Page 50 - ATP-P 11th Ed

Table 8 PCC Role-based Guideline for Hyperthermia Management
PCC Role-based Guidance for Hyperthermia Management
SECTION 1 T T T T Complete Basic TCCC Management Plan for Hyperthermia then:
C C Role 1a
C
C
C
C
C C • Move the casualty to the shade if possible.
C
- C - C - C - • Insulate the casualty from the ground (conduction).
• Remove the casualty from a vehicle (radiation).
A C C C • If situation allows, remove the casualty’s helmet and vest (evaporation).
S L M P • Fan the casualty (convection).
M S C P • If the casualty is conscious and not vomiting, give liquids.
• Protect the casualty from exposure to sources of heat if possible.
• DO NOT give acetaminophen, aspirin, or ibuprofen for hyperthermia, only for fever.
• Prevent heat illness/injury in casualties by maintaining hydration, adding salt to food, rest-
ing in shade, staying off hot surfaces (ground or vehicle), removing tactical gear when
possible.
Role 1b
Continue and/or initiate above hyperthermia interventions.
Role 1c
Continue and/or initiate the Role 1a/Role 1b phases as detailed above.
• Perform all recommended interventions from guidelines for above tier level
• Additional interventions include:
Role 1a
• If the casualty is unconscious or vomiting, use IV/IO fluids.
• Communicate re-supply requirements.
Role 1b
Continue and/or initiate above hyperthermia interventions.
Role 1c
Continue and/or initiate the Role 1a/Role 1b phases as detailed above.
• Interventions for both CMC and CPP providers are the same.
• Ensure all interventions noted above are completed by TCCC ASM and CLS personnel.
• Conduct inventory of all resources.
• Document all pertinent information on PCC Flowsheet (attached).
• Additional interventions include:
Role 1a
• If the casualty is unconscious or vomiting, use IV/IO fluids.
• Monitor for signs and symptoms of heat exhaustion – if present: Immediately replace fluids
and electrolytes.
• Monitor for signs and symptoms of heat stroke – if present:
• Immediate cooling must be initiated.
» Minimum: Wetting clothing.
» Better: Fanning the casualty after wetting clothing.
» Best: Immersion in water.
• Casualties should eat, if possible, to prevent sodium loss, which may lead to dilutional
hyponatremia (low sodium).
• Dilutional hyponatremia may look like heat illness but is due to drinking and not eating.
• Seizures should be treated with benzodiazepines.
• Communicate re-supply requirements.
(continues)

40 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 41