Page 22 - PJ MED OPS Handbook 8th Ed

Documentation and Verbal Report
Documentation – use the PJ patient care card for all missions. If deployed fill out a DD Form 1380
and hand it in to the MTF if applicable. Writing must be legible and card must be thorough.

Verbal Report: Age, Time of Event, MOI, Injuries, Signs and Symptoms, Treatments Performed

Signs and symptoms should include the most recent set of vital signs. Additional information may
be requested by medical provider.

When reporting the treatments, report them in the MARCH PAWS algorithm format. Indicate both
negatives and positives in MARCH PAWS by line to ensure all items are covered.

Verbal report format covers the patient handoff as well as Telemedicine consultation.

Phase of Care Notes
Care Under Fire (CUF)
• Direct casualty
• “Return fire”
• “Move to cover” or “move to me”
• Self-apply tourniquet if extremity hemorrhage
• If casualty cannot move, devise and execute rescue plan with attention to the tactical piece
and details on how to move the patient and to where
Tactical Field Care (TFC)
• Perform MARCH PAWS
• Prep for exfil
• Tactical Evacuation (TACEVAC)
• Reassess patient and interventions
• Monitor patient and treat as needed
• Package on approach
Prolonged Field Care (PFC)
• See Chapter 5
• Nursing type skills – patient hygiene and comfort, monitoring and documentation
• Critical care skills
• Prolonged analgesia and sedation

PJ PEARLS regarding Phases of Care:
• For care under fire limit actions to
SHOOT-MOVE-TOURNIQUET-RESCUE
• For tactical field care if time and tactics are limited,
STOP THE BLEEDING, MAKE ’EM BREATHE, GET READY TO LEAVE

20 n Pararescue Medical Operations Handbook / 8th Edition