06-tfc-3e-preapring-for-casualty-evacuation-and-key-points-ig

<img src="/media/202408//1724832305.0219252.jpeg" />INSTRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<img src="/media/202408//1724832305.10002.jpeg" />1<table><tr><td>1.</td><td colspan="2">TacticalCombat Casualty Care for Medical PersonneAugust 2018<img src="/media/202408//1724832305.165558.jpeg" />(Based on TCCC-MP Guidelines 180801)Tactical Field Care 2cHypothermia Prevention</td><td>Tactical Combat Casualty Care for Medical PersonnelAugust 2018(Based on TCCC-MP Guidelines 180801)TacticalField Care 3ePreparing for Casualty Evacuation and Key Points</td><td>In this presentation we will discuss preparation for CASEVAC and review some of the key points in TFC.</td></tr><tr><td>2.</td><td colspan="2"><img src="/media/202408//1724832305.4466932.png" />Disclaimer“The opinlons or assertions containel herein are he prhae weHs the ahor andare o be constrwed sicial or as rylecring the viehs ofthe Deparims可th Armj Air Forcs,Ma ar the Depare可Defensa&quot;There are no co/ict可inierei dickorurs</td><td>Disclaimer“The opinions orassertions containedherein are the private views of the authors and are not tobe construed as official or as reflectingthe views of the Departments ofthe Army,Air Force,Navy or the Department ofDefense. ”There are no conflict ofinterest disclosures</td><td>Read the disclaimer.</td></tr><tr><td rowspan="2">3.</td><td><img src="/media/202408//1724832305.55951.jpeg" /></td><td>LEARNING OBJECTIVES</td><td rowspan="2">LEARNING OBJECTIVESTerminal Learning ObjectivePerform preparation of casualties for evacuation in Tactical Field Care.Enabling Learning ObjectivesIdentify the importance and considerations of preparing casualties for evacuation in tactical field careIdentify critical actions and checks to prepare casualties for evacuation.</td><td rowspan="2">Read the text.</td></tr><tr><td colspan="2">Terminal Learning ObjectivePerform preparation of casualties for evacuation in Tactical Field CareEnabling Learning ObjectivesIdentify the importance and considerationsofpreparing casualties for evacuation in tacticalOeld careIdentify critical actions and checks to preparecasualties for evacuation</td></tr></table><img src="/media/202408//1724832305.614101.jpeg" />INSTRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<img src="/media/202408//1724832305.679358.jpeg" />2<table><tr><td rowspan="2">4.</td><td><img src="/media/202408//1724832305.759386.jpeg" /></td><td>LEARNING OBJECTIVES</td><td rowspan="2">LEARNING OBJECTIVESEnabling Learning Objectives·Identify factors in litterselection and evacuation equipment inTactical Field Care·Identify considerations for the evacuation ofambulatory/walking wounded casualties in Tactical Field Care ·Identify considerations and fundamental procedures for staging casualties for evacuation at any location or platform</td><td rowspan="2">Read the text.</td></tr><tr><td colspan="2">Enabling Learning Objectives·Identify factors in litter selection andevacuation equipment in Tactical Field Care·Identify considerations for the evacuation of ambulatory/walking wounded casualties inTactical Field Care.·Identify considerations and fundamentalprocedures forstaging casualties forevacuation atany location or platform.</td></tr><tr><td rowspan="2">5.</td><td><img src="/media/202408//1724832305.947121.jpeg" /></td><td>LEARNING OBJECTIVES</td><td rowspan="2">LEARNING OBJECTIVESEnabling Learning Objectives·Identify the importance of pre-mission evacuation equipment preparation and rehearsals.·Describe the preparation ofa casualty for evacuation in Tactical Field Care.</td><td rowspan="2">Read the text.</td></tr><tr><td colspan="2">Enabling Learning ObjectivesIdentify the importance ofpre-missionevacuation equipment preparation andrehearsalsDescribe the preparation of a casualty forevacuation in Tactical Field Care</td></tr><tr><td rowspan="2">6.