Page 396 - ATP-P 11th Ed

c. Communicate with the established evacuation system for that specific locale to
arrange TACEVAC. Provide mechanism of injury, injuries sustained, identified
signs/symptoms, current status, and treatments/medications administered to medi-
cal providers on evacuation platform. Ensure receiving medical providers are
aware of the need to have canine Handler or assigned escort accompany the casu-
alty for management.
i. K9TCCC recommends the use of S-MIST reporting for MWD casualties. The
MIST report is not a formal part of the US Standard MEDVAC request. It is
supplemental to a MEDEVAC request and should be sent as soon as possible,
but should not delay the MEDEVAC mission. The MIST report is also a verbal
exchange between the current provider and the next level of care. For example,
when a ground medic hands a patient off to a flight medic, he gives the MIST
report along with the TCCC/canine TCCC card.
(a) S-MIST is a simple yet thorough and efficient way to convey the salient
details of a patient’s status. Stated another way, it is a succinct format to
communicate the status and treatment performed so the next Role of care
knows what they need to know for immediate treatment.
(b) S-MIST Report:
• S- Stable or Unstable
• M – Mechanism of Injury: A brief description of the MOI and time of
injury (if known).
• I – Injury or Illness: A brief description of the injuries sustained starting
SECTION 4 • S – Symptoms and Vital Signs: A – Airway Status, B – Breathing Rate,
with the most serious first. Highlight life-threatening injuries.
C – Pulse Rate, D – Conscious/Unconscious, E – Other signs
• T – Treatment given: Treatments rendered; medications given.
17. Cardiopulmonary Resuscitation (CPR)
a. CPR within a tactical or high-threat environment for victims of blast or penetrating
trauma who have no pulse, no ventilations, and no other signs of life is not often
successful
b. Bilateral needle decompression (See number 3) for MWDs suffering torso or poly-
trauma with no respirations or pulse should be performed to verify that tension
pneumothorax is not the cause of cardiac arrest. This should be completed prior to
determining if CPR should be initiated or continued
18. Documentation of Care
a. Complete the Canine Tactical Combat Casualty Care Card. Request general infor-
mation from Handler or assigned escort. Document evacuation category, evacua-
tion type, mechanism of injury, treatments, and medications administered.
b. Update the signs and vital parameters every 5 minutes for critical/unstable MWD
casualties every 15 minutes for stable, non-critical canine casualties.

386 SECTION 4 CANINE/K9 TACTICAL COMBAT CASUALTY CARE GUIDELINES (C-TCCC)