Page 141 - Journal of Special Operations Medicine - Summer 2014

Medical Provider TLO 8.3.1: Select appropriate OTC ELOs:
medications for a given patient population and mission profile • Identify mechanisms that are most likely to result in spi-
within medical guidelines. nal injury
• Identify mechanisms that are most likely to result in
ELOs:
• Describe how to conduct a mission analysis to determine brain injury
types and amounts of OTC medications appropriate for Medical Provider TLO 9.1.2: Demonstrate proficiency in
a given mission. (i.e. location of mission – urban vs. ru- neurologic assessment
ral, duration of mission, number of personnel involved,
need to distribute mediations to operators pre-mission, ELOs:
etc.) • Describe when and how to assess neurologic status in an
• Describe the implications of administration of OTC operational situation
medications to a patient in a tactical setting Medical Provider TLO 9.1.3: Demonstrate proficiency in
providing spine protection
Competency 8.4: Implementation of medical formulary
Medical Provider TLO 8.4.1: Utilization of a medical for- ELOs:
mulary in tactical operations. • Identify when it is appropriate to provide spinal immobi-
ELOs: lization in the tactical setting
• Describe medications likely to be needed during tactical • Describe the risks and benefits of spinal immobilization
operations and communicate those needs to the medical during tactical operations
director • Demonstrate proficiency in applying improvised spinal
• Describe the importance of communicating the implica- immobilization
tion of drug administration to the tactical commander Competency 9.2: Fracture splinting and extremity neurovas-
when it may affect mission readiness cular assessment
• Describe indications, contra-indications, allergic reac- Operator TLO 9.2.1: Demonstrate proficiency in basic
tions, cross-drug interactions and other considerations splinting of potential fractures or dislocations
for approved formulary medications
• Establish and implement procedures for accountability, ELOs:
• Identify when splinting is needed and tactically feasible
expiration rotation, disposal of expired medications
• Demonstrate basic splinting techniques
DOMAIN 9: Casualty Immobilization Medical Provider TLO 9.2.1: Demonstrate proficiency in
orthopedic injury management, including splint application
Competency 9.1: Evaluation and management of suspected and traction splinting in the tactical environment
central nervous system (CNS) or spine injuries
Operator TLO 9.1.1: Demonstrate proficiency in the recog- ELOs:
nition of common mechanisms of CNS/spine injuries • Identify when splinting is tactically feasible
ELOs: • Identify the most appropriate splint (eg, standard, trac-
• Identify mechanisms that are most likely to result in spi- tion, pelvic binder) given the tactical situation
nal injury • Describe the use of commercial and improvised splinting
• Identify mechanisms that are most likely to result in materials
brain injury
DOMAIN 10: Medical Planning
Operator TLO 9.1.2: Demonstrate proficiency in neuro-
logic assessment Competency 10.1: Medical planning and analysis of medical
intelligence
ELOs: Operator TLO 10.1.1: Understand the role of medical
• Describe when it is necessary to assess neurologic status planning and its importance for individual health and mission
• Demonstrate assessment of mental status of a casualty completion
(e.g., ability to follow commands) ELOs:
• Demonstrate assessment of extremity movement • State common threats during an operational mission in-
Operator TLO 9.1.3: Demonstrate proficiency in providing cluding: hostile threats, safety risks, and environmental
manual spine protection threats
• Identify the impact of special populations on the
ELOs: operation
• Identify when it is tactically feasible to provide spinal • Describe the elements of the medical plan, including
immobilization medical assets and the integration with public safety and
• Describe the risks and benefits of spinal immobilization public health resources
during tactical operations • Describe the importance of identifying health threats
• Describe how the circumstances can change the risks • Describe the importance of integrating prevention and
and benefits of spinal immobilization during tactical risk mitigation into operation plans
operations
• Demonstrate proficiency in applying manual spinal Medical Provider TLO 10.1.1: Define the components of a
immobilization medical plan for tactical operations
Medical Provider TLO 9.1.1: Demonstrate proficiency in
the recognition of common mechanisms of CNS/spine injuries (continues)

National Consensus for TEMS Training Programs 131