PFC Medical Planning and Briefing Tool

Plans are uselessPlanning is everything-Dwight D. Eisenhower

Use the 10 Capabilities Grid to Figure out what capability you are deficient on and then Identify what asset in your AO has it available.

• Couldn’t get a ventilator to bring?

• Make finding one a priority in your planning and note it on your grid and map

MinimumBP Cuff, Stethescope, Pulse Ox, Foley

Fresh Whole Blood Kit

Bag-Valve-Mask with PEEP Valve

Awake Ketamine Cric

Opiate Analgesics titrated throughIV

Physical Exam withoutadvanced

clean, warm, dry, padded, catheterized

Chest tube, cric Make comms, present patient and key vitals

Be familiar with stressors of flight

Better Capnometry 2-3 cases of LR

for Burn ResusO2 Concentrator Long duration

sedation Sedation with Ketamine/option of midazolam

Ultrasound and point of care labs

Elevate head of real beddebride, washout NG/OG

Fasciotomydebridement,amputation

Add labs and ultrasound video

Trained in critical care transport

BestVital Signs Monitor

PRBS, FFP, Type specific donors

Portable Ventilator

Proficient in Rapid Sequence Intubation

Educated and practiced imultidrug sedation

Experienced and trained in above

Experienced in all nursing care concerns

Trained and experienced in above

Real time video conference

Experienced in critical care transport

Ruck Pulse Ox, Head Lamp

1 FWB Kit per man, 2 250cc bag NS

BVM with PEEP Valve

Cric Kit, LMA/SGA, lidocaine and ketamine IM

Fentanyl TML,Perc PO, Ketamine IM/ IV

Urinalysis test strips, fluorescein strips

Compct Foleykit, Sterile kerlix, litter padding

Cric, 10gNeedle DScalpel

Cell Phone and call sheet

Have checklist available

Truck BP Cuff, Stethescope, capnometry, small monitor

Casre LR, Additional FWB Kits, 3% Saline

SAVent or SAVE 2

RSI, LMA/SGA,Cric kit ketamine bag IV

Ketamine IV with midazolam

Blood tubes to drop off labsat HN clinic on the way

Padded litter, NG,

Sterile Chest Tube Kit with drapes

Cell phone and call sheet, sat phone, radio

Checklist plus flight evac kit

House Add defibrillation

2 additional cases LR, Case NS, Additional 3% Saline

No Ventilator; Available with SURG team at capitol

All from aboveAdd Benzo if not available for truck

Same as above No Labcapability; Available with SURG team at capitol

Real matresswith head elevated, nursing care kit sleeping bg

Sterile Surgical Kit with Drapes, Gowns and scrub soap

Secure comms, email

Extensive evackit

Plane Take all of above

All of above SAVent on O2 All above calculate for flight and double

All above calculate for flight time and double

Padded Litter, Sleeping Bag

10g needle D Chest tube kitCric kit

Through aircraft

From Above

1. Monitoring 2. Resuscitate3. Ventilate

and oxygenate4. Control the

Airway5. Sedation

and Analgesia

6. Physical Exam and

Diagnostics

7. Nursing and Hygeine

8. Surgical Interventions

9. TelemedicalConsult

10. Package and Prepare

for flight

10 Essential PFC Capabilities

MinimumBP Cuff, Stethescope, Pulse Ox, Foley

Fresh Whole Blood Kit

Bag-Valve-Mask with PEEP Valve

Awake Ketamine Cric

Opiate Analgesics titrated throughIV

Physical Exam withoutadvanced

clean, warm, dry, padded, catheterized

Chest tube, cric Make comms, present patient and key vitals

Be familiar with stressors of flight

Better Capnometry 2-3 cases of LR

for Burn ResusO2 Concentrator Long duration

sedation Sedation with Ketamine/option of midazolam

Ultrasound and point of care labs

Elevate head of real beddebride, washout NG/OG

Fasciotomydebridement,amputation

Add labs and ultrasound video

Trained in critical care transport

BestVital Signs Monitor

PRBS, FFP, Type specific donors

Portable Ventilator

Proficient in Rapid Sequence Intubation

Educated and practiced imultidrug sedation

Experienced and trained in above

Experienced in all nursing care concerns

Trained and experienced in above

Real time video conference

Experienced in critical care transport

Ruck

Truck

House

Plane

1. Monitoring 2. Resuscitate3. Ventilate

and oxygenate4. Control the

Airway5. Sedation

and Analgesia

6. Physical Exam and

Diagnostics

7. Nursing and Hygeine

8. Surgical Interventions

9. TelemedicalConsult

10. Package and Prepare

for flight

10 Essential PFC Capabilities

Team Members/ Organic Assets

Type and Name

Telephone Radio Freq/ Call SigneMail

Medical Capabilities

Limitations Special Equipment

Senior Medic:John Smith

+27 456-345-6789 18D1

Junior Medic:

RFR:

TCCC/MARCH:

CLS

First Aid/Buddy Aid

NO MEDICAL TRAINING (liabilities)

Surgical Assets

Type Of Team / Number Pax?

Telephone / Date Last checked

Radio Freq / Call SigneMail

Blood Available?

