Alex Potter and Global Response Management positioned themselves far forward on the front lines of the battles for Mosul when times were tough and the International military and humanitarian response to the ISIS was in its infancy.
In this live recording, guest lecturer COL Missy Givens shares the CBRNe knowledge she has learned while working as a clinical toxicologist, among many other positions, around the world including as the SOCAFRICA Command Surgeon where she personally helped prepare members of 10th SFG(A) to deal with some of the most venomous snakes in the world.
TCCC+MARCHE(2) for CBRNe
Rapid Spot Decon
Head Injury and Hypothermia
CRESS for chemical agent identification
level of Consciousness
We will also post the PPT slides as soon as we can.
TheJoint Trauma System joined up with us and several of our working group members to bring you this, our third CPG, for PFC.As with every PFC CPG, this is the time that goes beyond TCCC. With this specific CPG you are expected to provide appropriate analgesia and/or sedation
Being able to calm and sedate patient in operational or prolonged field care situations may be a valuable skill. Here are our thoughts on sedating your patients when patient comfort and safety are an issue?
Glasgow Comma Scale
Get your GCS before sedating you patient so that you can track trends later during your sedation wake-ups/holidays.
If you are doing sedation it is highly recommended that you prepare by going through the MSMAID acronym detailed in a previous post and podcast. This will ensure you have the minimum equipment, drugs and personnel required for the job.
This is the same circle of awareness from last episode. Once you have your MSMAID plan for anesthesia you should monitor your patient and level of sedation using the circle of awareness ever 5 minutes until they have been off of anesthetic agents for an hour. Anytime you are giving drugs that can alter the patient’s respiration rate or hemodynamics you should have someone at the head of the patient monitoring the components of the circle of awareness. If you are using a push dose or bolus you should know how long the onset for the drug is and check the circle accordingly. It will keep you out of trouble.
Sedation level (RASS)
Airway Patency (Including ventilator if being used)
The Richmond Agitation and Sedation Scale is a standard scale used to quantify a patient’s level of consciousness. Tracking a RASS is another way to trend a patients condition while sedated. Hang this, along with the GCS card, next to your patient bed in your aid station for easy reference.
Tactical Trauma Casualty Care(TCCC) and Prolonged Field Care can be heavy on the medication administration, but during training we can’t really give our real role player patients or even our mannequins a bunch of narcotics and other controlled substances, so it’s often verbalized in training. Not training on the medication they carry downrange, far from providers, can lead to improper Continue reading “How to make labels to practice Medication administration:”