Page 13 - ATP-P 11th Ed

➤ Updated all canine treatment guidelines
➤ Added Open Globe Injury Protocol
Changes in 2016–2019: SECTION 1
➤ Updated USSOCOM Tactical Trauma protocols to reflect most CoTCCC TCCC
Guidelines for Medical Personnel dated 1 August 2019
➤ Changed recommendation to replace air with saline in endotracheal tube cuffs to
DO NOT replace air with saline in endotracheal tube cuffs
➤ Added “Only use air in the endotracheal tube cuffs. Use a cuff manometer to moni-
tor cuff pressures during air evacuation and adjust volumes as needed”
➤ Added Prolonged Field Care (PFC) Considerations
➤ Added warning that “Once you begin transfusion type O blood, if the patients’
blood type is not type O you may not switch to any other type” to the Administra-
tion of Blood and Blood Products Protocol
➤ Added field emergency donor panel questionnaire and triage tool to the Adminis-
tration of Blood and Blood Products Protocol
➤ Added warnings for the administration of calcium gluconate
➤ Corrected calcium gluconate dosage for Administration of Blood and Blood Prod-
ucts Protocol
➤ Added Golden Minute Container to Administration of Blood and Blood Products
protocol packing list
➤ Corrected calcium gluconate dosage for Crush Injury Protocol
➤ Added warnings for the administration of mannitol
➤ Changed number of vials of calcium gluconate in Crush Injury Kit
➤ Removed mannitol IV filters to the Crush Injury Kit for the safe administration of
mannitol
➤ Updated Concussion Management in Deployed Settings charts to most current ver-
sion and added new MACE2 exam chart
➤ Corrected contraindications for ketamine
➤ Removed Pneumatic Antishock Garment (PSAG)
®
➤ Standardized the wording for the administration of fosphenytoin (Cerebyx )
throughout.
➤ Revised prohibition against donating blood again for 56 days to no wait time if the
blood is reinfused into the donor
➤ Removed recommendation to administer 500mL of Hextend to blood donors and
®
replaced with; If donor is expected to perform physical labor such as in a tactical
situation. Have donor drink 500mL of oral rehydration salts (ORS) mixed in a ratio
of 1 packet in 1000mL of potable water.
➤ Added provisions and guidance to infuse an incompletely filled blood collection
bag
➤ Removed mannitol from the Crush Syndrome Protocol due to lack of practicality
➤ Modified analgesia guidelines to provide more options and to match the Pain Man-
agement Protocol (TMEPs)

2 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 3