Page 101 - ATP-P 11th Ed

APPENDIX F: LOGISTICS RESOURCES
Prolonged Field Care – Patient Packaging, 11 Aug 2021
Patient packaging is highly dependent upon the Casualty Evacuation (CASEVAC)/Medi- SECTION 1
cal Evacuation (MEDEVAC) platform that is operationally available. If possible, rehearse
patient packaging internally and with the external resources. Train with MEDEVAC assets
understand transporting teams’ standard operating procedures in order to best prepare the
patient for transport. (Example some teams want to secure the patient and interventions
themselves while others may be okay with a fully wrapped patient).
Ensure the patient is stable before initiating a critical patient transfer. For POI/un-
stable patients ensure the appropriate transport team (MEDEVAC with enroute critical care
nurse or advanced provider).
Interfacility transfers should meet the following minimum:
1. Hemorrhage control
2. Resuscitation adequate (SBP 70–80mmHg, MAP >60, or UOP >0.5mL/kg/hr)
3. Initial post-op recovery as indicated
4. Stabilization of fractures
Prepare Documentation
Good: TCCC Card – DA1380
Better: Prolonged Field Care Casualty Work Sheet
Best: PFC Card with TCCC Card and any additional information, reference DA Form 4700
(SMOG 2021) for transport documentation standard
*Preference: secure to patient strip of 3in Tape with medications administered attached to
blanket or HPMK
Prepare Report
Report should give highlights, expected course, and possible complications during trans-
port. The hand-off is the most dangerous time for the patient it is as important as treatments
or medications. If it is rushed things can easily be missed.
Good: Verbal report describing the patient from head to toe with a SOAP note.
Best: MIST (Mechanism, Interventions, Symptoms, Treatments)
Better: MIST with appropriate SBAR (Situation, Background, Assessment, Recommen-
dations) and pertinent labs and other diagnostic information
Prepare Medications
Good: Prepare medication list with doses and time of next dose
Better: Above with additionally preparing next dose of medication for transport crew ap-
propriately labeled.
Best: Above with fresh IV fluids if indicated and fresh bags of drip medications with ap-
propriate labeling and 72 hours of antibiotic for extended transports.
90 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 91