Page 312 - 2023 SMOG Digital

FORMS

• educated (has been trained to do the skill or role), AND
• certified (has demonstrated competence in the skill or role), AND
• licensed [has legal authority issued by the State (Army EMS is the 51 State) to perform
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the skill or role], AND
• credentialed (has been authorized by medical director to perform the skill or role).
Depending on the military environment (deployed or austere location), licensing and
credentialing may be satisfied through a local training and standardization policy that
demonstrates an individual medical provider’s capabilities and knowledge of the treatment
guidelines within this handbook. Approval of each individual provider’s usage of these
treatment guidelines must be provided by the unit medical director. This approval should be
documented and maintained in the Soldiers training record.
It must be remembered that any use of these guidelines is prohibited outside of the individual’s
military employment. Furthermore, any civilian based medical care provided by aviation
medicine personnel must satisfy the National EMS Scope of Practice Model noted previously. It
must also be realized that any usage of these guidelines within the civilian environment may be
limited to support through a legitimate local EMS credentialing provider. This would normally be
the local Medical Treatment Facility Emergency Medical Systems credentialing authority. The
unit medical director may or may not satisfy this requirement in civilian medicine due to state
laws, policies, or standards.
USAGE INTENT

This guide contains the specific Treatment Guidelines, Procedures, and Medications that will be
used within Army Aeromedical Evacuation.
The Critical Care Flight Paramedic Standard Medical Operating Guideline will be reviewed at a
minimum semi-annually or upon change of command or medical director. A single copy of the
Review and Approval Page or a substitute document will be distributed to aforementioned
individuals for review and approval signatures.
It is the responsibility of the Unit Commander, the Medical Director, the Training NCO, and the
Standards NCO to ensure that all Flight Paramedics remain current in all required certifications
needed to perform their duties as Flight Paramedics and/or those needed to perform the skills
of a Nationally Registered Paramedic. This should include, at a minimum, certifications in NRP,
ALS/ACLS, and BLS. However, it is highly recommended that paramedics maintain certifications
in PALS/PEPP and PHTLS/ITLS. Copies or originals of all current certifications or a memo of
training status/credentials will be maintained in the individual Soldier’s training record.
A medical practitioner’s clinical competence is at least equal in importance to the maintenance
of formal certifications. Competence is the ability to actually perform required interventions and
administer appropriate therapies. A competent practitioner has the knowledge base and critical-
thinking skill required to determine when to perform an intervention and when it is best NOT to
do so. Commanders and Unit Medical Directors/ Flight Surgeons should ensure that clinical skill
competency is maintained, demonstrated, and remediated (when required) to ensure the
maintenance of skills and mandated certifications of medical aircrew members under their
direction. It is recommended that all medical personnel conducting aeromedical evacuation

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