Commissioned by the US Central Command Surgeon Sponsored by Air Force Central Command A Strategic Document to Provide a Platform for Tactical Development (2018) INTRODUCTION This current set of medical guidelines has gone through some significant improvements since the original release in 2014 and were developed through a 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, Committee of En Route Combat Casualty Care and the Committee of Tactical Combat Casualty Care. Our shared goal is to ensure excellent en route care that is standard 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. The CCFP Program Office facilitates appropriate training and medical education to the CCFP providers. The CCFP program of instruction ensures the appropriate skills and knowledge required for CCFPs to apply these medical guidelines during aeromedical evacuation. Unit medical trainers and medical directors should evaluate CCFPs ability to follow and execute the medical instructions herein. These medical guidelines are intended to guide Critical Care Flight Paramedics (CCFP) and prehospital professionals in the response and management of emergencies and the care and treatment of patients in both garrison and theater of war 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.

COURSE DESCRIPTION: During this 8-week course, you will have a mix of classroom and field training. Emphasis is placed on learning field medicine by using the principles of Tactical Combat Casualty Care (TCCC). This includes familiarization with USMC organization and procedures, logistics, and administrative support in a field environment. Additionally, training will include general military subjects, individual and small unit tactics, military drills, physical training/conditioning, and weapons familiarization with the opportunity to fire the M16/M4 service rifle. Completion of FMST results in the student receiving Navy Enlisted Classification HM-L03A. See “Student Material” to download a copy of the Student Manual that you will use during your training. CONTENTS: 1. TCCC Guidelines for Medical Personnel, 15 December 2021, 19 pages 2. JTS Clinical Practice Guidelines, 2,222 total pages - current as of 16 December 2022 3. FIELD MEDICAL SERVICE TECHNICIAN FMST, 2021, 3,252 pages

Prepare for certification as a flight and ground transport nurse! ASTNA: Patient Transport: Principles & Practice, 6th Edition addresses the scenarios and injuries commonly encountered in transport nursing, and provides a comprehensive, one-of-a-kind study tool for taking certification exams including the CFRN®, CTRN®, FP-C®, and CCP-C®. Coverage includes the role of air and ground transport personnel, along with topics such as transport physiology, communications, teamwork, safety, airway management, shock, and the different types of trauma. New to this edition is an Aviation for Medical Personnel chapter. Written by the Air & Surface Transport Nurses Association, this resource helps you gain the knowledge and skills you need to succeed on your exam and to transport patients safely. In-depth coverage of expert care delivery in transport meets the needs of all healthcare providers including registered nurses, paramedics, physicians, respiratory therapists, pilots, mechanics, and communication specialists. Real-life scenarios demonstrate how to apply concepts to situations similar to those seen in practice. Information on important safety regulations is based on the latest updates from the Federal Aviation Association and the National Transportation Safety Board. Coverage of injuries commonly encountered in flight and ground nursing includes discussions of pathophysiology, assessment, planning, implementation, and evaluation. Detailed coverage of management issues include scene management, communication, safety, disaster management/triage, quality management, and marketing/public relations. Focus on interprofessionalism and collaboration emphasizes the importance of teamwork in ensuring successful patient outcomes. Evolve website includes 350 questions and answers mapped to the CRFN®/CTRN® exams for additional preparation. NEW! New Aviation for Medical Personnel chapter is written from the perspective of a veteran transport pilot, and provides valuable information on the idiosyncrasies, tips, and tricks about transport aircraft transport. NEW! Updated and new content on diversity and inclusion covers this timely issue — both among colleagues and patients. NEW! Additional information on technology used in transport nursing/critical care includes topics such as point-of-care ultrasound (POCUS). NEW! Content on COVID-19 as it relates to trauma transport is included. NEW! More philosophical, psychological, and wellness-associated content is added.

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.

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.

Ships operating in the Arctic and Antarctic environments are exposed to a number of unique risks. Poor weather conditions and the relative lack of good charts, communication systems and other navigational aids pose challenges for mariners. The remoteness of the areas makes rescue or clean-up operations difficult and costly. Cold temperatures may reduce the effectiveness of numerous components of the ship, ranging from deck machinery and emergency equipment to sea suctions. When ice is present, it can impose additional loads on the hull, propulsion system and appendages. The Guidelines for ships operating in polar waters aim at mitigating the additional risk imposed on shipping in the harsh environmental and climatic conditions that exist in polar waters. This publication should be of interest to maritime administrations, ship manufacturers, shipping companies, cruise and tour operators, education institutes and others concerned with the safe operation of ships in polar waters.