</td><td><img src="/media/202408//1724832306.041837.jpeg" /></td><td>Tactical Field Care Guidelines</td><td rowspan="2">Tactical Field Care Guidelines19.Prepare for Evacuationa.Complete and secure the TCCC Card (DD 1380)to the casualty.b.Secure all loose ends of bandages and wraps.c.Secure hypothermia prevention wraps/blankets/strapsd.Secure litter straps as required.Consider additional padding for long evacuations.</td><td rowspan="2">These are things you should do to get the casualty readyto board the evacuation platform.Read the guidelines.</td></tr><tr><td colspan="2">19.Prepare for Evacuationa.Complete and secure theTCCC Card (DD 1380)to the casualty.b.Secure all loose ends of bandages and wrapsc.Secure hypothermia preventionwraps/blankets/strapsd.Secure litter straps as required.Consider additional padding for long evacuations.</td></tr></table><img src="/media/202408//1724832306.072439.jpeg" />IN STRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<img src="/media/202408//1724832306.144334.jpeg" />3<table><tr><td rowspan="2">7.</td><td><img src="/media/202408//1724832306.151647.jpeg" /></td><td>Tactical Field Care Guidelines</td><td rowspan="2">Tactical Field Care Guidelines19.Prepare for Evacuation(cont)e.Provide instructions to ambulatory patients as neededf.Stage casualties for evacuation in accordance with unit standard operating proceduresg.Maintain security at the evacuation point in accordance with unit standard operating procedures.</td><td rowspan="2">Read the guidelines.</td></tr><tr><td colspan="2">19.Prepare for Evacuation (cont)e.Provide instructions to ambulatory patients asneeded.f.Stagecasualties for evacuation in accordance with unitstandard operating procedures.g.Maintain security at the evacuation poin in accordance with unit standard operatingprocedures</td></tr><tr><td>8.</td><td colspan="2"><img src="/media/202408//1724832306.202079.jpeg" /> Tactical Field Care Guidelines19.Preparefor Evacuation(cont)e.Provide instructions to ambulatory patientsas neededf.Stagecasualties for evacuation inaccordance with unit standardoperating proceduresg.Maintain secuity at the evacuation point in accordance with unit standardoperatingprocedures.</td><td>Secure Loose Ends·Secure all loose ends ofbandages,wraps and hypothermia prevention materials.Consider padding for long evacuations.</td><td>Secure all loose ends of bandages,medical equipment andhypothermia prevention materials.You need to preventdressings and other medical items from being blown around by rotor wash or becoming entangled with other equipment. Loose materials can catchon everything from tree limbs to body armor of litter bearers to parts of aircraft or vehicles. Any snag like this can cause delays in evacuation or even further injury to patients or providers.Blankets and foil-based hypothermia materials are especially susceptible to being caught in the wind.</td></tr><tr><td>9.</td><td colspan="2"><img src="/media/202408//1724832306.220795.jpeg" /> Packagethe Casualty·Secure the casualty's weapons/equipment as required<img src="/media/202408//1724832306.237799.jpeg" /></td><td>Package the CasualtySecure the casualty's weapons/equipment as required</td><td>Secure the casualty's weapon and equipment in accordance with unit SOP or missionrequirements.Clear and render safe anyweapons evacuated with the casualty.Do not evacuate explosives with the casualty ifpossible.Keep in mind that receiving medical personnel may not be familiar with the equipment or have a way to secure it.</td></tr></table><img src="/media/202408//1724832306.245752.jpeg" />INSTRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<img src="/media/202408//1724832306.262124.jpeg" />4<table><tr><td>10.</td><td colspan="2"><img src="/media/202408//1724832306.269322.jpeg" /> Prep for Evacuation·Evacuation equipment should be prepped byunit personnelwhile treatment continues<img src="/media/202408//1724832306.273555.jpeg" /></td><td>Prep for EvacuationEvacuation equipment should be prepped by unit personnel while treatment continues.