Page 294 - PJ MED OPS Handbook 8th Ed

Frostbite Demonstrate knowledge Dx:
of the diagnosis and 1. Hard, white tissue – frozen
treatment of the protocol
based on the Task Rx:
Standard and the PJ Med 1. Keep warm 2
Handbook 2. Only rewarm in 102° water if no risk of refreezing
3. Gauze/cotton between digits
4. Do not rub
5. Analgesics when rewarming
Hypothermia Demonstrate knowledge Dx:
of the diagnosis and 1. Mild: shivering, alert
treatment of the protocol 2. Moderate: stop shivering, confused/obtunded
based on the Task 3. Severe: coma
Standard and the PJ Med
Handbook Rx: 2
1. Insulate from ground
2. Remove wet clothes
3. Cover
4. Actively warm if able
5. For Severe Hypothermia, use care to be gentle due to risk of
ventricular fibrillation
Hyperthermia Demonstrate knowledge Dx:
of the diagnosis and 1. Cramps
treatment of the protocol 2. Exhaustion
based on the Task 3. Stroke/CNS findings (emergency)
Standard and the PJ Med 2
Handbook Rx:
1. Shade/cool the casualty
2. Hydrate
3. If stroke/CNS deficiencies present–actively cool
Dive Medical Demonstrate knowledge Dx:
Emergencies of the diagnosis and 1. Musculoskeletal or joint pain
treatment of the protocol 2. Skin – marble rash, hives, edema, itching, blotching, pain,
based the Task Standard discomfort
and the PJ Med 3. Neuro symptoms & abnormal neurologic exam
Handbook 4. Pulmonary – dyspnea, dry cough 2
5. Cardiac – substernal chest pain, hypotension

Rx:
1. ABCs & 100% O2
2. Evacuate to a Dive Chamber
80% to Pass Section 2 Total (Min 32) 40

292 n Pararescue Medical Operations Handbook / 8th Edition