Page 10 - 2025 Ranger Medic Handbook

Pain Management .............................................................................................................................................................. 55
Pain Management Protocol ........................................................................................................................................ 56
Procedural Analgesia .................................................................................................................................................. 57
Regional Anesthesia .......................................................................................................................................................... 58
Austere Extended Care ...................................................................................................................................................... 59
Austere Extended Care Protocol ................................................................................................................................ 61
Blood Transfusion .............................................................................................................................................................. 62
Fresh Whole Blood Transfusion (Donor Procedure) ..................................................................................................63
Fresh Whole Blood Transfusion (Recipient Procedure) ............................................................................................64
Foley Catheterization Procedure ................................................................................................................................ 65
Crush Syndrome Management..........................................................................................................................................66
Crush Protocol ............................................................................................................................................................ 67
Evacuation ..........................................................................................................................................................................68
Evacuation Protocol .................................................................................................................................................... 69
NATO MEDEVAC Request .......................................................................................................................................... 70
MIST Report ................................................................................................................................................................ 70
SIT Report ................................................................................................................................................................... 70
Evacuation Patient Packaging .................................................................................................................................... 71
Evacuation Patient Handover ..................................................................................................................................... 72
Skedco Horizontal Hoist Procedure........................................................................................................................... 73
Skedco Vertical Hoist Procedure ............................................................................................................................... 74
CBRN .................................................................................................................................................................................. 75
CBRN CCP .................................................................................................................................................................. 76
TICs/TIMs Toxic Inhalation/Eye Exposure Box ......................................................................................................... 77
Toxic Industrial Chemicals/Materials Inhalation Injury Treatment SOP ................................................................... 77
TIC/TIMS Eye Injury Treatment SOP .......................................................................................................................... 77
Chemical Casualty Triage Table ................................................................................................................................. 78
CBRN – Nerve Agents ...................................................................................................................................................... 79
CBRN – Vesicant Agents ..................................................................................................................................................80
CBRN – Cyanide Agents ..................................................................................................................................................80
CBRN – Pulmonary Agents .............................................................................................................................................. 81
CBRN Quick Reference Cards ................................................................................................................................... 82
Chemical Agent Treatment Guide .............................................................................................................................. 85
Notes............................................................................................................................................................................86
SECTION 3 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) & SICK CALL
Medical Patient Assessment ............................................................................................................................................. 88
Medical Patient Assessment Protocol ....................................................................................................................... 89
Abdominal Pain (Includes Surgical Abdomen, GERD, Dyspepsia) .................................................................................90
Allergic Rhinitis/Hay Fever Protocol ..................................................................................................................................90
Altitude Medical Emergencies ........................................................................................................................................... 91
Altitude Medical Emergency Management Protocol ................................................................................................ 92
Anaphylactic Reaction Emergencies ................................................................................................................................ 93
Anaphylactic Shock Management Protocol .............................................................................................................. 94
Asthma (Reactive Airway Disease) .................................................................................................................................... 95
Barotrauma ......................................................................................................................................................................... 95
Behavioral Emergency Management (Includes Psychosis, Depression, Suicidal Impulses)........................................96
Behavioral Emergency Management Protocol .......................................................................................................... 97
Assessment & Management of Suicidal Risk ................................................................................................................... 98
Assessment & Management of Suicidal Risk Protocol ........................................................................................... 101
Leader’s Suicide Risk Assessment Tool (L-SRAT) .................................................................................................. 102
Bronchitis .......................................................................................................................................................................... 104
Cellulitis/Cutaneous Abscess.......................................................................................................................................... 105
Chest Pain ........................................................................................................................................................................ 106
Compartment Syndrome ................................................................................................................................................. 107
Conjunctivitis .................................................................................................................................................................... 107
Constipation/Fecal Impact .............................................................................................................................................. 108
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