Page 104 - ATP-P 11th Ed

Pearls:
a. Document all times – TCCC Card or DA4700.
SECTION 1 b. Assist Ensure the patient is stable before initiating a critical patient transfer.
c. POI/unstable patients ensure the appropriate transport team (MEDEVAC W/ECCN or
Advanced provider)
d. Interfacility transfers should meet the following minimum:
i. Hemorrhage control
ii. Resuscitation adequate (SBP 70–80mmHg, MAP >60, or UOP >0.5mL/kg/hr)
iii. Initial post-op recovery as indicated
iv. Stabilization of fractures

JOINT TRAUMA SYSTEM
CLINICAL PRACTICE GUIDELINE (JTS CPG)
Contributors
Lead Authors: Editors:
MSG Michael Remley, NRP, SO-ATP, USA MSG Michael Remley, NRP, SO-ATP, USA
SFC Paul Loos, 18D, USA Dan Mosely, MD
COL Jamie Riesberg, MC, USA
MSG (Ret) Harold Montgomery, SO-ATP, USA Shane Jensen, MC, USN COL Matthew Martin,
CAPT Brendon Drew, DO, USN MC, USA SFC
Sean Keenan, MD Justin C. Rapp, 18D, USA*
CPT John Maitha, PA-C, USA* LT Dana Flieger, RN, USN*
HMC Wayne Papalski, FP-C, USN LTC Christopher VanFosson, PhD, RN, USA
SMSgt Brit Adams, USAF, NRP, FP-C* MAJ Sabas Salgado, MC, USA
SCPO Tyler Scarborough, ATP, USN* CAPT CPT Jeffrey Maler, RN, USA CMSgt (Ret)
Michael S. Tripp, MC, USN Tom Rich, NRP, USAF Don Adams, MD
Shelia C Savell, PhD, RN MSG Kaleb Twilligear, NRP, SO-ATP, USA*
CDR Brendan Byrne, MC, USN MAJ Don L. Parsons, PA
Andrew D. Fisher, SP, ANG COL Sandra Wanek, MC, USA*
John Fruendt, MD CDR Levi Kitchen, MC, USN
Col John Wightman, USAF, MC CPT CAPT Matthew D. Tadlock, MC, USN
Steven Benavides, USA Maj Erica Simon, USAF, MC
Walter Engle, PA-C COL Cord Cunningham, MC, USA
MAJ Laura Tilley, MC, USA* COL Jennifer Gurney, MC, USA
Edward Otten, MD, FACMT CDR Col Stacy A. Shackelford, USAF, MC
*Denotes a sub-working group chair
Publication Date: 21 Dec 2021

94 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition PB