Principles of Prolonged Care Flashcards
Beyond TCCC and exceeds doctrinal planning guidelines. “Begins when evac doesn’t”
Prolonged field care
Prolonged field care started in:
2013 with SOMSA extended care working group
Reasons for prolonged field care
- Long evac times
- Indigenous capabilities
- Requires different skills
- Different environments
Gear carried to furthest point usually by medical personnel
Ruck
Additional gear carried in vehicles
Truck
Gear available to IDC/Medical personnel however, can only realistically be maintained at house/tent/FOB or support site. “highest level of care unit has”
House
Planning stage to consider how casualties will be moved
- MEDEVAC
- CASEVAC
Plane
Three phases of prolonged field care
Evaluation phase
Resuscitation Phase
Transport phase
During this time procedures and steps taken to normalize vitals and reverse physiological effects based on skill set available
Resuscitation phase
Systematic approach priority to treat life threats in order of severity
Evaluation phase
10 core capabilities of prolonged field care
- Monitor
- Resuscitate beyond basic crystalloid (FWB)
- Ventilate and Oxygenate the patient
- Airway management
- Sedation and pain management
- Ability to use physical exam and advanced diagnostics to further evaluate
- Nursing care
- Advanced surgical interventions
- Telemedicine consult
- Prepare patient for flight
There are no documented cases of permanent tissue damage, nerve damage or vascular injury from properly applied TQ in place for less than __ hours.
2 hours
TQ conversion should not be attempted for TQ’s in place longer than __ hours unless it occurs at definitive care facility
6 hours
Fluid of choice for patients in hemorrhagic shock as well the capability to provide a transfusion should be a basic capability of any clinician providing PFC.
Fresh whole blood
The best fluid in prolonged field care is:
The one that’s available