Page 148 - JSOM Fall 2019

(DD Form 1380). Forward this information with the c. Secure all loose ends of bandages and wraps.
casualty to the next level of care. d. Secure hypothermia prevention wraps/blankets/straps. We offer the 10 edition
th
22. Prepare for Evacuation e. Secure litter straps as required. Consider additional we Bring of the JSOM™ “Advanced
a. Decision to Medevac to next level of care (patient padding for long evacuations by small boats or air. Tactical Paramedic –
movement at sea may include same or even lower level f. Provide instructions to ambulatory patients as needed. Protocols Handbook
of care), to be determined by Senior Medical Author- Ensure assessed by medical personnel.
ity (SMA) and approved by the Commanding Officer, the gloBal
all dependent on tactical situation and proximity to Reference
higher level of care (ship or ashore). 1. Sperry JL, Guyette FX, Brown JB, et al. Prehospital Plasma
b. Complete and secure the TCCC Card (DD 1380) to during Air Medical Transport in Trauma Patients at Risk
the casualty. for Hemorrhagic Shock. N Engl J Med. 2018 Jul 26;379(4): medical
315–326.

*TCCC is primarily combat-related intervention. Dependent on a nation’s approval authorities, there may be circumstances whereby such inter- market
ventions may be authorized for noncombat scenarios. © 2018 Medical Sales Consultants Austria GmbH. All rights reserved.
† Spinal immobilization consideration, especially if related to blast/blunt trauma and with transportation by Casualty Clearing Teams on ship.
‡ Nasopharyngeal airway placement may not be authorized by some nations for nonclinical personnel to undertake.
§ Needle decompression in certain circumstances may be authorized to be performed by nonmedical personnel, although this would be determined
by SMA of casualty nation. to europe
¶ On ship, HPMK/blankets will vary, dependent on nation.
**Antibiotic use by nonclinical personnel may vary, dependent on host nation TCCC guidelines/orders.
†† In addition to combat related duties, in a maritime environment, sailors will be required to fight fire or flooding aboard, to ensure integrity of
ship is maintained at all cost.
‡‡ Analgesia will vary by nation, dependent on host nation TCCC guidelines/orders.

Hemostasis | Patient Transfer | Resuscitation | Tactical Equipment | Thermal Protection | Trauma

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146 | JSOM Volume 19, Edition 3 / Fall 2019