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Comprehensive checklist for prioritizing and managing injuries during evacuation. Includes patient details, incident history, and evacuation plan.
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USE THIS FIRST! URGENT PL1234 URGENT PL1234 X X Smith, John 1234 25-12-14 0350 X 3/325 NA Improvised X X Hextend 500ml IV 0345 X X X X 800ncg IO 0340 X X SOFTW 0330 X To Do: Needle D, Maybe Chest tube Post cric checklist, ABX Splint L Arm? 0340 0355 0410 0425 120 90 105 110 R 130/100 110/90100/80 24 18 16 20 86 96 98 97 P V A V
Name: _________________________________ Age:___ Weight: _______Lbs _______Kg Allergies: ______________________________________ Past Med Hx:___________________________________ Past SurgHx:___________________________________ Incident History: I have (# patients), stable/unstable, Incident occurred: ______________________________ Mechanism of injury was _________________________ ______________________________________________ I am expecting to evac the patient to:________________ ______________________________________________ Estimated time to evacuation is now: ________________ ETA at definitive care is: __________________________ CASEVAC POC is: ________________________________ Tourniquet Time:__________ Time Converted:___________ 0330 Facial Lac Cric GSW L Chest Shrapnel L Arm 1. X TQ L Leg 6. 2. X 3. X X Exit L Back 4. X X 5.
Name: _________________________________ Age:___ Weight: _______Lbs _______Kg Allergies: ______________________________________ Past Med Hx:___________________________________ Past SurgHx:___________________________________ Incident History: I have (# patients), stable/unstable, Incident occurred: ______________________________ Mechanism of injury was _________________________ ______________________________________________ I am expecting to evac the patient to:________________ ______________________________________________ Estimated time to evacuation is now: ________________ ETA at definitive care is: __________________________ CASEVAC POC is: ________________________________ Tourniquet Time:__________ Time Converted:___________ 0330 Facial Lac Cric GSW L Chest Shrapnel L Arm 1. X TQ L Leg 6. 2. X 3. X X Exit L Back 4. X X 5.
Facial Lac Write down all injuries AND interventions Cric GSW L Chest Shrapnel L Arm TQ L Leg Exit L Back
Facial Lac Cric GSW L Chest Shrapnel L Arm TQ L Leg Exit L Back Brainstorm everything that needs done on this side
Facial Lac Cric GSW L Chest Shrapnel L Arm TQ L Leg Exit L Back
Facial Lac Cric GSW L Chest Shrapnel L Arm TQ L Leg Prioritize everything on this side and work your way down Exit L Back Brainstorm everything that needs done on this side