</td><td>Coordinate activities to save time.Other unit members can prepare litters and evacuation equipment while you provide treatment.Do not delay getting casualties onto litters.You can better prevent hypothermia by getting casualties off of the ground.If tactical situation developments demand a rapid movement of casualties,it is easier to move them ifthey're already on litters.</td></tr><tr><td rowspan="2">11.</td><td><img src="/media/202408//1724832306.293906.jpeg" /></td><td>Prep for Evacuation</td><td rowspan="2">Prep for EvacuationCasualty movement in TFC may be better accomplished using litters.</td><td rowspan="2">Remember that we used carries and drags in Care Under FireWe did it that way to get the casualtyto cover as quickly as possible.Now we have time to use litters.Litters are usually better for moving a casualty a long distance.Casualties do NOT have to be placed supine on a litter.Thelitter exists only to facilitate casualty movement.The casualty can be placed in the best position that facilitates their care and comfort.The casualty must,however,be secured to litter priorto movement.</td></tr><tr><td colspan="2"><img src="/media/202408//1724832306.307706.jpeg" />Casualty movement in TFC may be betteraccomplished using litters</td></tr><tr><td rowspan="2">12.</td><td><img src="/media/202408//1724832306.3308969.jpeg" /></td><td>Litter Selection</td><td rowspan="2">Litter Selection·Selection is based on the mission and the unit type.·Rigid litters work better than pole-less or improvised.Consider terrain and obstacles in the operating area.</td><td rowspan="2">The unit should plan for ahead of time for how it will move casualties in the operating environment.Unit members should be trained on the chosen equipment.</td></tr><tr><td colspan="2">Selection is based on the mission and the unit type *Rigid litters work better than pole-less or improvised<img src="/media/202408//1724832306.337323.jpeg" />·Consider terrain and obstacles in the operating area</td></tr></table><img src="/media/202408//1724832306.34642.jpeg" />INSTRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<img src="/media/202408//1724832306.352751.jpeg" />5<table><tr><td>13.</td><td colspan="2"><img src="/media/202408//1724832306.36884.jpeg" />Be Prepared for theOperating Environment<img src="/media/202408//1724832306.3772988.jpeg" /></td><td>Be Prepared for the Operating Environment</td><td>A pole-less litter is great as a contingency item in a rucksack, but will not be as efficient as a poled litter in carrying a casualty.A Skedco is a great tool for moving over land on snow,but can literally become a runaway sled ifcontrol is lost.</td></tr><tr><td rowspan="2">14.</td><td><img src="/media/202408//1724832306.41555.jpeg" /></td><td>Evacuation Equipment</td><td rowspan="2">Evacuation Equipment·All unit members should know how to open and set up litters and rehearse their use during pre-mission training.·All unit members should know who will carry litters and/or where litters are located on vehicles.</td><td rowspan="2">Read the text.</td></tr><tr><td colspan="2">All unitmembers should know how to open andset up litters and rehearse theiruse duringpre-missiontraing·All unit members shouldknow who will carry litters<img src="/media/202408//1724832306.421761.jpeg" />and/orwhere hitters are located on vchicles.</td></tr><tr><td>15.</td><td colspan="2"><img src="/media/202408//1724832306.438907.jpeg" /> Package theCasualtySecure litter straps<img src="/media/202408//1724832306.473569.jpeg" />-Knowyour litter!Does ithaveattached strapsor does it need supplementary strapping?</td><td>Package the Casualty·Secure litter straps.-Know your litter!Does it have attached straps,ordoes it need supplementary strapping?