Page 33 - ATP-P 11th Ed

Figure 1 Steps of PCC Principles SECTION 1

1. Perform initial lifesaving care using TCCC guidelines and continue resuscitation.
The foundation of good PCC is mastery of TCCC and a strong foundation in clinical
medicine.
2. Delineate roles and responsibilities, including naming a team leader.
A leader should be appointed who will manage the larger clinical picture while assis-
tants focus on attention intensive tasks.
3. Perform comprehensive physical exam and detailed history with problem list and
care plan. After initial care and stabilization of a trauma or medical patient, a detailed
physical exam and history should be performed for the purpose of completing a com-
prehensive problem list and corresponding care plan.
4. Record and trend vital signs.
Vital signs trending should be done with the earliest set of vital signs taken and contin-
ued at regular intervals so that the baseline values can be compared to present reality on
a dedicated trending chart.
5. Perform a teleconsultation.
As soon as is feasible, the medic should prepare a teleconsultation by either filling out
a preformatted script or by writing down their concerns along with the latest patient
information.
6. Create a nursing care plan.
Nursing care and environmental considerations should be addressed early to limit any
provider-induced iatrogenic injury.

22 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 23