军队途中护理登记处（MERCuRY）英文

![](/media/202412//1733383941.321676.jpeg) **Military Enroute Care Registry(MERCuRY)**

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**Performance Improvement Event(s)Data**

Joint Trauma System,Version 1.1,28 Oct 2021

Last Name First Name Date

Circulation

Rhythm not recorded

Blood product transfusion protocol

Indicated and successfully performed Performed when not indicated

Not performed when indicated Capability not available

IV/IO not inserted enroute

when indicated

IV/IO insertion unsuccessful Tube or line dislodged enroute

Additional Interventions

Immobilization not performed when indicated

C-collar

Pelvic binder

Spinal motion restriction

SAM splint for extremity

Rigid eye shield

Hypothermia prevention not initiated when indicated

PSSN/SSN PSSN SSN

Mission # Mission Leg #

Airway

Deviation from airway management protocol

Advanced non-surgical airway placement Indicated and successfully performed Performed when not indicated

Not performed when not indicated

Attempted unsuccessfully

Cricothyroidotomy

Indicated and successfully performed Performed when not indicated

Not performed when indicated

Attempted unsuccessfully

Documentation

Standard form not used

Patient identification not completed

Dispatched versus assessed category differ Dispatched category higher than assessed

Dispatched category lower than assessed

MIST report mechanism not correct

MIST report injuries not correct

Mission times not recorded

Pick up time not recorded

Drop off time not recorded

Both times not recorded

Role of care not documented

Pick up not recorded

POI mission

Drop off not recorded

Transfer mission

Both not recorded

Medications

Pain medication not given per protoco

Pain medication given,outcome undocumented TXA not given <3 hrs after injury

when indicated

Antibiotic not given per protocol

Other medication delay or complication (please specify

Notes

Vitals

Appropriate level of monitoring not utilized

Vital signs not documented

Blood pressure

Heart rate

Respiratory rate

Sa02

Temperature

Hypoxia (SaO2<88%)

Indicated intervention for

hypoxia not performed

Hypotension (SBP<90 mmHg)

Indicated intervention for hypotension not performed

GCS or AVPU not documented

GCS or AVPU changes not documented Pain assessment not completed

Breathinc

Needle decompression

Indicated and successfully performed

Performed but respiratory distress not resolved Performed when not indicated

Two or more on the same side

Site not recorded

Thoracostomy-finger or tube

Indicated and successfully performed

Performed when not indicated

Not performed when indicated

Attempted unsuccessfully

Two or more on the same side

Ventilator management,no ETCO2 recorded

Deviation from ventilator management protocol Vent setting changed but no outcome recorded Unplanned extubation enroute

Other

Documentation from sending provider did not accompany patient (TCCC card or patient chart)

Absent documentation from ground team

Diversion of flight or unplanned destination Incomplete hand off from ground team

Equipment problem,unable to be resolved

enroute

Environmental issues affecting patient outcome

Death or CPR enroute

Missing needed gear or medications

Events enroute precluding adequate patient

monitoring/assessment/treatment

Other(please specify in Notes)

Circulation /Hemorrhage Control

Tourniquet not placed when indicated

Tourniquet not reassessed

Tourniquet conversion not attempted when indicated Tourniquet time not recorded

Tourniquet indicated and successfully performed

Type of

Limb

tourniquet

□Junctional

Notes &Comments

**Instructions**

1.Complete the Mercury in conjunction with the 4700 before submitting to the Joint Trauma System 2.Enroute care should be assessed for compliance with standard guidelines to include:Tactical Combat Casualty Care guidelines,Standard Medical Operating Guidelines,JTS Intratheater transport clinical practice guide 3.At least two unique patient identifiers are needed for documenting patient identification. 4.One identifier must be last name,BR#,or SSN.The second identifier can be first name,BR#,SSN,DOB,or unit 5.Hemorrhage control,Airway,Breathing,Circulation,Vitals,Additional Interventions,Medications:Evaluate enroute interventions only.Do not evaluate interventions performed prior to MEDEVAC.

6.Other-incomplete handoff from ground team:Review narrative for comments relating to incomplete or inadequate handoff.