</td><td>Read the text.</td></tr></table><img src="/media/202408//1724832306.502499.jpeg" /><img src="/media/202408//1724832306.6693828.jpeg" />INSTRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<img src="/media/202408//1724832306.697551.jpeg" />6<table><tr><td>16.</td><td colspan="2"><img src="/media/202408//1724832306.718976.jpeg" /></td><td>Package theCasualty</td><td>Package the Casualty</td><td>Hypothermia prevention equipment should be tucked andsecured beneath the casualty and litter straps.Loose edges can be caught up in wind or rotor washor snagged on objects in the helicopter as the casualty is loaded aboard.</td></tr><tr><td rowspan="2">17.</td><td colspan="2"><img src="/media/202408//1724832306.799389.jpeg" />Provide putients</td><td>Walking Woundedinstructions orassistance to ambulatoryas needed</td><td rowspan="2">Walking Wounded·Provide instructions or assistance to ambulatory patients as needed.·Depending on the nature oftheir injuries,they may be able to assist with carrying litters or providing security.·Best to guide disoriented or visually impaired casualties hand- to-shoulder to the evacuation platform.·Instruct them on repeatedlychecking their own wounds and dressings to ensure that bleeding remains controlled</td><td rowspan="2">Read the text</td></tr><tr><td colspan="3">Depending onthe natureof their injuries,theymay be able to assist with carrying litters or providing security ·Bestto guidedisorientedor visually impairedcasualties hand-to-shoulder to the evacuation platform Instruct them on repeatedly<img src="/media/202408//1724832306.8279848.jpeg" />checking their own woundsanddressings to ensure thatbleedingremains trolled.</td></tr><tr><td rowspan="2">18.</td><td><img src="/media/202408//1724832306.89519.jpeg" /></td><td colspan="2">Stage Casualties for Evac</td><td rowspan="2">Stage Casualtiesfor Evac·Be prepared for the arrival of the evacuation platform ● Stage the casualties in the loading sequence ofthe evacuation platform.</td><td rowspan="2">Many units use tagging or color-coded chemlights to identify casualty evacuation categories.</td></tr><tr><td colspan="3">·Be prepared for the arrival of the evacuation platform.·Stage the casualties in the loadingsequence of the evacuation platform<img src="/media/202408//1724832306.912931.jpeg" /></td></tr></table><img src="/media/202408//1724832306.9436858.jpeg" /><img src="/media/202408//1724832306.9605389.jpeg" /><img src="/media/202408//1724832306.978706.jpeg" /> 7INSTRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<table><tr><td rowspan="2">19.</td><td><img src="/media/202408//1724832306.983259.jpeg" /></td><td>Instructions fromPlatformCrew</td><td rowspan="2">Instructions from Platform CrewTake direction from the crew of the evacuation platform on approaching the platform,loading casualties,and tumover with receiving medics.</td><td rowspan="2">Read the text.</td></tr><tr><td colspan="2">Take direction from the crew of the evacuationplatform on approaching the platform,loadingcasualties,andturnoverwith receiving medics.<img src="/media/202408//1724832306.996084.jpeg" /></td></tr><tr><td>20.</td><td colspan="2"><img src="/media/202408//1724832306.999418.jpeg" />Maintain security at theevacuation point in accordance with unit SOP.SECURITY<img src="/media/202408//1724832307.0234509.jpeg" /></td><td>SECURITYMaintain security at the evacuation point in accordance with unit SOP.</td><td>Read the text.</td></tr><tr><td>21.</td><td colspan="2"><img src="/media/202408//1724832307.027105.jpeg" /> Litter Carry Video<img src="/media/202408//1724832307.17236.jpeg" />·Secure the casualtyon thelitter·Bring hisweapons·Maintain securitypr Bogine</td><td>Litter Carry Video·Secure the casualty on the litter·Bring his weapons.·Maintain security</td><td>Click on the photo to play the video.Remember -Don't let the casualty fall off the litter!