急救作业规范
表格1
飞行医院将乌克兰伤员送往西方
开发计划
04-国防医疗服务部门的外科医生培训乌克兰医生
02- 年乌克兰火车医疗后送的特点
03-战斗伤亡护理课程测试医院外的技能
09-北极和极端寒冷环境下的伤员疏散战术战斗伤员护理中创伤性低温管理的范式转变
06-战术现场护理指导，准备伤员评估和要点
10-DOS 2020.7 Policy on Casualty Evacuation in the Field
11-Medical Support to Military Operations on the Future Battlefield
07-军用急救箱
11-对未来战场上的军事行动的医疗支援
05-战伤数据库研究进展与启示
13-从第 2 级医疗机构向第 3 级医疗机构进行空中医疗后送期间的战斗伤员管理 英文
09-北极和极寒环境下的伤员后送 战术伤员救护中创伤性低体温管理的范式转变 英文
12- 用于伤员撤离的无人驾驶飞机系统--需要做什么？英文
13-从角色2到角色3医疗设施期间战斗人员伤亡管理
12-用于伤亡疏散的无人机系统需要做什么
10-外地伤员后送
14乌克兰外科医生参加医学速成课程
08-军事医疗后送_translate
06-tfc-3e-preapring-for-casualty-evacuation-and-key-points-ig
08-MILITARY MEDICAL EVACUATION
01-战地医学：提高生存率和“黄金时刻”
表格对比
安瑜项目开发组
乌克兰后卫的急救箱里有什么
战斗伤员救护的文件要求
执行国防部医疗准备训练 (MRT) 战术战斗伤亡护理 (TCCC) 分层训练的陆军标准
CCOP-01：在从受伤点撤离的战术中使用血液制品进行紧急抢救（英文）
大规模伤亡（Mascal）创伤小组复苏记录 （英文）MASS CASUALTY (MASCAL)IAUSTERE TRAUMA TEAM RESUSCITATION RECORD
大规模伤亡 (MASCAL)_严峻团队复苏记录说明（英文）
R 记录第1部分，护理流程表 （英文）
复苏记录的说明（英文）
军队途中护理登记处（MERCuRY）英文
TACEVAC AAR 和 PCR 说明
患者护理文件指南
美军新版战术战伤救治指南及相关技术进展
卡图林_A_N_and_dr_Tactical_Medicine_2020_压缩版俄文 Катулин_А_Н_и_др_Тактическая_медицина_2020_сжатый
MARCH_na_Russkom 俄文
手术室空气传播预防措施 俄文 if-hp-ipc-bpg-airborne-or
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R 记录第1部分，护理流程表 （英文）
a **R ESUSCITATIO N RECORD Part l,Nursing Flow Sheet** Submit by Email **1.PATIENT INFORMATION** **1.1TRAUMATEAM DATA** **Time Time** **Service Called Arrived Name** ED Physician Trauma Surgeon Respiratory Therapy \Anesthesiology Lab/Blood Bank \Radiology Pharmacy Consult(ie,Ortho) **1.4 MODE OF ARRIVAL** Walked/Carried CASEVAC-Air CASEVAC-Ground MEDEVAC -Air Mission# MEDEVAC -Ground Mission# CCATT Ship EVAC AE Other 1.6 INJURY CLASSIFICATION Battle Non-Battle Unknown **1.9PATIENTCATEGORY** USA USAF USMC USN USCG USPHS Civilian -Local Civilian -Other Contractor EPW NATO -Coalition Non-NATO. Coalition Other **1.10 INJURY CAUSE** Building Collapse Bullet/GSW/Firearm Burn EFP Fall Fire/Flame IED Inhalation Injury Mine Mortar/Rocket/ Artillery Shell Multi-Frag MVC Sports UXO Other **1.7 TRIAGE CATEGORY** Immediate Delayed Minimal Expectant **1.2 ARRIVAL** Date Time of Arrival Time of Injury Date of Injury Transit Time minutes **1.3 EVAC FRON** 1st Responder Forward Resuscitative Care Theater Hospital Location **1.8 VALUABLES** **FOUND** None Given to Patient Secured by PAD Time **1.5INJURYTYPE** Blunt Burn Penetrating **2.CARE DONE PRIOR TO ARRIVAL** **2.1PREHOSPITALTOURNIQUET** **Upper Extremities:** Iype: CAT SOFTT Other **Lower** **Extremities:** Type: CAT SOFTT Other Time On Off R How many? N Effective? How many? Effective? N **2.2 PREHOSPITAL VITALS** GCS Eye /4 Verbal /5 Motol /6 Total /15 **2.3 PREHOSPITAL** HEMORRHAGE **CONTROL** **MEASURES** Celox ChitoFlex Combat Gauze Direct Pressure Field Dressing HemCon QuikClot None Unknown Other **2.4 PREHOSPITAL** **WARMING** Blanket Body Bag HPMK Space Blanket Other **2.6** **PREHOSPITAL** **INTERVENTIONS** Prehospital Airway Intubated … Cric …………… Trach … … … … Needle Decompression C-spine Immobilized Pelvic Binder IO Infusions Eye Shield os OD CPR prior to arrival.. N Time On R How many? Eftective? How many? Effective? Of 3 N 4 N P  **2.5 PREHOSPITAL MEDS**  RR BP O2Sat **3.PRIMARY SURVEY** **3.1 VITALS** P RR BP O2Sat Pain Scale (0-10) **3.3** **ME** Arr Ti Ro Te **HYPO/HYPERTHERMIA CONTROL ASURES** ival Temp **3.** **5 BREATHING** Unlabored Labored Flaring Retraction Absent hest Symmetry Equal ]Left> ail R Breath Sounds: **3.6 CIRCULATION** Skin: Warm Cool Hot Pink Pale Cyanotic Dry Moist Diaphoretic Heart Sounds; Clear Muffled Capillary Refill: <2 Seconds (normal) >2 Seconds (delayed) Clear Rales Wheeze Absent R me Date ute Oral Axillary Rectal mperature Control Procedure: C ir Huggei Warming Blanket id Warmer Cooling Blanket Fl her **3.** Trachea Right> Midline Deviated **3.2 AIRWAY** Patent Stridor Drooling Obstructed Oral/Nasal BVM Intubated Ba Flu Ot **3.4** Airway St **7 DEFICIT/NEURO** □Alert-Obeys Commands Responds to Verbal Stimull ]Responds to Painful Stimuli GCS: Eye Verbal Motor /4 /5 16 Pediatric Broselow Tape Color: **CPR IN ED** N rt Time d Time Combi Tube En Other /15 **PATIENT** **IDENTIFICATION** Name:Last First MI Rank Patient ID/SSN Facility Name BRN Medical Record Facility Locatior DOB Age Gender MOS/AFSC/NEC Deployed/Assigned Unit M Nurse Name Nurse Signature **DD** **FORM** **3019,OCT** **2015** Page 1 of 5 **R** **Part** **ESUSCITATION** **l,Nursing** **Flow** **RECORD** **Sheet** 4 **.SECONDARY** **SURVEY** **4.1** **HEAD/NECK** **ENT** Drainage Nasal (Color) Ear (Color) Dental Injury N CSF(Halo Test) 十 C-spine Tender Y N JVD N Reactive Pupils Right: Left: N Y N Brisk Brisk Sluggish Sluggish NR NR **4.2** **HEART/THORACIC** **Rhythm** NSR Tachy/Brady V-fib/V-tach PEA Asystole Other 4.3 ABDOMINAU/GU Open Wound Flat Obese Distended Tender Non-Tender Rebound Tenderness Guarding Rigid Unable to Assess Pelvic Binder Y Blood at Meatus/Vagina FAST +describe Equivoca Last Meal @ N N **4.4** **EXTREMITIES** Deformities Pulses Present RUE LUE RLE [F Motor Sensory Y N Y N Y N Y N Y N Y N Y N Y N Pulses Present indicate S=Strong W=Weak D=Doppler A=Absent 4.5 ALLERGIES Unknown NKDA Othe **Pulses** S=Strong D=Doppler Carotid Femora Brachia Radia Pedal W=Weak A=Absent R R R R R **4.6** **CURRENT** **MEDICATIONS** Unknown None Last Tetanus Date Current Meds:(List med,dose,&route) 4.7 PROCEDURES Procedure Time **Size/Type** Site **Performed** **By** Results 02 Therapy Lpm On Off Nasal Cannula NRB Mask % Oral Airwa Nasal Airway BVM ET Intubation (Put additional in Remarks) changes Time Teeth cm Oral Nasal ETCO₂Change BBS Post Intubation C-Collar Placed Time C-Collar Removed Time Chest Tube#1 Time L R Air Blood(cc Chest Tube #2 Time L R Air Blood (cc Needle Decompression Time L R Air