SECTION 1
THE RANGER MEDIC & CASUALTY RESPONSE SYSTEMS

• Foreword
• Ranger Medic Charter
• Regimental Medical Charter
• Senior Enlisted Medical Advisor (SEMA) Duties & Responsibilities
• Scope of Practice
• 8 Critical RFR Tasks
• Standing Orders and Protocols
• Tactical Combat Casualty Care (TCCC)
• Notes

SECTION 2
PRIMARY TRAUMA PROTOCOLS

• Triage
• Tactical Triage Protocol
• Tactical Trauma Assessment
• Tactical Trauma Assessment
• Hemorrhage Management
• Hemorrhage Control Protocol
• Tourniquet Application Procedure
• Tourniquet Conversion Procedure
• Airway Management
• Airway Management Protocol
• Surgical Cricothyroidotomy Procedure
• Thoracic Trauma Management
• Thoracic Trauma Management Protocol
• Needle Chest Decompression Procedure
• Chest Tube Insertion and Finger Thoracostomy Protocol
• Tactical Damage Control Resuscitation
• Tactical Damage Control Resuscitation Protocol
• Shock Management
• Saline Lock & Intravenous Access Procedure
• External Jugular Intravenous Cannulation Procedure
• Sternal Intraosseous Infusion Procedure
• Intraosseous Infusion Procedure (Non-Sternal)
• Hypothermia Prevention & Management Kit Procedure
• Head Trauma
• Head Trauma Management Protocol
• Concussion
• Concussion Management Protocol
• Abdominal Trauma
• Abdominal Trauma Management Protocol
• Blast Injury Assessment
• Eye Injury
• Eye Injury Management Protocol
• Lateral Canthotomy
• Seizures
• Seizure Management Protocol
• Spinal Cord Injury Management
• Spinal Cord Injury Management Protocol
• Orthopedic Trauma
• Orthopedic Trauma Management Protocol
• Burn Management
• Burn Management Protocol
• Pain Management
• Pain Management Protocol
• Procedural Analgesia
• Regional Anesthesia
• Austere Extended Care
• Austere Extended Care Protocol
• Blood Transfusion
• Fresh Whole Blood Transfusion (Donor Procedure)
• Fresh Whole Blood Transfusion (Recipient Procedure)
• Foley Catheterization Procedure
• Crush Syndrome Management
• Evacuation
• Evacuation Protocol
• NATO MEDEVAC Request
• MIST Report
• SIT Report
• Evacuation Patient Packaging
• Evacuation Patient Handover
• Skedco Horizontal Hoist Procedure
• Skedco Vertical Hoist Procedure
• CBRN
• CBRN CCP
• TICs/TIMs Toxic Inhalation/Eye Exposure
• Toxic Industrial Chemicals/Materials Inhalation Injury Treatment SOP
• TIC/TIMS Eye Injury Treatment SOP
• Chemical Casualty Triage Table
• CBRN – Nerve Agents
• CBRN – Vesicant Agents
• CBRN – Cyanide Agents
• CBRN – Pulmonary Agents
• CBRN Quick Reference Cards
• Chemical Agent Treatment Guide
• Notes

