Page 92 - ATP-P 11th Ed
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APPENDIX D: DOCUMENTATION RESOURCES
SECTION 1 The following resources and associated links are included in this CPG as attachments.
a. DD 1380 TCCC Card and accompanying POI TCCC After Action Report
b. DD 3019 Resuscitation Record
c. DA 4700 TACEVAC form
d. Nursing care grid (See Appendix B)
e. Teleconsultation Script
DD 1380 TCCC Card
Open the attachment on the side menu or open the below link to print or fill out electronically.
https://jts.health.mil/assets/docs/forms/DD_Form_1380_TCCC_Card_Jun_2014.pdf
DD 1380 - POI TCCC After Action Report
Open the attachment on the side menu or open the below link to print or fill out electronically.
https://jts.health.mil/assets/docs/forms/POI_TCCC_AAR.pdf
DD 3019 Resuscitation Record
Open the attachment on the side menu or open the below link to print or fill out electronically.
https://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd3019.pdf
DA 4700 TACEVAC Form
Open the attachment on the side menu or open the below link to print or fill out electronically.
https://jts.health.mil/assets/docs/forms/DA4700_OP5_JTS_TACEVAC-AAR&PCR.pdf
Instructions: https://jts.health.mil/assets/docs/forms/DA4700_OP4_JTS_TACEVAC-AAR
-PCR_Instruction_20141002.pdf
Prolonged Field Care Casualty Card v22.1, 01 Dec 2020
Open the attachment on the side menu or open the below link to print or fill out electronically.
https://jts.health.mil/assets/docs/forms/Prolonged_Field_Care_Casualty_Card-Worksheet.pdf
82 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 83

