ProlongedFieldCare.org – Improving Far Forward …
Prolonged Field Care MTF handover sheetPRIOROTY I INFORMATIONI am Rank, NameaPJ/68W/18D/CRFfromunitI?m bringing in acritical / non criticalyears oldmale/femalepatientwho is aCoalition(non)military/non coalition security/civilian/opposing force(POW)The patient got injured by IED/GSW/RPG/accident/fall/otherhrs. agoatlocationEvacuation timehrs byair / landInjuries sustained:TBI / penetrating/bunt trauma / amputation / arterial bleeding / bleedingEye injury / burns / fracture / intoxication / laceration / otherProbems NOW:<C>NONE / critical bleeding leg / groin / arm / axilla / neck/ hemodynamic instabilityANONE / Airway obstruction / opened airway / respiratory acidosisBNONE / low-high respiration rate / thorax injuries / tension pneumothorax / otherCNONE / low-high blood pressure / low-high pulse-rate / bleeding / low O2-saturation / otherDNONE / A V P U / pupils / pain / spinal injury / fracture / otherENONE / low-high body temperature / wet clothes / otherOther information:PRIORITY II INFORMATIONTreatment given:<C>NONE / Tourniquet + TIME ! / hemostatic agent / wound packing / pressure bandageANONE / cric / SGA(LT) / ET / NPA / OPA / positioningBNONE / chest seal / ND / chest tube / otherCNONE / i.v. / i.o. / blood / fluids / recovery position / otherDNONE / splint / spine stabilization / sedation-analgesia / burn dressing / otherENONE / hypothermia prevention / hyperthermia treatment/ changed clothes / otherMedication:Analgesic / Antibiotics / Oxygen l/minFluids:Crystalloid / colloids (ml total)N K D AIf so, which?diseases / allergiesNo Known Diseases / AllergiesOther information not covered above:Prolonged Field Care MTF handover sheetPRIOROTY I INFORMATIONI am Rank, NameaPJ/68W/18D/CRFfromunitI?m bringing in acritical / non criticalyears oldmale/femalepatientwho is aCoalition(non)military/non coalition security/civilian/opposing force(POW)The patient got injured by IED/GSW/RPG/accident/fall/otherhrs. agoatlocationEvacuation timehrs byair / landInjuries sustained:TBI / penetrating/bunt trauma / amputation / arterial bleeding / bleedingEye injury / burns / fracture / intoxication / laceration / otherProbems NOW:<C>NONE / critical bleeding leg / groin / arm / axilla / neck/ hemodynamic instabilityANONE / Airway obstruction / opened airway / respiratory acidosisBNONE / low-high respiration rate / thorax injuries / tension pneumothorax / otherCNONE / low-high blood pressure / low-high pulse-rate / bleeding / low O2-saturation / otherDNONE / A V P U / pupils / pain / spinal injury / fracture / otherENONE / low-high body temperature / wet clothes / otherOther information:PRIORITY II INFORMATIONTreatment given:<C>NONE / Tourniquet + TIME ! / hemostatic agent / wound packing / pressure bandageANONE / cric / SGA(LT) / ET / NPA / OPA / positioningBNONE / chest seal / ND / chest tube / otherCNONE / i.v. / i.o. / blood / fluids / recovery position / otherDNONE / splint / spine stabilization / sedation-analgesia / burn dressing / otherENONE / hypothermia prevention / hyperthermia treatment/ changed clothes / otherMedication:Analgesic / Antibiotics / Oxygen l/minFluids:Crystalloid / colloids (ml total)N K D AIf so, which?diseases / allergiesNo Known Diseases / AllergiesOther information not covered above: ................
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