Page 290 - PJ MED OPS Handbook 8th Ed

Appendix 3
Appendix 3. Pararescue Medical Skills Certification
PARARESCUE MEDICAL SKILLS CERTIFICATION
SCORING/GRADING GUIDE

The Pararescue Medical Skills certification’s purpose is to certify an Operator’s medical competency. The certification
is divided into two sections: a physical assessment and a cognitive discussion of protocols and medications. An Operator
must pass both sections with an 80% or above for successful certification. Points are awarded based on competency
during each event-awarded based on the knowledge presented by the Operator at the evaluator’s discretion. For sections
that are N/A to the scenario, the evaluator will ensure a verbalization of the sections is completed by the Operator
before or after the scenario, ensuring competency for all sections.
Operator Date: Total score: PASS (80% section 1&2):
Name:
/100 YES / NO
Evaluator Section 1 Score: Section 2 Score:
Name:
/60 /40
Section 1. Assessment
Task Description Notes Points Points
Available Awarded
Care Under
Fire
Return Fire, Move to Cover, Directs TQ application If not applicable to scenario, 3
verbalize appropriate actions
Tactical Field
Care
LOCs Introduces himself “Hi my name is -------- . I’m a PJ” 1
Massive Ext./junctional TQ, direct pressure, pressure dressing, combat 2
Hemorrhage gauze
Airway Use NPA/Rolls patient to recovery position if unconscious 2
Respiration Look, use stethoscope, feel chest, pulse ox & provide treatment 2
Circulation Diagnose (pulse/mental status) & treat (fluids/meds) shock 2
Head Diagnose increased ICP (AVPU, pupils, posturing, respirations) 2
Hypothermia Hypothermia prevention 2

Vital Signs Pulse RR SpO2 BP Pain 1–10 5
& Temp
AMPLE Asks AMPLE questions 5

Secondary Head to toe assessment 5
Assessment

Pain Use appropriate sequence based on casualty presentation
1. Mild to moderate: Tylenol, NSAIDs (Mobic, Motrin, or
Toradol)
2. Moderate to severe: 2
a. Hemodynamically stable: Oral: Percocet or fentanyl;
Parenteral: dilaudid or fentanyl
b. Hemodynamically unstable: ketamine IV/IO/IM

Antibiotics State indication: All open wounds 2
Wounds Steps: Remove gross debris, irrigate, debride, dress 2
Splinting Indications: Fracture, soft tissue trauma, joint instability 2

CASEVAC

Packaging Packaging: Pad boney prominences, fill the voids 2

Triage Identifies and correctly categorizes pts 2
Patient Fills out complete and legible 2
Treatment Card

288 n Pararescue Medical Operations Handbook / 8th Edition