If you can’t bring the patient back to the capability you must bring the capability to the patient.
Our working group has identified 10 of these capabilities that we feel to be critical in making a difference in the morbidity or even mortality of a patient.
TCCC training is the absolute most important thing in which any soldier or medic should be trained. Anyone contemplating any medical training beyond the MARCH algorithm should be an expert in TCCC first. Once those skills are mastered it is not a far cry to begin incorporating critical care best practices into all levels of training.
When there is a lack of medical support due to a small team operation our teams trainIf you teach a medic to use a BVM, the importance of using PEEP valves should also be discussed. If a medic learns to give an IV or administer blood, they can also collect fresh whole blood. If they learn to perform a cricothyroidotomy or even to intubate, they should use an HME filter. Those principles can be taught at the lowest level as demonstrated by 68 Ws in 1st BDE 82nd ABN Division.
- Master TCCC at every level by every deployable soldier, not just medics.
- Austere CASEVAC planning is different than combat MEDEVAC planning
- Whole Blood Transfusion Program including Titering at SRP
- Trending vitals taught to non-medical enablers
- Telemedical consult plan – Institutionalize SAMMC’s Virtual Critical Care Consult line