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ii. Pupils are fixed and dilated. This is not applicable in the setting of lightning
strikes or in the presence of drugs that cause pupil dilatation.
iii. No response to deep pain above or below the clavicles
iv. Absence of end-tidal CO (either colorimetric or wave form) from a correctly
2
placed endotracheal tube or alternative airway.
v. Absence of cardiac activity on ultrasound examination.
3. If there is any question as to the discontinuation of resuscitative efforts, then a medical
officer should be contacted for guidance.
SECTION 2 Disposition
1. Evacuation of the remains when tactically feasible.
2. In the event of return of spontaneous circulation, Urgent Evacuation.
212 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 213

