Page 148 - Journal of Special Operations Medicine - Fall 2017
P. 148
Plans/Recommendations
PRIORITY SYSTEM/PROBLEM RECOMMENDATION
Neuro or problem #1
CV or problem #2
Pulm or problem #3
GI or problem #4
Renal or problem #5
Endocrine or problem #6
MSK/ Wound or problem #7
Tubes, lines, drains or problem
#8
Prophylaxis/prevention or
prob#9
Other
TO-DO/ FOLLOW-UP/TO-STOP NOTES
1.
2.
3.
4.
5.
6.
*** PAUSE POINT, for Medic/Local Caregiver to ask clarification questions/READBACK***
Available “kit” (supplies, equipment, medications) !! IF POSSIBLE PHOTOGRAPH AND SEND VIA EMAIL BEFORE CALLING !!
Commo: Tempus i2i ID: SAT#/Local Cell# I
Other (FaceTime, VSee, Skype, WhatsApp ,etc.):I
IV access: IV Central line IO (location) Other:I
Monitor: Propaq Tempus Foley Graduated urinal PulseOx only Exam Only
Other:I
IV Fluids: Plasma-Lyte LR Normal Saline 3% saline Other:I
Colloids: Hetastarch Albumin Other:I
Blood products: Whole blood PRBC Plasma FDP Platelets Other:I
Medications: Antibiotics: name/route/doseI
Morphine IV/ PO Other opioid (name/ IV/ PO):I
Fentanyl IV/ PO (pop) Ketamine
Midazolam Diazepam (IV/ PO)
TXA Other(s):I
Airway/Breathing: ETT Cric kit LMA BVM O2 Suction (type):I Ventilator(model): I
Miscellaneous:
144 | JSOM Volume 17, Edition 3/Fall 2017
