Crowdsourcing a Standard PFC Deployment Med Box

All of us are smarter than one of us.

This project is an opportunity to collaborate and will attempt to use the wider working group audience to identify a standard list of drugs every Independant Duty Medic or Corpsman should have with him on every austere deployment. If put into practice properly across the force and coordinated with MEDLOGs, this will be one less chore for a medic and another place where we can help reduce mistakes and oversight. The following

document should contain medicines every austere medical practitioner should carry with them.
Are you taking praziquantel? Keppra? All medics have sat around staring at a computer screen or formulary at some point or another and racked their brains trying to figure out what drugs they should order and bring on a deployment. Sometimes they do this again and again, reinventing the wheel while trying to not forget something while staying under budget. This gets more difficult when deploying to a resource constrained environment with little or no resupply.
This project is an opportunity to collaborate and will attempt to use the wider working group audience to identify a standard list of drugs every Independant Duty Medic or Corpsman should have with him on every austere deployment. If put into practice properly
across the force and coordinated with MEDLOGs, this will be one less chore for a medic and another place where we can help reduce mistakes and oversight. The following document should contain medicines every austere medical practitioner should carry with them.
Are you packing Praziquantel? Keppra? What kind of Calcium? All medics have sat around staring at a computer screen or formulary at some point or another and racked their brains trying to figure out what drugs they should order and bring on a deployment. Sometimes they do this again and again, reinventing the wheel while trying to not forget something while staying under budget. This gets more difficult when deploying to a resource constrained environment with little or no resupply.This box is meant to be separate from the traditional narcotics box, common sick call drugs or emergent drugs commonly carried by a medic and only contain those drugs which would be used in a specific circumstance so that the drug does not count against a budget or usual drug order. This is key in improving the readiness of the medic, increasing efficiency and reducing waste. References can be added below each drug and should first come from US Military Joint Trauma Service Clinical Practice Guidelines.
These are suggestions only and your Medical Director, PA or Unit Surgeon should be consulted prior to acquiring any or using any drug which you are not already authorized to use and carry per your scope of practice.

If a specific type of vial or concentration is recommended it should be included along with quantity and indication and why.

Dosages should only be included if they are universally accepted, otherwise the recommended dose should be left blank. A reference listed under the drug should also be included.

A list of the contents of the box with corresponding expiration dates should be easily accessible on the outside of the box with the packing list. If any special equipment is needed for administration or any special instructions for administration are recommended,, those items should be included in the box content if possible.

Regionally unique drugs should be listed at the bottom of the list under the heading of the appropriate region. If the region is not listed or is a subset of an existing larger region, add it in a logical place.

This is a draft only. If you disagree with a drug being on this list do not delete it. Simply add a justification as to why it should not be included. The format may change. Be flexible and patient.

The format may change. Be flexible and patient.

A final list will be released once the working group finalizes through SME consensus. Until then, please feel free to use this DRAFT as needed.

Format:

• Drug:
  Use:
  Indication:
  Dose:
  Resource:
  Link to Resource Cited:
  Special Instructions for Use:
  Alternatives:

Click Here to Access and Edit the PFC Drug Box Google Doc