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TACTICAL EVACUATION

Consider converting Limb or
Ground “Pick-Up” Phase “In-Flight” Phase Junctional Tourniquets as soon
as possible if:
• No presence of shock
Attempt to gain info prior to landing: Triage Casualties as required: • Able to monitor wound closely
• Number of Patients • Assess Responsiveness for bleeding
• Time & MOI • Conduct Rapid Assessment • Not placed to control
• Enemy presence near o Immediately address ANY IMMEDIATE LIFE hemorrhage on a amputated
helicopter landing zone etc. THREATS WITH APPROPRIATE LIFE extremity
SAVING INTERVENTION(S) (LSI) *See Pearls See TOURNIQUET CONVERSION
Wheels Down Reassess: If unstable move to:
HEMORRHAGE CONTROL • HEMORRHAGE CONTROL
Ensure 360 degree scene security Heavy Active YES • Check / Add Tourniquet
Continuously monitor for threats Bleeding? • Pack and Dress Wound • EXTREMITY TRAUMA
Identify yourself to the 1 st Responder • Pressure Dressing
• Hemostatic Dressing
NO • MULTIPLE TRAUMA
Collect Medical Info from 1 st responder: AIRWAY / (Vent Management)
• Time & MOI Respiratory YES Reposition Airway Reassess: If unstable move to:
• Treatment attempted / Response Distress? • Nasopharyngeal Airway • Next Level Airway intervention
• Medications: Doses, Routes, Times Irregular Rate? • RSI (Intubation / BIAD) per procedure
• 1 st and Last Vital Signs • Cricothyroidotomy
• DD Form 1380 TCCC card or Available NO CHEST TRAUMA GUIDELINE
Documentation
• Name / Unit (Any Available POC INFO) Chest Injury? YES • Vented Occlusive Dressing Reassess: If unstable move to:
• Needle Thoracostomy
Impacts
• Next Level intervention per
Breathing • Finger Thoracostomy procedure
• Chest Tube
NO
Triage & Load Casualties
• Quick visual assessment Hypotensive? YES
• Treat ALL preventable causes of S/Sx of Shock Hypotension / Shock Guideline Loss of Circulation
death as able (*See Pearls)
• Load and Secure casualties per SOP NO at any time:
Start CPR
Altered Mental Move to:
Status? YES TRAUMA ARREST
(GCS <8 or Head Injury Guideline
Wheels Up Unequal / Dilated GUIDELINE
Pupils)
Universal Patient Care Guideline
As Needed: NO
• O2 PAIN Appropriate Consider Document Care
• Monitor / Defibrillator MANAGEMENT CARE Antibiotic Contact Receiving Facility
• IV/IO access (IV Guideline) GUIDELINE prn GUIDELINE prn Therapy Continuous Monitoring
Pearls:
• *If the tactical situation permits, all known preventable causes of death should be
addressed prior to casualty transfer to an air ambulance (e.g., accessible sources of
major hemorrhage, tension pneumothorax, and airway obstruction).
• Replace any limb tourniquets placed over the uniform (Hasty Tourniquet) with one
applied directly to the skin (Deliberate), 2-3 inches above wound.
• Goal <5 minutes time on scene prior to wheels up.
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