JSOM Header

Standard Medical Operations Guidelines (SMOG)
CY23 Edition
Table of Contents
Summary of Changes

TACEVAC

  • Universal Patient Care
  • Tactical Evacuation

TRAUMA

  • Hemorrhage
  • Abdominal Injury
  • Chest Trauma
  • Extremity Trauma
  • Multiple Trauma
    • Pediatric Multiple Trauma
  • Head Injury
  • Burns
  • Electrical Injury
  • Traumatic Cardiac Arrest
  • Hypotension/Shock
    • Pediatric Hypotension/Shock
  • Crush Syndrome
  • Eye Injury/Pain

MEDICAL

  • Abdominal Pain
  • Allergic Reaction
    • Pediatric Allergic Reaction
  • Altered Mental Status
    • Pediatric Altered Mental Status
  • Back and Neck Pain
  • Epistaxis
  • Fever
  • Hyperglycemia
  • Hypoglycemia
  • Respiratory Distress
    • Pediatric Respiratory Distress
  • Seizure
    • Pediatric Seizure
  • Sepsis
  • Stroke/TIA Suspected
  • Syncope
  • Toxic Ingestions
    • Pediatric Toxic Ingestions
  • Vomiting and Diarrhea
    • Pediatric Vomiting and Diarrhea

CARDIAC

  • Chest Pain
  • Cardiac Arrest
    • Pediatric Cardiac Arrest
    • Pediatric ALS and BLS indicators
  • Bradycardia With Pulse
    • Pediatric Bradycardia With Pulse and Poor Perfusion
  • Tachycardia With Pulse
    • Pediatric Tachycardia With Pulse and Adequate Perfusion
    • Pediatric Tachycardia With Pulse and Poor Perfusion
  • Post Cardiac Arrest Care
  • Hypertension

Environmental

  • Altitude Illness
  • Animal and Insect Bites/Stings
  • Hyperthermia
  • Hypothermia
  • Snakebite Envenomation Management: General Practice
  • Snakebite Clinical Syndromes
  • Snakebite Sudden Collapse Syndrome
  • Global Spider and Scorpion Envenomation
  • Widow Spider Envenomation
  • Funnel Web Spider Envenomation
  • Scorpion Envenomation
  • Submersion Injury

CBRN

  • CBRN Principles
  • CBRN MARCHE2
  • CBRN Rapid Identification of Chemical Warfare Agent
  • CBRN Nerve Agent
  • CBRN Blood Agent
  • CBRN Pulmonary Agent
  • CBRN Vesicant Blister Agent
  • CBRN Incapacittion Agent

SPECIAL POPULATIONS

  • Childbirth
  • Newborn Care and Distress
  • Obstetric Emergency
  • Treatment of Minors
  • Sexual Assault
  • Patient Refusal
  • Sample Patient Refusal Form
  • Combative Patient

MILITARY WORKING DOG

  • MWD Normal Clinical Parameters
  • MWD Airway Management
  • MWD Heat Injury
  • MWD CPR w/ Drug Chart
  • MWD Analgesia and Sedation
  • MWD Gastric Dilation-Volvulus
  • MWD Shock Fluid Therapy

