PMARCHP

Pain Management

- 650 mg Tylenol 2x every 8 hours

Patient/Provider Security

PMARCHP

-Protect the patient from further injury

-15 mg Meloxicam once a day

-Make sure battlefield is safe before anything, gain fire superiority

-Fentanyl Lollipop if hes freaking out

- Self aid, buddy aid, corpsman aid

-What is the best medicine?

-Apply tourniquet if needed

-Get casualty off the X

Head Injuries/Hypothermia

Massive Hemorrhaging

- DCAP BTLS for skull and facial bones

- Pupils equal, round, and reactive to light (PERRL)

-Reassess TQ

- Darkness under eyes and ears (battle signs)

-Big pipes little pipes

- Halo test/cerebro spinal fluid in ears and nose

-Stop at the joints, and don't forget the neck

- Raise him off the ground and cover him for hypothermia

Circulation

Airway

- Reassess your work

-Check consciousness and breathing

- Head tilt/chin lift and Look, Listen, Feel

- Secondary blood sweeps: big pipes little pipes, wash rag and check for Deformities, Contusions, Abrasions, Penetrations, Burns, Tenderness, Lacerations, Swelling (DCAP BTLS)

Respiratory

-Jaw thrust and look for Lacerations, Obstructions, Blood, Broken Teeth, Swelling (LOBBS)

-Tiger Claw

- Sternum, Clavicles, Ribcage, Abdomen, Pelvis, Penis, Scrotum (SCRAPPS)

-Clear obstructions and dont blind sweep

-4 missed spots: shoulder, armpit, belt line, and the side you roll him on

- Nasopharyngeal Airway (NPA) pointed side facing up

-Reverse C on stomach to check for Tenderness, Rigidity, Distention, Discoloration, and Swelling (TRDDS)

- do a spine check(piano keys)

- Bilateral radial pulses 80/Palps

- Do a rectal check(credit card swipe and bullet shot) and look for spinal injury

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