SECTION 3
TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) & SICK CALL

• Medical Patient Assessment
• Medical Patient Assessment Protocol
• Abdominal Pain (Includes Surgical Abdomen, GERD, Dyspepsia)
• Allergic Rhinitis/Hay Fever Protocol
• Altitude Medical Emergencies
• Altitude Medical Emergency Management Protocol
• Anaphylactic Reaction Emergencies
• Anaphylactic Shock Management Protocol
• Asthma (Reactive Airway Disease)
• Barotrauma
• Behavioral Emergency Management (Includes Psychosis, Depression, Suicidal Impulses)
• Behavioral Emergency Management Protocol
• Assessment & Management of Suicidal Risk
• Assessment & Management of Suicidal Risk Protocol
• Leader’s Suicide Risk Assessment Tool (L-SRAT)
• Bronchitis
• Cellulitis/Cutaneous Abscess
• Chest Pain
• Compartment Syndrome
• Conjunctivitis
• Constipation/Fecal Impact
• Contact Dermatitis
• Corneal Abrasions/Corneal Ulcers
• Cough
• Deep Vein Thrombosis (DVT)
• Dehydration
• Dengue Fever
• Dental Pain
• Determination of Death
• Electrocution
• Envenomation – Arthropod (Spider & Scorpion)
• Envenomation – Insect, Hymenoptera (Bee, Wasp, Hornet)
• Envenomation – Marine
• Envenomation – Snake
• Epistaxis
• Flank Pain (Includes Renal Colic, Pyelonephritis, Kidney Stones)
• Frostbite & Frostnip
• Fungal Skin Infection
• Gastroenteritis (Diarrhea/Nausea/Vomiting)
• Headache
• Headache (Migraine Origin)
• HIV Post-Exposure Prophylaxis
• Hyperthermia
• Hyperthermia (Heat) Management Protocol
• Hypothermia Management
• Hypothermia Prevention & Management Protocol
• Ingrown Toenail
• Insomnia
• Joint Infection
• Laceration
• Loss of Consciousness (without Seizures)/Syncope
• Malaria
• Meningitis
• Motion Sickness & Prevention
• Nausea & Vomiting
• Otitis Externa (Outer Ear Infection or Swimmer’s Ear)
• Otitis Media (Middle Ear Infection)
• Pharyngitis Protocol (Oral Pharyngeal Infections including Viral, Strep, Epiglottitis, Peritonsillar Abscess, Mononucleosis)
• Pneumonia
• Pulmonary Embolism (PE)
• Rabies Post-Exposure Prophylaxis
• Rectal Bleeding
• Rhabdomyolysis
• Sepsis/Septic Shock
• Smoke Inhalation
• Spontaneous Pneumothorax
• Subungal Hematoma
• Testicular Pain
• Upper Respiratory Infection/Common Cold
• Urinary Tract Infection
• Notes

SECTION 4
RANGER MEDIC PHARMACOLOGY & FORMULARY

• Pharmacology Standards & Guidelines
• Acetaminophen (Tylenol)
• Acetazolamide (Diamox)
• Acetylsalicylic Acid (Aspirin)
• Albuterol (Proventil)
• Aluminum Hydroxide, Magnesium Hydroxide (Maalox)
• Amoxicillin/Clavulanate (Augmentin)
• Atovaquone-Proguanil (Malarone)
• Atropine Sulfate
• Azithromycin (Zithromycin, Z-Pak)
• Bacitracin
• Benzathine-Penicillin G (Bicillin)
• Benzonatate (Tessalon Perles)
• Bisacodyl (Dulcolax)
• Blood
• Bupivacaine (Marcaine)
• Cefazolin Sodium (ANCEF)
• Ceftriaxone (Rocephin)
• Cetirizine (Zyrtec)
• Cimetidine (Tagamet)
• Ciprofloxacin (Cipro)
• Clindamycin (Cleocin)
• Cyclobenzaprine (Flexeril)
• Dexamethasone (Decadron)
• Dextrose (D50)
• Diazepam (Valium)
• Diphenhydramine (Benadryl)
• Docusate (Colace)
• Doxycycline
• Epinephrine (Including Epi-Pen)
• Ertapenem (Invanz)
• Erythromycin Ophthalmic Ointment
• Eszopiclone (Lunesta)
• Fentanyl
• Fexofenadrine (Allegra)
• Fluconazole (Diflucan)
• Fluticasone (Flonase)
• Gatifloxacin Ophthalmic Solution (Zymar)
• Guaifenesin
• Hydrocortisone Cream
• Hydromorphone (Dilaudid)
• Ibuprofen (Motrin, Advil)
• Ketoconazole
• Ketamine
• Ketorolac (Toradol)
• Lactated Ringer’s (LR)
• Levetiracetam (Keppra)
• Levofloxacin (Levoquin)
• Lidocaine (Xylocaine)
• Loperamide (Imodium)
• Loratadine (Claritin)
• Meclizine (Antivert)
• Melatonin
• Meloxicam (Mobic)
• Methocarbomol (Robaxin)
• Methylprednisolone (Solu-Medrol)
• Metronidazole (Flagyl, MetroGEL)
• Midazolam (Versed)
• Modafinil (Provigil)
• Morphine Sulfate (MSO4)
• Moxifloxacin (Avelox)
• Mupriocin (Bactroban)
• Naloxone (Narcan)
• Naphazoline (Naphcon-A, Vascon, Clear Eyes)
• Naproxen (Naprosyn)
• Nitrofurantoin (Macrobid)
• Ofloxacin Otic (Floxin)
• Omeprazole (Prilosec)
• Ondansetron (Zofran)
• Oxymetazoline (Afrin)
• Plasma-Lyte A
• Polyethylene Glycerol (MiraLAX)
• Prednisone
• Primaquine
• Promethazine (Phenergan)
• Pseudoephedrine (Sudafed)
• Rabeprazole (Aciphex)
• Rizatriptan (Maxalt)
• Scopolamine (Transderm Scop)
• Sodium Chloride, 0.9% (Normal Saline)
• Sodium Chloride, 3% (Hypertonic Saline)
• Sufentanil (Dsuvia)
• Sumatriptan (Imatrex)
• Terbinafine (Lamisil)
• Tetracaine Ophth
• Tranexamic Acid (TXA)
• Trimethoprim-Sulfamethoxazole (TMP-SMZ, Bactrim, Septra)
• Zolpidem (Ambien)
• Tylenol (see Acetaminophen)
• Valium (see Diazepam)
• Versed (see Midazolam)
• Zithromycin/Z-Pak (see Azithromycin)
• Zofran (see Ondansetron)
• Drug Quick Reference
• Ketamine Drip Tables
• Pharmacology Notes

