Page 8 - 2021 Advanced Ranger First Responder Handbook

STANDING ORDERS AND PROTOCOLS
As published, these standing orders and protocols will be used ONLY by
Ranger Advanced First Responders currently assigned to the 75 th Ranger Regiment who have
demonstrated competency and successfully completed an ARFR course prior to deployment.

Purpose
The primary purpose of these protocols is to serve as a guideline for tactical and nontactical prehospital trauma and medi-
cal care. Quality out-of-hospital care is the direct result of comprehensive education, accurate patient assessment, good
judgment, and continuous quality improvement. The protocols contained within this handbook make the following specific
assumptions on when and how they are employed.
Medical Director approved medication regimens are designed to provide the ARFR with the ability to rapidly treat trauma
patients in the absence of a Ranger Medic, without compromising standards of care. Appropriate documentation of diag-
nosis and treatment rendered in the patient’s medical record will be accomplished when the unit returns to their forward
operating base.
Unit protocols are not designed to conduct Medical/Civic Action (MEDCAP) missions independently. Evacuation recom-
mendations are based on the appropriate therapy per protocol being initiated upon diagnosis. The definitions of Ur-
gent, Priority, and Routine evacuations are based on the times found in Joint Publication 4-02.2 of 2, 4, and 24 hours,
respectively.
Emergency, trauma, and tactical medicine continues to evolve at a rapid pace. Accordingly, this document is subject to
change as new information and guidelines become available and are accepted by the medical community. The ARFR must
continuously expand and sustain his knowledge base.

Standing Orders and Protocols
These standing orders and protocols are ONLY for use by Advanced Ranger First Responders while providing emergency
care under the license of their medical director. ARFRs who are authorized to operate under the Trauma Management
Team guidelines may not utilize these standing orders outside of their military employment. Revocation of privileges will be
considered by the granting authority if these standards are violated.