RAVINE Mneumonic for PFC Resuscitation with fresh whole blood, Reduce Tourniquets as soon as possible Airway and Cric care package including Capnography, Sedation drip, Sterile suctioning, Heat moisture exchanger/Filter, Check cuff Pressure, Tube depth Ventilate or oxygenate- Positive pressure with PEEP using a lung protective strategy Initiate telemedicine and evacuation early Nursing care including Monitoring and trending of vitals and ins and outs especially urine output, Positioning patient up, DVT Prophylaxis massage, turn patient 30 degrees to the sides, Passive ROM exercises, Oral Hygiene Environmental Considerations - Hypo/Hyperthermia, Ear plugs for flight, Sun screen and chapstick, Padding the litter and pressure points, Motion sickness prophylaxis