SECTION 5
SPORTS MEDIC SCOPE OF PRACTICE

• Shoulder – Traumatic & Acute Pain
• Arm/Elbow – Traumatic & Acute Pain
• Hand/Wrist – Traumatic & Acute Pain
• Hip – Traumatic & Acute Pain
• Leg – Traumatic & Acute Pain
• Knee – Traumatic & Acute Pain
• Ankle – Traumatic & Acute Pain
• Notes

SECTION 6
MPC/CANINE TRAUMA & TACTICAL MEDICAL EMERGENCY PROTOCOLS

• Canine Patient Assessment
• Canine Trauma & Shock Management
• Canine Field Blood Transfusion Procedure
• Canine Injection & IV Sites
• Canine Tactical Medical Emergencies
• Canine Heat Injury
• Canine Gastric Dilatation Volvulus (GDV)
• Canine Altitude Sickness and Pulmonary Edema
• Canine Seizure Management
• Canine Toxicities – Explosives, Others
• Canine CBRNE
• MPC Reference Card

SECTION 7
MEDICAL PLANNING & CASUALTY COLLECTION OPERATIONS

• Casualty Response Planning Overview
• Ranger Casualty Response Planning
• Predeployment Requirements
• Medical Threat Assessment
• Higher Headquarters Orders and Guidelines
• Determine Medical Assets
• Tactical Medical Support Plan Development
• QRF Capabilities and Integration
• Briefs, Rehearsals, and Precombat Inspections
• Sustained Combat Operations & Time-Sensitive Targets
• Casualty Collection Point Operations
• Relief-in-Place Operations
• Notes

SECTION 8
HAZARDOUS TRAINING MEDICAL COVERAGE

• Hazardous Training Medical Coverage Duties & Responsibilities
• Hazardous Training Medical Coverage Planning
• Equipment Requirements
• Medical Coverage During Tactical Exercises
• Pre-Coverage Inspections
• Pre-Coverage Rehearsals
• Hazardous Training Medical Coverage Checklist

SECTION 9
PACKING LISTS

• Kit/Aid Bag Minimum Stock
• Advanced Ranger First Responder Medical Kit Contents
• Ranger Bleeder Control Kit Contents

SECTION 10
REFERENCES & ABBREVIATIONS

• Abbreviations & Acronyms
• MACE 2
• Reference Charts
• Conversion Charts
• Neuro Exam Reference Chart
• Ketamine Drip Tables
• ARDSnet Vent Settings
• Ranger Casualty Card
• Prolonged Field Care Card
• TBI RTD Card
• Notes