Page 83 - ATP-P 11th Ed

Table 20 Logistics Interventions
Intervention Paradigm
Prepare • Minimum: TCCC Card – DA1380
Documentation • Better: Prolonged Field Care Casualty Work Sheet SECTION 1
• Best: PCC Card with TCCC Card and any additional information, reference
DA Form 4700 (SMOG 2021) for transport documentation standard.
Prepare Report • Report should give highlights, expected course, and possible complications
during transport.
• The hand-off is the most dangerous time for the patient; it is as important as
treatments or medications.
• If it is rushed, things can easily be missed.
• Make sure you highlight non-obvious interventions and aspects of care (drugs
given, repeat doses, etc.).
• Minimum: Verbal report describing the patient from head to toe with interven-
tions or a SOAP note.
• Better: MIST (Mechanism, Interventions, Symptoms, Treatments)
• Best: MIST with appropriate SBAR (Situation, Background, Assessment, Rec-
ommendations) and pertinent labs and other diagnostic information
Prepare • Minimum: Prepare medication list with doses and time of next dose.
Medications • Better: Above with additionally preparing next dose of medication for trans-
port crew appropriately labeled.
• Best: Above with fresh IV fluids if indicated and fresh bags of drip medications
with appropriate labeling and 72 hours of antibiotic for extended transports.
Hypothermia • Minimum: Blankets
Management • Better: Sleep system and blankets.
• Best: HPMK with Ready Heat or Absorbent Patient Litter System (APLS).
• If possible, identify with tape the location of interventions or access points on
top of hypothermia management to allow transport teams quick identification
of location.
Flight Stressor/ • Minimum: Ear Protection and Eye Protection, if nothing available sunglasses
Altitude and gauze may be used, if patient is sedated and intubated eyes can be taped
Management shut.
• Better: Ear Pro and Eye Pro and blankets in all bony areas, Ear Protection and
Eye Protection – foam ear plugs or actual hearing protection inserts, goggles.
• Best: Above with gastric tube (NG/OG) or chest tube for decompression, if
indicated. Depending on altitude/platform, consider bleeding air of out bags
of fluid.
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72 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 73