Page 315 - 2023 SMOG Digital

FORMS

3. Suspense for submitting updates back to an identified editor will be a minimum of 30
calendar days. Extensions may be granted on a case by case basis.
4. The editor will consolidate all inputs and discuss with a designated physician (as identified by
the Director, DAM).
5. After all accepted/applicable inputs have been updated; the SMOG will receive final approval
from Director, DAM.
6. Once final approval is given, the SMOG will undergo OPSEC/PAO review prior to posting.
POINT OF INJURY CARE, TCCC Evacuation Phase Guideline

INDICATIONS: In combat, the period of care provided at the Point of Injury (POI) is the most
critical period throughout a casualty’s movement across the medical system. Timely,
appropriate, and effective care at the POI will afford a casualty the greatest chance of surviving
preventable causes of death regardless of necessary follow-on surgical interventions and
specialty medical treatment.
GUIDELINE (see TACTICAL EVACUATION Guideline). This guideline serves as the starting point
for initiation of care for all patients evacuated from the POI pick-up sight. All subsequent
procedural steps of care will be determined by navigation through continued guideline flow
charts. All care will be provided in accordance with these flow charts.
POLICY NOTE: In the event these guidelines are adapted for use within US Army civilian missions
(non-combat), it is recommended that unit medical directors consider the necessity of writing
and appending these guidelines, order of care, and standard operating procedures to address
the differences in initial interventions of the civilian trauma patient verses the combat trauma
patient.

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