Page 43 - 2022 Spring JSOM

Triage Class 3 (Ultra-MASCAL) (see Table 24) Tactical Triage Protocol (algorithm)
■ Absolutely overwhelming number of casualties
■ Ultra-MASCAL (i.e., >100, possibly thousands of casualties) FIGURE 5 Tactical Triage Protocol
■ Threat is ongoing
■ Resources are severely limited
■ Medical personnel unable to arrive in < 1 Hour
■ Evacuation not possible in < 1 Hour

TABLE 24 Triage Class 3 Actions and Goals
<1 Hour 1–4 Hours >4 Hours
After Injury After Injury After Injury
Goals Goals Goals
• Respond to threat • Eliminate threat • Evacuate
• Self-aide, buddy • Get medical • Distribute
care personnel on scene patients
• Separate • Begin evacuation
ambulatory/non-
ambulatory
Action Action Action
• Stop external bleed • Stop external bleed • Formal triage
• Clear airway • Reserve intubation/ • Use prolonged
• Reverse intubation/ transfusion care to optimize
transfusion • Begin to establish outcomes
• Get a count CCPs • Wound/fracture
• Utilize minimals/ management
return to Duty • Utilize minimals/
return to duty

MASCAL/Austere Team Resuscitation Record
Open the attachment on the side menu or open the below link
to print or fill out electronically. https://jts.amedd.army.mil/

APPENDIX D:
DOCUMENTATION RESOURCES

The following resources and associated links are included in DD 3019 Resuscitation Record
this CPG as attachments. Open the attachment on the side menu or open the below link
■ DD 1380 TCCC Card and accompanying POI TCCC After to print or fill out electronically.
Action Report https://www.esd.whs.mil/Portals/54/Documents/DD/forms
■ DD 3019 Resuscitation Record /dd/dd3019.pdf
■ DA 4700 TACEVAC form
■ Nursing care grid (See Appendix B.) DA 4700 TACEVAC Form
■ Teleconsultation Script Open the attachment on the side menu or open the below link
to print or fill out electronically.
DD 1380 TCCC Card https://jts.amedd.army.mil/assets/docs/forms/DA4700_OP5
Open the attachment on the side menu or open the below link _JTS_TACEVAC-AAR&PCR.pdf
to print or fill out electronically. Instructions: https://jts.amedd.army.mil/assets/docs/forms
https://jts.amedd.army.mil/assets/docs/forms/DD_Form /DA4700_OP4_JTS_TACEVAC-AAR-PCR_Instruction
_1380_TCCC_Card_Jun_2014.pdf _20141002.pdf

DD 1380 – POI TCCC After Action Report Prolonged Field Care Casualty Card v22.1,
Open the attachment on the side menu or open the below link 01 Dec 2020
to print or fill out electronically. Open the attachment on the side menu or open the below link
https://jts.amedd.army.mil/assets/docs/forms/POI_TCCC to print or fill out electronically.
_AAR.pdf https://prolongedfieldcare.org/2019/06/27/version-22-of
-the-prolonged-field-care-card/

Prolonged Casualty Care Guidelines | 41