Page 68 - ATP-P 11th Ed

Table 16 Ancillary Medications Better Best
Minimum
SECTION 1 Airway Albuterol MDI Albuterol (Neb) Albuterol (Neb) +
Suctioning: Sterile water
Atrovent (Neb)
or 0.9% saline
*Antipyretic Meloxicam Acetaminophen Acetaminophen
PO/PR or IV/IO or
Ibuprofen Ketoralac IM/IV/IO
Anxiety/Behavioral See “Pain and Sedation”
DVT Prophylaxis Aspirin PO Heparin SQ Lovenox SQ
Hydration (PO) Water Water + salt + sugar Water + Gatorade
(or other oral
rehydration salt)
Hydration (IV/IO) 0.9% Saline or Lactated Plasma-Lyte
Ringers
Nausea / Vomiting Alcohol Pad (inhale Ondansetron PO or Ondansetron IV/IO or
vapor) ODT Metoclopramide IV/IO
Promethazine
GI Medications Ranitidine PO Prilosec PO Protonix IV/IO
H1/H2 Blockers IV/IO
GI – Constipation Bisacodyl PO Mirilax PO Enema
Glycerin Suppository Senna PO
Sleep Melatonin PO Diphenhydramine PO Zolpidem PO
Temazepam PO
Other Medications: Oral Care (toothbrush/tooth paste and Chapstick)
Eye drops (intubated/sedated)
Multi-Vitamins (PO daily)
Animal Bites: Rabies Vaccine and Rabies Immunoglobulin
HIV Prophylaxis (exposure from combat: civilians or enemy forces):
PEP Guidance
Regional Medications: Ensure continuing prophylaxis (malaria, etc.)
*Antipyretic: Use caution with NSAIDs with urgent or priority patients. Ensure patient can void normally (no impaired
renal function).
*Infection Prevention in Combat-related Injuries, 27 Jan 2021 CPG 18
https://jts.health.mil/assets/docs/cpgs/Infection_Prevention_in_Combat-related_Injuries_27_Jan_2021_ID24.pdf
*Sepsis Management in Prolonged Field Care, 28 Oct 2020 CPG 19
https://jts.health.mil/assets/docs/cpgs/Sepsis_Management_PFC_28_Oct_2020_ID83.pdf

58 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 59