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Medical Planning Tool

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.
Couldnt get a ventilator to bring?
Make finding one a priority in your planning and note it on your grid
and map

1.
Monitoring

Minimu
m

3. Ventilate
and
oxygenate

4. Control
the Airway

5. Sedation
and
Analgesia

6. Physical
Exam and
Diagnostics

7. Nursing
and
Hygeine

8. Surgical
Interventio
ns

9.
Telemedical
Consult

10. Package
and Prepare
for flight

BP Cuff,
Stethescope,
Pulse Ox,
Foley

Fresh Whole
Blood Kit

Bag-ValveMask 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

Capnometry

2-3 cases of
LR for Burn
Resus

O2
Concentrator

Long duration
sedation

Sedation with
Ketamine/opti
on 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

Vital Signs
Monitor

PRBS, FFP,
Type specific
1
FWB Kit
donors

Portable
Ventilator

Proficient in
Rapid
Cric
Kit,
Sequence
LMA/SGA,
Intubation

Educated and
practiced
Fentanyl
imulti drug
TML,
sedation

Experienced
and trained in
Urinalysis
above

Experienced
in all nursing
Compct
care concerns

Trained and
experienced
Cric,
in above

Real time
video
Cell
Phone
conference

Experienced
in critical care
Have
transport

lidocaine
and
ketamine
IM

Perc PO,
Ketamine
IM/ IV

Better
Best
Ruck

2.
Resuscitate

10 Essential PFC
Capabilities

Pulse Ox,
Head Lamp

per man, 2
250cc bag
NS

BVM with
PEEP Valve

test strips,
fluorescein
strips

Foley kit,
Sterile
kerlix, litter
padding

10gNeedle
D
Scalpel

and call
sheet

checklist
available

Truck

BP Cuff,
Stethescop
e,
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

House

Add
defibrillatio
n

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

Now on to the moving pieces

Team Members/ Organic Assets


Type and
Name

Telephone

Radio
Freq /
Call Sign
eMail

Senior
Medic:
John Smith

+27 456-3456789

18D1

Junior Medic:
RFR:
TCCC/MARC
H:
CLS
First
Aid/Buddy
Aid
NO MEDICAL
TRAINING

Medical
Capabilitie
s

Limitations

Special
Equipment

Surgical Assets
Type Of
Team /
Number
Pax?

Battalion FAS
SOST
MFST
CSH
Local
Surgeon

Telephone /
Date Last
checked

Radio
Freq / Call
Sign
eMail

Blood
Available?

FWB Kits

Highest
Trained
Person

Surgical
Capabilitie
s

Surgical
Limitations

Able to
Travel?
How Far?
With
whom?

CasEvac Platforms
Type
Vehicle /
Aircraft /
Location

Razor / ATV
Team Truck
HN
Ambulance
Civilian Helo
Casa 212
Twin Otter
Cessna

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

Strategic Evacuation Platforms


Type
Vehicle /
Aircraft /
Location
C-146
C-130
C-17
Civilian Air
Evac

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

Refueling Stations / FARPs


Name

MSS 1
MSS 2
Airstrip A
Airstrip B
Main Airport
FARP I
FARP II

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

Telemedicine Contacts
Who

Telephone /
Date last
checked

Radio
Freq / Call
Sign
eMail

Last time
checked?
By whom?

Level of
Training /
Specialty

Location

Facilities
Name

MSS 1
MSS 2
Team
House / Aid
Station
Battalion FAS
CSH
Local Clinic
Local
Hospital

Telephone /
Date Last
Checked?
By Whom?

Radio
Freq / Call
Sign
eMail

Location
Country /
State / City
/ Address /
Grid

Capabilitie
s
Surg?
Blood?
Imaging

Limitations

Evaluation
Last Done.
By whom?

Other Good
to Know
Info

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

LZ /
FARP
MSS

600km
Scale

Range /
Distance

Add Local Map and Locations

Clinic

Team Houses /
Bases

50 km

Coalition Med
Facility / Team

LZ 143
MI 17
Helo

Host Nation
Med Facility
Air Port /
Landing Strip

LZ /
FARP
MSS

50km
Scale

Range /
Distance