Topics for Prolonged Field Care Training wanted

Here is a message from one of our brothers serving in Germany. I copy and pasted verbatim so that you don’t miss any nuances. My thoughts will be pasted as a new comment after the post to get some discussion going.  Please speak up and let us know what we forgot!

“I’m a paramedic with the german navy specops for 10 years. I am TCCC instructor (NAEMT) and cooperate with CAE operating the CAESAR Simulator.
In many possible situations we find a need for Prolonged Care Skills.
I attended SOMSA last week but found no clear recommendations due to this stage of care, not as strict and far forward like for CUF and TFC.
This website gives a lot to read and that’s fantastic. But do you have a documentation form for prolonged care? Do you have a paper that defines the topics for special prolonged care training? I mean for me as a paramedic who has served in mountainous mission areas as well it’s pretty clear what skills are basically needed. But maybe i forgot some topics.
Can you help me out?
Big thanks for your hard work in this topic!”

3 Comments on “Topics for Prolonged Field Care Training wanted”

  1. After having run a number of these scenarios there are a few things that successful teams do that other teams do not. A solid foundation in TCCC training is the foundation for prolonged field care. Training non-medical team members is probably the most important thing you can do. This should be done the day prior to the scenario. This also includes likely procedures that the medic will perform and want assistance with. The medic should be very familiar with the position papers the working group has published and the guidelines therein and try and have some cheat sheets ready to go. Here is my personal list of procedures and skills that I recommend:
    Proper TQ placement and reduction
    Packing an inguinal or axillary wound
    Stopping bleeding and cleaning abdominal evisceration
    Occlusive dressing or replacing bowels of evisceration
    Occlusive Dressing
    Assessing indications for needle D
    Detailed head to toe assessment
    Insertion of needle D
    Preparation and placement of airway
    Using suction
    Bagging with BVM with PEEP valve
    Oxygen tank prep including NRB and nasal cannula
    Setting up the SAVent and Oxylator or other vent
    Using the oxygen concentrator
    Drawing blood for labs or point of care testing
    Preparation and initiation of peripheral IV
    Preparation and placement of Foley catheter
    Suprapubic bladder tap
    Glasgow coma scale from a cheat sheet
    Taking a full set of vitals manually
    Attaching a monitor
    Using the patient care flow sheet and trending vitals
    Blood typing card
    Preparing the equipment for blood transfusion
    Making comms and calling a telemedical consult
    Changing wet to dry dressings
    Drawing and administering drugs
    NG Tube prep
    Irrigating wound
    Preparation and placement of Chest Tube including pleurevac and suction
    We will be posting a critical actions check list/ grade sheet that one of our docs made up after proctoring a few scenarios. What would you add?

    • Extended period sedation / analgesia and antibiotics. – choices, doses, risks benefits, administration – infusions vs push doses etc.

  2. Repositioning of fractures and their splinting
    Positioning of casualty preventing Ulcus
    eye injuries
    Basic nursing depending on Environment/Equipment

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