Page 102 - ATP-P 11th Ed

Hypothermia Management
Good: Blankets
SECTION 1 Better: Sleep system and blankets
Best: HPMK with Ready Heat or Absorbent Patient Litter System (APLS)
Flight Stressor/ Altitude Management
Good: Ear Protection and Eye Protection, if nothing available sunglasses and gauze may
be used, if patient is sedated and intubated eyes can be taped shut
Better: Ear Pro and Eye Pro and blankets in all bony areas, Ear Protection and Eye Protec-
tion – foamies or actual hearing protection inserts, goggles
Best: Above with gastric tube (NG/OG) or chest tube for decompression, if indicated. De-
pending on altitude/platform, consider bleeding air of out bags of fluid.
Secure Interventions and Equipment
Good: Tape (securely tape all interventions to include IVs, IOs, Airway interventions,
Gastric Tubes and TQs). Oxygen tanks should be placed between the patient’s legs and the
monitor should be secured on the oxygen cylinder to prevent injury to the patient. Pumps
should be secured to the litter
Better: Additional litter straps to secure equipment and extend the litter with back support
as indicated for vented patients to prevent VAP.
Best: Above and use the SMEED to keep the monitor and other transport equipment off
patient
*if possible, identify with tape the location of interventions or access points on top of hypo-
thermia management to allow transport teams quick identification of location.
Prepare Dressings
Air Evacuation and other MEDEVAC assets do not routinely change dressings during
transport; therefore, ensure all dressings are changed, labeled, and secured before patient
pick up
Good: Secure and reinforce dressings with tape, date, and time all dressings.
Better: Change dressings within 24 hours of departure, secure as above.
Best: Change and reinforce dressings within 4 hours of departure. Ensure additional Class
VIII is available for any unforeseen issues in flight.
Secure the Patient
Good: Litter with minimum of 2 litter straps
Better: Litter with padding (example: AE pad or Sleep Mat) with minimum of 3 litter
straps
Best: Litter with padding and flight approved litter headrest with minimum of 3 litter straps
(additional litter straps can be used to secure patient or equipment)

92 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 93