www Prolonged Field Care org Medical Planning Tool

www. Prolonged. Field. Care. org Medical Planning Tool

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

10 Essential PFC Capabilities - Example of GAP ID 6. Physical Exam and Diagnostics 8. Surgical Interventions 9. Telemedical Consult 10. Package and Prepare for flight clean, warm, dry, padded, catheterized Chest tube, cric Make comms, present patient and key vitals Be familiar with stressors of flight 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 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 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, 10 g. Needle D Scalpel Cell Phone and call sheet Have checklist available 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 No Ventilator; Available with SURG team at capitol All from above Add Benzo if not available for truck Same as above No 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 Padded Litter, Sleeping Bag 10 g needle D Chest tube kit Cric kit Through aircraft From Above 1. Monitoring 2. Resuscitate 3. Ventilate and oxygenate 4. Control the Airway 5. Sedation and Analgesia 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 Capnometry 2 -3 cases of LR for Burn Resus O 2 Concentrator Long duration sedation Sedation with Ketamine/optio n of midazolam Vital Signs Monitor PRBS, FFP, Type specific donors Portable Ventilator Proficient in Rapid Sequence Intubation Ruck Pulse Ox, Head Lamp 1 FWB Kit per man, 2 250 cc bag NS BVM with PEEP Valve Truck BP Cuff, Stethescope, capnometry, small monitor Casre LR, Additional FWB Kits, 3% Saline House Add defibrillation 2 additional cases LR, Case NS, Additional 3% Saline Minimum Better Best Plane Take all of above All of above GAP SAVent on O 2 GAP All above calculate for flight and double All above calculate for flight time and double 7. Nursing and Hygeine

10 Essential PFC Capabilities Minimum Ruck Truck House Plane 8. Surgical Interventions 9. Telemedical Consult 10. Package and Prepare for flight clean, warm, dry, padded, catheterized Chest tube, cric Make comms, present patient and key vitals Be familiar with stressors of flight 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 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 2. Resuscitate 3. Ventilate and oxygenate 4. Control the Airway 5. Sedation and Analgesia 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 Capnometry 2 -3 cases of LR for Burn Resus O 2 Concentrator Long duration sedation Sedation with Ketamine/optio n of midazolam Vital Signs Monitor PRBS, FFP, Type specific donors Portable Ventilator Proficient in Rapid Sequence Intubation Educated and practiced imulti drug sedation Better Best 6. Physical Exam and Diagnostics 1. Monitoring 7. Nursing and Hygeine

Now on to the moving pieces…

Team Members/ Organic Assets Type and Name Telephone Radio Freq / Call Sign e. Mail Senior Medic: John Smith +27 456 -345 -6789 18 D 1 Junior Medic: RFR: TCCC/MARCH: CLS First Aid/Buddy Aid NO MEDICAL TRAINING (liabilities) Medical Capabilities Limitations Special Equipment

Surgical Assets Type Of Team / Number Pax? Battalion FAS SOST MFST CSH Local Surgeon Telephone / Date Last checked Radio Freq / Call Sign e. Mail Blood Available? FWB Kits Highest Trained Surgical Person Capabilities Surgical Limitations Able to Travel? How Far? With whom?

Cas. Evac Platforms Type Vehicle / Aircraft / Location Razor / ATV Team Truck HN Ambulance Civilian Helo Casa 212 Twin Otter Cessna Telephone Radio Freq / Date Last called Call Sign e. Mail 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

Strategic Evacuation Platforms Type Vehicle / Aircraft / Location C-146 C-130 C-17 Civilian Air Evac Telephone Radio Freq / Date Last called Call Sign e. Mail Capablities / Distance / Speed / Equipment Limitations (Contract, Weather etc. . ) Military or Civilian Contract Info Distance, Cash Other Good to Know Info

Refueling Stations / FARPs Name MSS 1 MSS 2 Airstrip A Airstrip B Main Airport FARP II Telephone / Date Last Checked? By Whom? Radio Freq / Call Sign e. Mail Location Country / State / City / Address / Grid Manned? By Whom? Limitations Evaluation Last Done. By whom? Other Good to Know Info

Telemedicine Contacts Who Telephone / Date last checked Radio Freq / Call Sign e. Mail Last time checked? By whom? Level of Training / Specialty Location

Facilities Name MSS 1 MSS 2 Team House / Aid Station Battalion FAS CSH Local Clinic Local Hospital Telephone / Date Last Checked? By Whom? Radio Freq / Call Sign e. Mail Location Country / State / City / Address / Grid Capabilities Surg? Blood? Imaging Limitations Evaluation Last Done. By whom? Other Good to Know Info

Add Regional Map And Locations Clinic Team Houses / Bases 600 km LZ 143 C-130 Coalition Med Facility / Team Host Nation Med Facility Air Port / Landing Strip H LZ / FARP MSS 600 km Scale Range / Distance

Add Local Map and Locations Clinic H Team Houses / Bases 50 km Coalition Med Facility / Team LZ 143 MI 17 Helo Host Nation Med Facility Air Port / Landing Strip H LZ / FARP MSS 50 km Scale Range / Distance

Medical Concept Brief Phases of Operation Primary Alternate Contingency Emergency Reserve Treatment Facility Evacuation Local Map Regional Map Legend “Golden Hour” <1 Hour 2 -6 Hours Medical Risk Slide Tool 6 -12 Hours Legend Unconventional Warfare >12 hours