MEDICATIONS

  • Drug Chart, Personal Foldable Deployable
  • Anitbiotic Therapy Chart
  • Fluid Volume for Dilution Chart
  • IV Y-site Compatibility Chart
  • Pressor Priority Chart
  • Oxygen
  • Normal Saline 0.9% Sodium Chloride
  • Normal Saline Hypertonic 3%
  • Lactated Ringers (Ringer’s Lactate/Hartman’s)
  • Dextrose 5% in Water (D5W)
  • PlasmaLyte A
  • Acetaminophen
  • Acetazolamide
  • Acetylsalicylic Acid
  • Activated Charcoal
  • Adenosine
  • Albuterol
  • Amiodarone
    • Amiodarone Infusion Chart
  • Atropine
  • Calcium Chloride
  • Calcium Gluconate
  • Cefazolin
  • Dexamethasone
  • Dextrose
  • Diazepam
  • Diltiazem
  • Diphenhydramine
  • Dobutamine
  • Dopamine
    • Dopamine Infusion Chart
  • Epinephrine 1mg/1mL (1:1,000)
    • Epinephrine 1mg/1mL (1:1,000) Infusion Chart
  • Epinephrine 1mg/10mL (1:10,000)
    • Epinephrine 1mg/10mL (1:10,000) Infusion Chart
  • Entrapenem
  • Etomidate
  • Fentanyl
    • Fentanyl Infusion Chart
  • Furosemide
  • Glucagon
  • Heparin
  • Hetastarch
  • Hydromorphone
    • Hydromorphone Infusion Chart
  • Hydroxocobalamin
  • Ketamine
    • Ketamine Infusion Chart
  • Ketorolac
  • Labetalol
  • Levetiracetam
  • Lidocaine
  • Lorazepam
  • Magnesium Sulfate
  • Mannitol
  • Methylprednisolone
  • Metoclopramide
  • Metoprolol
  • Midazolam
  • Morphine
  • Moxiflaxacin
  • Naloxone
  • Nifedipine
  • Nitroglycerin
  • Norepinephrine
    • Norepinephrine Infusion Chart
  • Ondansetron
  • Phenylephrine
  • Pralidoxime Chloride
  • Procainamide
  • Promethazine
  • Propofol
    • Propofol Infusion Chart
  • Rocuronium
  • Sodium Bicarbonate
  • Succinylcholine
  • Thiamine
  • Tranexamic Acid
  • Vasopressin
  • Vecuronium

PROCEDURES

  • AIRWAY
    • Airway
      • Pediatric Airway
    • Airway Pearls
    • Airway Confirmation
    • Blind Insertion Airway Device (BIAD)
    • Failed Airway
    • Nasopharyngeal Airway
    • Pre-Intubation Checklist
    • Rapid Sequence Intubation (RSI)
    • Cricothyroidotomy
    • Needle Cricothyroidotomy
    • Simple and Tube Thoracostomy Placement
    • Needle Thoracostomy
    • Ventilator Management
    • IMPACT 754 Preflight and Troubleshooting
    • IMPACT 731+ Preflight and Troubleshooting
    • COVID-19 Management
  • BLOOD
    • Hemorrhage Control Procedures
    • Tourniquet Application
    • Junctional Tourniquet Application
    • Tourniquet Conversion
    • Vascular Access Intravenous (IV)
    • Vascular Access Intraosseous (IO)
    • IV/IO Protocol
    • Vascular Access via Central Catheters
    • Vascular Access via External Jugular
    • En Route Damage Control Resuscitation
    • Blood Component/Fresh Whole Blood Use
    • Blood Transfusion Related Reactions
    • Blood Glucose Analysis
    • Invasive Pressure Monitoring
    • REBOA Management
  • CARDIAC
    • Cardiac Defibrillation
    • ECG 12-Lead Electrocardiogram
    • Synchronized Cardioversion
    • External Cardiac Pacing
    • Withhold Resuscitation
  • PATIENT TRANSFERS
    • Altitude Physiology and Patient Transfer
    • Post-Operative & Critical Care Interfacility Transfer
    • Pre-Transport Checklist
    • Facility Transfer Checklist
    • Patient Safety
  • VARIOUS
    • SALT Mass Casualty Triage Algorithms
    • Burn Fluid Resuscitation
    • Dental Problems
    • Spinal Evaluation and Immobilization
    • Foley Catheter Placement
    • Naso/Orogastric Tube
    • Pain Management
      • PEDS Pain Management
    • Hypothermia Prevention and Management

FORMS, CHARTS, AND DOCUMENTATION

  • Vital Functions
  • Common Laboratory Values
  • Useful Calculations
  • Oxygen Cylinder Life
  • Lund-Broder Burn Estimate Chart - Adult
  • Lund-Browder Burn Estimate Chart - Child
  • Snellen Chart
  • Standard Order Set for Critical Care Transfers
  • ECC Guideline JTS Burn Resuscitation Flow Sheet
  • DA Form 4700 (JTS TACEVAC AAR & PCR)
    • DA4700
    • MERCuRY
  • DD 1380, Tactical Combat Casualty Care Card (for POI)
  • Tactical Combat Casualty Care After Action Report
  • MWD TC3 Card and Instructions
  • US and NATO MEDEVAC Request Forms

ADMINISTRATIVE

  • Drug Box Layout - Sample
  • Standing Orders
  • Medical Director/Unit Commander Review and Approval
  • Dedication Page
  • Summary of Changes