</td></tr></table><img src="/media/202408//1724832307.181351.jpeg" /><img src="/media/202408//1724832307.186924.jpeg" />8INSTRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<table><tr><td>22.</td><td colspan="2"><img src="/media/202408//1724832307.221876.jpeg" />Questions?</td><td>Questions?</td><td></td></tr><tr><td rowspan="2">23.</td><td><img src="/media/202408//1724832307.258678.jpeg" /></td><td>Further Elementsof Tactical Field Care</td><td rowspan="2">Further Elements ofTactical Field Care·Reassess regularly.·Minimize removal ofuniform and protective gear,but get the job doneReplace body armor after care,or at least keep it with thecasualty.He or she may need it again if there is additional contact.</td><td rowspan="2">A few final points...</td></tr><tr><td colspan="2">·Reassess regularly.·Minimize removal of uniform and protective gear,but get the job done.·Replace body armor aftercare,or at leastkeep it with the casualty.He or she may need it again if there is additional contact.</td></tr><tr><td>24.</td><td colspan="2"><img src="/media/202408//1724832307.271944.jpeg" />Summary of Key Pointsin Tactical Field Care·Stillin a hazardous environmentLimited medicalresourcesHemorrhage controlAirway managemenBreathing-treatsuspected tenslonpneumothorax Transition from tourniquetto another form of hemorrhage control when appropriateUse TXA for casualties in or atrisk o shockFor hemorrhagie shock,resuscitate with blood productsper the TCCC Guidelines when they are available·Hypotensiveresuscitation with Hextend for hemorrhagieshockwhen blood products are notavailable</td><td>Summary of Key Points in Tactical Field Care·Still in a hazardous environment·Limited medical resources·Hemorrhage control·Airway management·Breathing-treat suspected tension pneumothorax·Transition from tourniquet to another form ofhemorrhage control when appropriate·Use TXA for casualties in orat risk of shock·For hemorrhagic shock,resuscitate with blood products per the TCCC Guidelines when they are available·Hypotensive resuscitation with Hextend for hemorrhagic shock when blood products are not available</td><td>TFC takes place in a hazardous environment.The enemy may be close,and medical care may be far away.There is more time here than in Care Under Fire,but still,you should do only those aspects of care that are really important.Remember that your unit may have to move quickly at short notice</td></tr></table><img src="/media/202408//1724832307.3193102.jpeg" /><img src="/media/202408//1724832307.329207.jpeg" />9IN STRUCTOR GUIDE FOR TACTICAL FIELD CARE 3E PREAPRING FOR CASUALTY EVACUTION AND KEY POINTS 180801<table><tr><td rowspan="2">25.</td><td colspan="2"><img src="/media/202408//1724832307.375627.jpeg" /></td><td>Summaryof Key Points in Tactical Field Care</td><td rowspan="2">Summary of Key Points in Tactical Field Care·Hypothermia prevention·Shield and antibiotics for penetrating eye injuries ·Pain control using the TCCC Triple-Option Analgesia strategy·Antibiotics for all open wounds·Treat burns·Reassure casualties·No CPR in this phase of care·Bilateral NDC for casualties with torso trauma who lose vital signs·Documentation of care on the TCCC Casualty Card</td><td rowspan="2">Review these elements of TFC.</td></tr><tr><td colspan="3">Hypothermia preventionPa<img src="/media/202408//1724832307.395775.png" />rategya rol using ctipOpt<img src="/media/202408//1724832307.4859142.png" /><img src="/media/202408//1724832307.497303.png" />eslaAn biotics for all openwoundsTreat burnsReassure casualtiesiaceaiNDCToresalis wt tarso raumawho·Documentationof are on the TcCC Casualy Card</td></tr><tr><td rowspan="2">26.</td><td><img src="/media/202408//1724832307.50647.jpeg" /></td><td colspan="2">Questions?<img src="/media/202408//1724832307.513675.jpeg" /></td><td rowspan="2">Questions?</td><td rowspan="2"></td></tr><tr><td colspan="3">Wear your body armor!</td></tr></table>