Highest Trained Person

Surgical Capabilities

Surgical Limitations

Able to Travel?How Far?With whom?

Battalion FAS FWB Kits

SOST

MFST

CSH

Local Surgeon

CasEvac Platforms

Type Vehicle / Aircraft / Location

Telephone Date Last called

Radio Freq / Call SigneMail

Capablities / Distance /Speed /Equipment

Limitations(Contract, Weather etc..)

Military or Civilian?Country of Origin?

Medic On Board? Contract InfoDistance, Cash

Other Good to Know Info

Razor / ATV

Team Truck

HN Ambulance

Civilian Helo

Casa 212

Twin Otter

Cessna

Strategic Evacuation Platforms

Type Vehicle / Aircraft / Location

Telephone Date Last called

Radio Freq / Call SigneMail

Capablities / Distance /Speed /Equipment

Limitations(Contract, Weather etc..)

Military or Civilian

Contract InfoDistance, Cash

Other Good to Know Info

C-146

C-130

C-17

Civilian Air Evac

Refueling Stations / FARPs

Name Telephone / Date LastChecked?By Whom?

Radio Freq / Call SigneMail

Location Country / State / City / Address / Grid

Manned?By Whom?

Limitations Evaluation Last Done. By whom?

Other Good to Know Info

MSS 1

MSS 2

Airstrip A

Airstrip B

Main Airport

FARP I

FARP II

Telemedicine Contacts

Who Telephone / Date last checked

Radio Freq / Call SigneMail

Last time checked?By whom?

Level of Training / Specialty

Location

Facilities

Name Telephone / Date LastChecked?By Whom?

Radio Freq / Call SigneMail

Location Country / State / City / Address / Grid

CapabilitiesSurg?Blood?Imaging

Limitations Evaluation Last Done. By whom?

Other Good to Know Info

MSS 1

MSS 2

Team House / Aid Station

Battalion FAS

CSH

Local Clinic

Local Hospital

Add Regional Map And Locations

Coalition Med Facility / Team

Host Nation Med Facility

Air Port / Landing Strip

Team Houses / Bases

LZ / FARP

MSS

Range / Distance

600km

Clinic

LZ 143C-130

600km

Scale

Add Local Map and Locations

Coalition Med Facility / Team

Host Nation Med Facility

Air Port / Landing Strip

Team Houses / Bases

LZ / FARP

MSS

Range / Distance

50 km

Clinic

LZ 143MI 17 Helo

50km

Scale

Medical/CASEVAC CONOP slide

• Why• Amount of force providers rotating

• Different medical plans

• Lack of research

• Mutual support

• Other COCOM priorities

• Squeezing the balloon

Header/top of slide

• Classification noted

• Country of operations. If it’s multiple countries, use SOCFWD flag

• SOCAFRICA flag on the right

• Title will be Operation/Team name MEDEVAC or CASEVAC CONOP

Medical Capabilities

• Focus to care is beyond the capabilities of SF/SOF medic

• “Self aid/buddy aid” and “all team members are TCCC qualified” are unacceptable - already assumed. Underwear goes on the inside.

• Designated numbers/letters within this block will correspond throughout the plan.

• Triangle will correspond with the medical risk scale at the bottom and the map

• The circled numbers will correspond where on the map they are located

CASEVAC PLATFORM:

Thought should be given to infil and exfil platform.

• Can they loiter if immediate exfil is needed?

• Include all platforms intended to be used in CASEVAC plan (Contract Aviation, Personal Recovery, SOCAF owned, Coalition and HN (if feasible).

• What is your platform’s spin up and launch times over the geographical distance?,

• Thought to platforms ability to land on improved/ unimproved surfaces and travel time and speed.

• This needs to be captured in a narrative portion of the plan and depicted on the map to the right.

PACE OPTIONS

• A coherent application of assets available to you

Considerations & Limitations

• Highlight relevant issues not noted• “Driving through Nairobi at night will

affect patient transportation to AGA KHAN

• “Pilots are not NVG qualified to fly at night”

• Relevant facts to this specific mission

• What are the refuel times if you have to “lily pad” across to your next destination?

• What are your patient transfer times?

• Expect changes due to operational needs

Medical Risk Scale

• This is in reference to your BEST plan; which is your “P.”

• “ER” is your primary ER

• “DCS” is your primary DCS

Definitions:

ER – Emergency Room is a facility/location that is able to stabilize a patient prior to surgery. It’s also a capability above the tactical element (ex: TCCET, MOG UN ER, CCET, SOST)

DCS- Damage Control Surgery is the rapid initial control of hemorrhage and contamination with packing and a temporary closure.

MAP

• This is a pictorial representation of all the information we had on the left translated onto the map

• A visual for your information

• Should systematically match what you have on the left

• The Blue triangles connote where your closets American DCS and ER assets are located and matches your medical risk scale

CONTACT INFORMATION

• Order of precedence of phone numbers

• Clear and concise

• Split up in 2 sections: Internal/External

• Internal should be “down and in”

• External should be “up and out”

• Phone numbers should be limited due to the SOCFWD JOC’s and the Surgeons will coordinate follow on care.