Page 9 - 2022 Ranger Medic Handbook

Contents

SECTION 1 THE RANGER MEDIC & CASUALTY RESPONSE SYSTEMS
Foreword ............................................................................................................................................................................... 2
Ranger Medic Charter .......................................................................................................................................................... 3
Regimental Medical Charter ................................................................................................................................................ 3
Senior Enlisted Medical Advisor (SEMA) Duties & Responsibilities .................................................................................. 4
Scope of Practice ............................................................................................................................................................... 5
8 Critical RFR Tasks ...................................................................................................................................................... 5
Standing Orders and Protocols ........................................................................................................................................... 7
Tactical Combat Casualty Care (TCCC) ............................................................................................................................ 10
Notes............................................................................................................................................................................ 12
SECTION 2 PRIMARY TRAUMA PROTOCOLS
Triage .................................................................................................................................................................................. 14
Tactical Triage Protocol .............................................................................................................................................. 15
Tactical Trauma Assessment ............................................................................................................................................. 16
Tactical Trauma Assessment ...................................................................................................................................... 17
Hemorrhage Management ................................................................................................................................................. 18
Hemorrhage Control Protocol .................................................................................................................................... 19
Tourniquet Application Procedure ............................................................................................................................. 20
Tourniquet Conversion Procedure ............................................................................................................................. 21
Airway Management .......................................................................................................................................................... 22
Airway Management Protocol .................................................................................................................................... 23
Surgical Cricothyroidotomy Procedure ..................................................................................................................... 24
Thoracic Trauma Management .......................................................................................................................................... 25
Thoracic Trauma Management Protocol ................................................................................................................... 26
Needle Chest Decompression Procedure ................................................................................................................. 27
Chest Tube Insertion and Finger Thoracostomy Protocol ........................................................................................ 28
Tactical Damage Control Resuscitation ............................................................................................................................ 29
Tactical Damage Control Resuscitation Protocol ..................................................................................................... 30
Shock Management ........................................................................................................................................................... 31
Saline Lock & Intravenous Access Procedure ........................................................................................................... 32
External Jugular Intravenous Cannulation Procedure .............................................................................................. 33
Sternal Intraosseous Infusion Procedure .................................................................................................................. 34
Intraosseous Infusion Procedure (Non-Sternal) ........................................................................................................ 35
Hypothermia Prevention & Management Kit Procedure ........................................................................................... 36
Head Trauma ...................................................................................................................................................................... 37
Head Trauma Management Protocol ......................................................................................................................... 38
Concussion ......................................................................................................................................................................... 39
Concussion Management Protocol ........................................................................................................................... 40
Abdominal Trauma ............................................................................................................................................................. 41
Abdominal Trauma Management Protocol ................................................................................................................ 42
Blast Injury Assessment .................................................................................................................................................... 43
Eye Injury ............................................................................................................................................................................ 44
Eye Injury Management Protocol ............................................................................................................................... 45
Lateral Canthotomy .................................................................................................................................................... 46
Seizures .............................................................................................................................................................................. 47
Seizure Management Protocol ................................................................................................................................... 48
Spinal Cord Injury Management ........................................................................................................................................ 49
Spinal Cord Injury Management Protocol ................................................................................................................. 50
Orthopedic Trauma ............................................................................................................................................................ 51
Orthopedic Trauma Management Protocol ............................................................................................................... 52
Burn Management .............................................................................................................................................................. 53
Burn Management Protocol ....................................................................................................................................... 54