Page 84 - ATP-P 11th Ed

Table 20 Cont.
Intervention Paradigm
SECTION 1 Secure • Minimum: Tape:
» Securely tape all interventions to include IVs, IOs, airway interventions, gas-
Interventions
tric tubes and TQs).
and Equipment
» Oxygen tanks should be placed between the patients’ legs and the monitor
should be secured on the oxygen cylinder to prevent injury to the patient.
» Pumps should be secured to the litter.
• Better: Additional litter straps to secure equipment and extend the litter with
back support as indicated for vented patients to prevent VAP
• Best: Above. Use the Special Medical Emergency Evacuation Device
(SMEED) to keep the monitor and other transport equipment off patient.
Prepare • AE and Other MEDEVAC assets do not routinely change dressings during
Dressings transport; therefore, ensure all dressings are changed, labeled, and secured be-
fore patient pick up.
• Minimum: Secure and reinforce dressings with tape, date, and time all dressings.
• Better: Change dressings within 24 hours of departure, secure as above.
• Best: Change and reinforce dressings within 4 hours of departure. Ensure ad-
ditional Class VIII is available for any unforeseen issues in flight.
• CAUTION: Circumferential/constricting dressings MUST be limited/moni-
tored due to swelling during prolonged aerial transport.
Secure the • Minimum: Litter with minimum of 2 litter straps.
Patient • Better: Litter with padding (example: AE pad or Sleep Mat) with minimum
of 3 litter straps.
• Best: Litter with padding and flight approved litter headrest with minimum of
3 litter straps.
• Additional litter straps can be used to secure patient or equipment.
Moving a • Minimum: Two-person litter carry to CASEVAC/MEDEVAC platform.
Critical Care • Better: Three-person litter carry to CASEVAC/MEDEVAC platform.
Patient • Best: Four-person litter carry to CASEVAC/MEDEVAC platform.
*Interfacility Transport of Patients between Theater Medical Treatment Facilities, 24 Apr 2018 CPG
https://jts.health.mil/assets/docs/cpgs/Interfacility_Transport_of_Patients_between_Theater_Medical_Treatment_
Facilities_24_Apr_2018_ID27.pdf

74 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 75