Medical Planning Tool
Planning for medical emergencies involves assessing essential capabilities and identifying available assets. Utilize the 10 Capabilities Grid to identify deficiencies, prioritize needs, and allocate resources effectively. Ensure access to vital equipment like ventilators and maintain communication within your medical team. Coordinate with team members, assign roles, and address limitations to enhance preparedness for emergency situations.
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Presentation Transcript
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 6. Physical Exam and Diagnostics 10. Package and Prepare for flight 3. Ventilate and oxygenate 4. Control the Airway 5. Sedation and Analgesia 7. Nursing and Hygeine 8. Surgical Interventions 9. Telemedical Consult 1. Monitoring 2. Resuscitate 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 clean, warm, dry, padded, catheterized Chest tube, cric Make comms, present patient and key vitals Be familiar with stressors of flight Minimum Capnometry 2-3 cases of LR for Burn Resus O2 Concentrator Long duration sedation Sedation with Ketamine/option of midazolam 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 Better Vital Signs Monitor PRBS, FFP, Type specific donors Portable Ventilator Proficient in Rapid Sequence Intubation 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 Best Pulse Ox, Head Lamp 1 FWB Kit per man, 2 250cc bag NS BVM with PEEP Valve 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, 10gNeedle D Scalpel Cell Phone and call sheet Have checklist available Ruck BP Cuff, Stethescope, capnometry, small monitor Casre LR, Additional FWB Kits, 3% Saline 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 Truck Add defibrillation 2 additional cases LR, Case NS, Additional 3% Saline 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 House Take all of above All of above SAVent on O2 All above calculate for flight and double All above calculate for flight time and double Padded Litter, Sleeping Bag 10g needle D Chest tube kit Cric kit Through aircraft From Above Plane
Team Members/ Organic Assets Type and Name Telephone Radio Freq / Call Sign eMail Medical Capabilities Limitations Special Equipment Senior Medic: John Smith +27 456-345-6789 18D1 Junior Medic: RFR: TCCC/MARCH: CLS First Aid/Buddy Aid NO MEDICAL TRAINING (liabilities)
Surgical Assets Type Of Team / Number Pax? Telephone / Date Last checked Radio Freq / Call Sign eMail Blood Available? Highest Trained Person Surgical Capabilities Surgical Limitations Able to Travel? How Far? With whom? Battalion FAS FWB Kits SOST MFST CSH Local Surgeon
CasEvac Platforms Type Vehicle / Aircraft / Location Telephone Date Last called Radio Freq / Call Sign eMail 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 Razor / ATV Team Truck HN Ambulance Civilian Helo Casa 212 Twin Otter Cessna
Strategic Evacuation Platforms Type Vehicle / Aircraft / Location Telephone Date Last called Radio Freq / Call Sign eMail Capablities / Distance / Speed / Equipment Limitations (Contract, Weather etc..) Military or Civilian Contract Info Distance, Cash Other Good to Know Info C-146 C-130 C-17 Civilian Air Evac
Refueling Stations / FARPs Name Telephone / Date Last Checked? By Whom? Radio Freq / Call Sign eMail Location Country / State / City / Address / Grid Manned? By Whom? Limitations Evaluation Last Done. By whom? Other Good to Know Info MSS 1 MSS 2 Airstrip A Airstrip B Main Airport FARP I FARP II
Telemedicine Contacts Who Telephone / Date last checked Radio Freq / Call Sign eMail Last time checked? By whom? Level of Training / Specialty Location
Facilities Name Telephone / Date Last Checked? By Whom? Radio Freq / Call Sign eMail Location Country / State / City / Address / Grid Capabilities Surg? Blood? Imaging Limitations Evaluation Last Done. By whom? Other Good to Know Info MSS 1 MSS 2 Team House / Aid Station Battalion FAS CSH Local Clinic Local Hospital
Add Regional Map And Locations Clinic Team Houses / Bases 600km LZ 143 C-130 Coalition Med Facility / Team Host Nation Med Facility Air Port / Landing Strip H LZ / FARP MSS 600km Range / Distance Scale
Add Local Map and Locations Clinic Team Houses / Bases 50 km H LZ 143 MI 17 Helo Coalition Med Facility / Team Host Nation Med Facility Air Port / Landing Strip H LZ / FARP MSS 50km Range / Distance Scale