Blood (cc) Thoracotomy Time L R Clamshell Tourniquet Time Types Sites Eye Shield Time OS OD Both A-line Time R Gastric Tube Time Oral Nasa Verified Suction N N Urinary Amount Meatus Heme Dip Time Color Foley Size Suprapubic Results CC Other Procedure Time Describe Other Procedure Time Describe **Hemorrhage** **Control** **Measures** Celox ChitoFlex Combat Direct Gauze Pressure Field Dressing HemCon QuikClot None Inknown Other **PATIENT** **IDENTIFICATION** Name:Last First MI Patient ID/SSN BRN Facility Location Nurse Name Nurse Signature **DD** **FORM** **3019,OCT** **2015** Page 2 of 5 **R** **ESUSCITATION** **Part** **l,Nursing** **4.SECONDARY** **SURVEY,continued** **4.8** **INTUBATION** **MECH/VENT** **4.9** **ABGs/VBGs** Time Time FiO2 MODE: ABG ABG ABG ABG ABG oF or OF or OI VBG VBG VBG VBG VBG FiO2: RATE: PEEP: TV: **4.10** **INTRAVENOUS** **ACCESS** **AND** **FLUIDS** Time Rate Gauge Site VF Type Amount Up Amount In Stop **RECOR** **D** **Flow** **Sheet** pH pCO2 pO2 BE HCO SAT 4.11 BLOOD PRODUCTS Type Unit# Stop Start Volume Initials Total Amount Infused: 4.12 MEDICATIONS Drug Dose Route Time Initials 4.13 VITAL SIGNS Time GCS BP RR P Temp SaO2 Pain Scale (0-10) Other ICP) **4.14** **LABS** Time Test CBC ABG VBG Chemistry PT/PTT TEG H&H NR 「&S T&Cx UA HCG Other Specify Other: 4.15CT Type Time Head C-Spine Chest Abd Pelvis Pan Scan *Select Pan Scan onlyif all of the above requested **X-RAY** **4.16** Type Time C-Spine Chest Abd Pelvis -xt OLH LUE LLE RLE 4.17 DISPOSITION Date Time: Admit OR |CU RTD Full Quarters RTD Unit: RTD Mode of Transport: Ambulatory **4.18** **DEATH** **INFORMATION** Time of Death Death Remarks 4.19 REMARKS **PATIENT** **IDENTIFICATION**Name: Last Facility Location BRN Nurse Name **DD** **FORM** **3019,OCT** **2015** Evac to Host Coalition CASF Nation Facility Name: Evac Priority Routine Priority Urgent □Critical Care CCATT ICW Evac Transport Vehicle MEDEVAC:「 Rotary Wing-[]MedTech Profile Fixed Wing- AE Ground: Medical Non-Medical Evac Mode of Transport Ambulatory W/C Litter □ Vacuum Spine Board W/C Affairs Notified?□ Y N Time to Morgue Mortuary First MI Patient ID/SSN Nurse Signature Page 3 of 5 **RESUSCITATIO** **N** **RECOR** **D** **Part** **Il,Physician** **H&P** 1.HISTORY &PHYSICAL-INJURY DESCRIPTION 1.1 ARRIVAL 1.2 TRIAGE CATEGORY Immediate Delayed Minimal Expectant 1.4 INJURY DESCRIPTION (AB)rasion **(AMP** )utation (AV)ulsion (BL)eeding (B)urn %TBSA (C)repitus (D)eformity (DG)Degloving (E)cchymosis (FX)Fracture (F)oreign Body **(GSW** )Gun Shot Wound (H)ematoma ( **LAC**)eration **(PW)** Puncture Wound (SS)Seatbelt Sign **(SW)S**tab Wound (P)ain (PP)Peppering R L L R ANTERIOR POSTERIOR **Pulses** **Present** S=Strong W=Weak D=Doppler A=Absent  Date Time of Arrival 1.3 CHIEF COMPLAINT,HISTORY AND PRESENTING ILLNESS **1.5** **HISTORY** **AND** **PHYSICAL** Head &Neck: **1.6** **PRE/INITIAL** **PROCEDURES/DIAGNOSTICS** Pre /Initial Pre/Initial Cric ICP Monitor Ventric C-Collar/Time Removed Cantholysis &Canthotomy Tympanic Membranes Rupture Blood Eye Shield R L R R R Chest:  Decoe (ccR L cardial describe Pericardiocentesis Abdomen/Back and Spine: DPL Gross Blood: +describe Log Roll Time Back Exam WNL ABNL describe Rectal Exam WNL Weak/Absent Tone Gross Blood: Pelvis: Stable Unstable Binder Prostate Gyn Upper Extremities: Closed Reduction Wound Washout EXT Fixation Splint Tourniquet R # Lower Extremities: Closed Reduction Wound Washout EXT Fixation Splint Tourniquet K # # Interventions Prior to Arrival: Sedated Chemical Paralyze Seizure Protocol 3%Saline Mannitol Cntrl IO Line) Loc Site Site Site A-Line Loc **1.7** **PUPILS/VISION** **1.8** **BURN** 1st %TBSA 2nd 3rd **1.9** **E** RUE LUE RLE LLE **XTREMITIES** Motor Sens RON Brisk R Sluggish R NR R Size Right L Hand Motion ]L Light Perception ]L No Light Perception mm Left mm R R R L >20%Use the Burn low Sheet Cause **PATIENT** **IDENTIFICATION** Name:Last First MI DOB Age Physician Signature Rank Gender Patient ID/SSN Facility Name BRN Medical Record # Facility Location **DD FORM 3019,OCT 2015** Page 4 of 5 **RESUSCITATION** **Part** **Il,Physician** **RECORD** **H&P** **2.X-RAYS** **and** **CT** **2.1** **CT** **OBTAINED** **2.2** **X-RAYS** **OBTAINED** 2.3 PENDING STUDIES **2.4** **RESULTS** (include TEG/Rotem results) **2.5** **C-SPINE** **RESULTS** Head C-Spine Chest Abd/Pelvis Pan Scan* *Select Pan Scan only if all of the above requested C-Spine Extremity Spine RUE Chest/Upright LUE Pelvis RLE LLE Other Other CT Scan Normal CT Scan Abnorma C-Spine cleared based on: Normal Exam,reliable Pt Normal CT scan,normal exam C-Spine notcleared based on: Neuro c/o,abnormal exam Abnormal imaginc Unreliable Pt **3.LABORATORY** **RESULTS**  3.1 CBC **3.2** **CHEMISTRYZ** 3.4 LFT Amylase Bili Alk Phos SGOT LDH SGPT Other **3.5** **URINALYSIS** SpGr Micro pH WBC Chem HCG Bact RBC **3.3PT/INR/PI** **4.IMPRESSION** **5.DIAGNOSES** 1 4 2 5 3 6 **6.PLAN** **6.1** **PLAN** **6.2** **TRIAD** **INDICATORS** **UPON** **ARRIVALIN** **ED** Yes No Base Deficit >5 Yes No FWB Requested Damage Control Yes Yes No No Temp<96F/36C Yes No INR>1.4 OR ICU ICW Transfer Date Time **6.3** **DISPOSITION** **7.DNBI/NBI** **CATEGORY** Injury,Sports Injury,Work/Training Surgical ]Injury,MVC Injury,Other **8.CAUSE** **OF** **DEATH** **8.1** **ANATOMIC** Airway Neck Abdomen Extremity □ U / L Head Chest Pevis Other,Specify 8.2 PHYSIOLOGIC ]MOF CNS Other,Specify Sepsis Hemorrhag Total Body Disruption Breathing **PATIENT** **IDENTIFICATION** Name:Last First MI Patient ID/SSN BRN Facility Location Nurse Name Nurse Signature **DD** **FORM** **3019,OCT** **2015** Page 5of 5
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2024年12月5日 15:30
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