Page 10 - 2022 Ranger Medic Handbook

Pain Management .............................................................................................................................................................. 55
Pain Management Protocol ........................................................................................................................................ 56
Procedural Analgesia .................................................................................................................................................. 57
Regional Anesthesia .......................................................................................................................................................... 58
Austere Extended Care ...................................................................................................................................................... 59
Austere Extended Care Protocol ................................................................................................................................ 61
Blood Transfusion .............................................................................................................................................................. 62
Fresh Whole Blood Transfusion (Donor Procedure) ..................................................................................................63
Fresh Whole Blood Transfusion (Recipient Procedure) ............................................................................................64
Foley Catheterization Procedure ................................................................................................................................ 65
Crush Syndrome Management..........................................................................................................................................66
Evacuation .......................................................................................................................................................................... 67
Evacuation Protocol ....................................................................................................................................................68
NATO MEDEVAC Request .......................................................................................................................................... 69
MIST Report ................................................................................................................................................................ 69
SIT Report ................................................................................................................................................................... 69
Evacuation Patient Packaging .................................................................................................................................... 70
Evacuation Patient Handover ..................................................................................................................................... 71
Skedco Horizontal Hoist Procedure........................................................................................................................... 72
Skedco Vertical Hoist Procedure ............................................................................................................................... 73
CBRN .................................................................................................................................................................................. 74
CBRN CCP .................................................................................................................................................................. 75
TICs/TIMs Toxic Inhalation/Eye Exposure Box ......................................................................................................... 76
Toxic Industrial Chemicals/Materials Inhalation Injury Treatment SOP ................................................................... 76
TIC/TIMS Eye Injury Treatment SOP .......................................................................................................................... 76
Chemical Casualty Triage Table ................................................................................................................................. 77
CBRN – Nerve Agents ...................................................................................................................................................... 78
CBRN – Vesicant Agents .................................................................................................................................................. 79
CBRN – Cyanide Agents .................................................................................................................................................. 79
CBRN – Pulmonary Agents ..............................................................................................................................................80
CBRN Quick Reference Cards ................................................................................................................................... 81
Chemical Agent Treatment Guide .............................................................................................................................. 84
Notes............................................................................................................................................................................ 85
SECTION 3 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) & SICK CALL
Medical Patient Assessment ............................................................................................................................................. 87
Medical Patient Assessment Protocol ....................................................................................................................... 88
Abdominal Pain (Includes Surgical Abdomen, GERD, Dyspepsia) ................................................................................. 89
Allergic Rhinitis/Hay Fever Protocol .................................................................................................................................. 89
Altitude Medical Emergencies ...........................................................................................................................................90
Altitude Medical Emergency Management Protocol ................................................................................................ 91
Anaphylactic Reaction Emergencies ................................................................................................................................ 92
Anaphylactic Shock Management Protocol .............................................................................................................. 93
Asthma (Reactive Airway Disease) .................................................................................................................................... 94
Barotrauma ......................................................................................................................................................................... 94
Behavioral Emergency Management (Includes Psychosis, Depression, Suicidal Impulses)........................................ 95
Behavioral Emergency Management Protocol ..........................................................................................................96
Assessment & Management of Suicidal Risk ................................................................................................................... 97
Assessment & Management of Suicidal Risk Protocol ........................................................................................... 100
Leader’s Suicide Risk Assessment Tool (L-SRAT) .................................................................................................. 101
Bronchitis .......................................................................................................................................................................... 103
Cellulitis/Cutaneous Abscess.......................................................................................................................................... 104
Chest Pain ........................................................................................................................................................................ 105
Compartment Syndrome ................................................................................................................................................. 106
Conjunctivitis .................................................................................................................................................................... 106
Constipation/Fecal Impact .............................................................................................................................................. 107