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Pararescue Medical Operations (PJ MED) Handbook
7th Edition
Table of Contents
Chapter 1
Introduction
Foreword
PJ Medical History
Chapter 2
Medical Command and Control (MC2)
Special Considerations
Chapter 3
PJ Patient Assessment and Treatment
Establish Situational Awareness
Primary Assessment and Treatments
Secondary Assessment
Documentation and Verbal Report
Phase of Care Notes
Chapter 4
PJ Medical and Trauma Protocols (MTPs)
Combat Shock Protocol (Hemorrhagic Shock)
Severe TBI
Mild TBI
Basilar Skull Fracture (Skull base fracture)
Oro-pharyngeal hemorrhage
Thoracic trauma
Acute Abdomen
Burns
Penetrating Eye Trauma
Abdominal Evisceration
Flail Chest
Extremity Trauma
Shock: Non-hemorrhagic
High Altitude Pulmonary Edema
High Altitude Cerebral Edema
Acute Mountain Sickness
Frostbite
Hypothermia
Hyperthermia
Chapter 5
Prolonged Field Care
Detailed Aspects of Reassessments and Treatment
PFC Sedation Loadout
PFC Teleconsultation
Chapter 6
Surgical and Medical Procedures
Airway
Breathing
Circulation
Burn Management
Field Amputation for Extraction/Extrication
Fracture Hematoma Block
Lateral Canthotomy
Nasogastric Tube
Urethral Catheterization (Foley)
Suprapubic Needle Cystotomy
Wound Care
Chapter 7
Blood Administration and Protocol
Overview
Transfusions – General Information
Reactions
Indications for a Blood Transfusion
Chapter 8
Tactical Medical and Environmental Emergency Protocols (TMEPs)
Abdominal Pain
Altered Mental Status
Altitude Illness
Anaphylactic Reaction
Asthma (Reactive Airway Disease)
Back Pain
Barotrauma
Behavioral Changes (Psychosis, Depression, and Suicidal Impulses)
Blast Injuries
Bronchitis/Pneumonia
Cellulitis/Cutaneous Abscess
Chest Pain
Cold Injury
Crush Syndrome Protocol
Deep Venous Thrombosis (DVT)
Dehydration
Dental Pain
Determination of Death / Discontinuing Resuscitation
Envenomation
Epistaxis
Flank Pain (Includes Renal Colic, Pyelonephritis, Kidney Stones)
Gastroenteritis
Headache
Head and Neck Infection (Includes Epiglottitis and Peritonsillar Abscess)
Heat Illness
HIV Post Exposure Prophylaxis (PEP)
K-9 Evaluation and Treatment
Lightning Injury
Loss of Consciousness (Without Seizures)
Malaria
Meningitis
Nausea and Vomiting
Pain Management
Pneumothorax – Acute (Atraumatic)
Rhabdomyolysis Protocol
Seizure
Sepsis / Septic Shock
Smoke Inhalation
Subungual Hematoma
Testicular Pain
Chapter 9
Pararescue Drug Formulary
Drug Formulary Guidelines and Considerations:
Acetaminophen – PO (Tylenol®), IV (Ofirmev®)
Acetazolamide (Diamox)
Adenosine (Adenocard)
Albumin 25% (Albuminar-25®, AlbuRx®25)
Albuterol Inhaler (Ventolin®, Proventil®)
Aspirin (ASA)
Atropine Sulfate
Calcium Gluconate
Dexamethasone (Decadron®)
Diphenhydramine HCl (Benadryl®)
Epinephrine
Ertapenem IV (Invanz®)
Fentanyl
Gatifloxacin 0.3% Ophthalmic Liquid (Zymar)
Glucose (Glutose®) or an energy gel
Hydromorphone (Dilaudid®)
Ibuprofen (Motrin®)
Ketamine (Ketalar®)
Ketorolac (Toradol®)
Levetiracetam (Keppra®)
Lidocaine HCl (Xylocaine®)
Loperamide HCl (Imodium®)
Meclizine (Verticalm)
Meloxicam (Mobic®)
Midazolam (Versed®)
Morphine Sulfate (Opioid)
Moxifloxacin (Avelox®)
Mupirocin Ointment 2% (Bactroban®), other antibiotic ointment
Naloxone HCl (Narcan®)
Nifedipine (Procardia®)
Nitroglycerin
Ondansetron (Zofran®)
Oxymetazline HCl (Afrin® Nasal Spray)
Pseudoephedrine (Sudafed®)
Ranitidine (Zantac)
Rocuronium (Zemuron)
Sodium Bicarbonate
Succinylcholine Chloride (Anectine)
Tetracaine 0.5% Drops
Tranexamic Acid (Cyklokapron®) – TXA
Vecuronium Bromide (Norcuron)
Chapter 10
Pediatric Care and OB-GYN
Pediatrics
Obstetrics Trauma
Chapter 11
Palliative Care
Chapter 12
Recovery Operations
General
Aircraft Crash Response
Critical Incident Stress Debrief
Chapter 13
Packaging and Splinting
Packaging
Splinting and Orthopedic Issues
Sprained Ankle
Shoulder Dislocations
Chapter 14
Triage and Mass Casualty Management
Triage Categories
Civil SAR CCP Set-up
CCP for Combat Operations
Chapter 15
Flight Operations
AE Concerns, Flight Stressors
Fixed Wing Operations
Chapter 16
Diving Emergencies
Guidelines and Considerations
Open Circuit Diving Emergencies
Barotrauma
Closed Circuit Diving Emergencies
Chapter 17
Aerospace Accident and Injuries
Pilot Ejection Injuries
Parachute Injuries
Rotary Wing Injuries
The Space Mission
Chapter 18
Weapons of Mass Destruction (WMD)
Chapter 19
Pararescue Neurological Exam
Components and Format
Performing the Exam
Dermatomes Quick Reference Chart
Military Acute Concussion Evaluation
Chapter 20
Eye Injuries
Laser Injuries
Visual Acuity Check
Amsler Grid
Chapter 21
Tropical Disease Reference Guide
Chapter 22
Documentation
PJ Treatment Card
PJ Prolonged Field Care Nursing Chart
Joint Trauma System TACEVAC PCR and POI AAR
Chapter 23
Mnemonics, Conversion Charts and Cheat Sheets
Mnemonics
Airway and Critical Care References
IV Drip Rate Chart
Conversions
GCS and APGAR Score
Shock Table
9-Line MEDEVAC Request
Medications Cheat Sheets – Attach to Monitor
Appendix 1
TCCC Protocols
Basic Management Plan for Care Under Fire
Basic Management Plan for Tactical Field Care
Basic Management Plan for Tactical Evacuation Care (TACEVAC)
Appendix 2
Emergency Cardiovascular Care
BLS/CPR
Cardiac Arrest
Bradycardia
Tachycardia
PALS Bradycardia
PALS Tachycardia
PALS Cardiac Arrest
Stroke