Page 34 - ATP-P 11th Ed

7. Implement team wake, rest, chow plan.
The medic and each of their first responders should make all efforts to take care of
SECTION 1 8. Anticipate resupply and electrical issues
each other by insisting on short breaks for rest, food, and mental decompression.
9. Perform periodic mini rounds assessments.
Stepping back from the immediate care of the patient periodically and re-engaging
with a mini patient round and review of systems can allow the medic to recognize
changes in the condition of the patient and reprioritize interventions.
a. Is the patient stable or unstable?
b. Is the patient sick or not sick?
c. Is the patient getting better or getting worse?
d. How is this assessment different from the last assessment?
10. Obtain and interpret lab studies.
When available, labs may be used to augment these trends and physical exam findings
to confirm or rule out probable diagnoses.
11. Perform necessary surgical procedures.
The decision to perform invasive and surgical interventions should consider both risks
and benefit to the patient’s overall outcome and not merely the immediate goal.
12. Prepare for transportation or evacuation care.
If the medic is caring for the patient over a long tactical move or strategic evacua-
tion, they should be prepared with ample drugs, fluids, supplies and be ready for all
contingencies in flight.
13. Prepare documentation for patient handover.
The preparation for transportation and evacuation care should begin immediately
upon assuming care for the patient and should include hasty and detailed evacuation
requests up both the medical and operational channels with the goal of getting the
patient to the proper role of care as soon as possible.
Guideline User Notes
PCC operational context uses the following paradigm for phases of care for different peri-
ods of time one is in a PCC scenario:
Table 1 Roles of Care
Role Definition Time Period
1a Carried/Point of Need/Ruck <1 Hour
1b Mission-specific transportation platform/Truck 1–4 Hours
1c Mission support site/House >4 Hours
1d Evacuation platform/Plane (as planned or available) No Timeframe

24 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 25