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Published byGarry Sharp Modified over 9 years ago
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Medical Planning Tool
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Use the 10 Capabilities Grid to Figure out what capability you are deficient on and then Identify what asset in your AO has it available. Couldn’t get a ventilator to bring? Make finding one a priority in your planning and note it on your grid and map
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Minimum BP Cuff, Stethescope, Pulse Ox, Foley Fresh Whole Blood Kit Bag-Valve-Mask with PEEP Valve Awake Ketamine Cric Opiate Analgesics titrated through IV Physical Exam without advanced clean, warm, dry, padded, catheterized Chest tube, cricMake comms, present patient and key vitals Be familiar with stressors of flight Better Capnometry2-3 cases of LR for Burn Resus O2 ConcentratorLong duration sedation Sedation with Ketamine/option of midazolam Ultrasound and point of care labs Elevate head of real beddebride, washout NG/OG Fasciotomy debridement, amputation Add labs and ultrasound video Trained in critical care transport Best Vital Signs Monitor PRBS, FFP, Type specific donors Portable Ventilator Proficient in Rapid Sequence Intubation Educated and practiced imulti drug sedation Experienced and trained in above Experienced in all nursing care concerns Trained and experienced in above Real time video conference Experienced in critical care transport Ruck Pulse Ox, Head Lamp 1 FWB Kit per man, 2 250cc bag NS BVM with PEEP Valve Cric Kit, LMA/SGA, lidocaine and ketamine IM Fentanyl TML, Perc PO, Ketamine IM/ IV Urinalysis test strips, fluorescein strips Compct Foley kit, Sterile kerlix, litter padding Cric, 10gNeedle D Scalpel Cell Phone and call sheet Have checklist available Truck BP Cuff, Stethescope, capnometry, small monitor Casre LR, Additional FWB Kits, 3% Saline SAVent or SAVE 2 RSI, LMA/SGA, Cric kit ketamine bag IV Ketamine IV with midazolam Blood tubes to drop off labs at HN clinic on the way Padded litter, NG, Sterile Chest Tube Kit with drapes Cell phone and call sheet, sat phone, radio Checklist plus flight evac kit House Add defibrillation 2 additional cases LR, Case NS, Additional 3% Saline No Ventilator; Available with SURG team at capitol All from above Add Benzo if not available for truck Same as aboveNo Lab capability; Available with SURG team at capitol Real matress with head elevated, nursing care kit sleeping bg Sterile Surgical Kit with Drapes, Gowns and scrub soap Secure comms, email Extensive evac kit Plane Take all of above All of aboveSAVent on O2All above calculate for flight and double All above calculate for flight time and double Padded Litter, Sleeping Bag 10g needle D Chest tube kit Cric kit Through aircraft From Above 1. Monitoring2. Resuscitate 3. Ventilate and oxygenate 4. Control the Airway 5. Sedation and Analgesia 6. Physical Exam and Diagnostics 7. Nursing and Hygeine 8. Surgical Interventions 9. Telemedical Consult 10. Package and Prepare for flight 10 Essential PFC Capabilities
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Now on to the moving pieces…
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Team Members/ Organic Assets Type and Name TelephoneRadio Freq / Call Sign eMail Medical Capabilities LimitationsSpecial Equipment Senior Medic: John Smith +27 456-345-678918D1 Junior Medic: RFR: TCCC/MARCH: CLS First Aid/Buddy Aid NO MEDICAL TRAINING (liabilities)
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Surgical Assets Type Of Team / Number Pax? Telephone / Date Last checked Radio Freq / Call Sign eMail Blood Available? Highest Trained Person Surgical Capabilities Surgical Limitations Able to Travel? How Far? With whom? Battalion FASFWB Kits SOST MFST CSH Local Surgeon
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CasEvac Platforms Type Vehicle / Aircraft / Location Telephone Date Last called Radio Freq / Call Sign eMail Capablities / Distance / Speed / Equipment Limitations (Contract, Weather etc..) Military or Civilian? Country of Origin? Medic On Board? Contract Info Distance, Cash Other Good to Know Info Razor / ATV Team Truck HN Ambulance Civilian Helo Casa 212 Twin Otter Cessna
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Strategic Evacuation Platforms Type Vehicle / Aircraft / Location Telephone Date Last called Radio Freq / Call Sign eMail Capablities / Distance / Speed / Equipment Limitations (Contract, Weather etc..) Military or Civilian Contract Info Distance, Cash Other Good to Know Info C-146 C-130 C-17 Civilian Air Evac
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Refueling Stations / FARPs NameTelephone / Date Last Checked? By Whom? Radio Freq / Call Sign eMail Location Country / State / City / Address / Grid Manned? By Whom? LimitationsEvaluation Last Done. By whom? Other Good to Know Info MSS 1 MSS 2 Airstrip A Airstrip B Main Airport FARP I FARP II
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Telemedicine Contacts WhoTelephone / Date last checked Radio Freq / Call Sign eMail Last time checked? By whom? Level of Training / Specialty Location
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Facilities NameTelephone / Date Last Checked? By Whom? Radio Freq / Call Sign eMail Location Country / State / City / Address / Grid Capabilities Surg? Blood? Imaging LimitationsEvaluation Last Done. By whom? Other Good to Know Info MSS 1 MSS 2 Team House / Aid Station Battalion FAS CSH Local Clinic Local Hospital
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Add Regional Map And Locations Coalition Med Facility / Team Host Nation Med Facility Air Port / Landing Strip Team Houses / Bases LZ / FARP MSS Range / Distance 600km Clinic LZ 143 C-130 600km Scale
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Add Local Map and Locations Coalition Med Facility / Team Host Nation Med Facility Air Port / Landing Strip Team Houses / Bases LZ / FARP MSS Range / Distance 50 km Clinic LZ 143 MI 17 Helo 50km Scale
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