Starfleet Combat Medicine Manual: Difference between revisions

Starfleet Combat Medicine Manual (view source)

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 The Chief Medical Officer (CMO) co-ordinates the efficient running of the Medical department and is responsible for the activities of the personnel therein. It is the CMO's job to ensure that the medical personnel are organized to ensure maximum productivity and also provide maximum medical and emergency response cover for the ship.
+===MEDICAL OFFICER===
+A trained and credentialed medical provider, physician or physician assistant, who verbally, or in writing, states assumption of responsibility and liability and is available on-site or can be contacted through established communications. Medical care, procedures, and advanced life-saving activities will be routed through medical control in order to provide optimal care to all sick or injured Starfleet personnel. Medical Control will always be established, regardless of whether the scenario is a combat mission, a training exercise, or routine medical care. Note that, ultimately, all medical care is conducted under the licensure of an assigned, attached, augmenting, or collocated Starfleet physician.
+===STANDING ORDERS AND PROTOCOLS===
+These standing orders and protocols are only to be used by Starfleet Medics.
+===PURPOSE===
+The primary purpose of these protocols is to serve as a guideline for tactical and non-tactical pre-hospital trauma and medical care. Quality out-of-hospital care is the direct result of comprehensive education, accurate patient assessment, good judgment, and continuous quality improvement. All Starfleet medical personnel are expected to know the Trauma Management Team Protocols and understand the reasoning behind their employment. Starfleet Doctors should not perform any step in a standing order or protocol if they have not been trained to perform the procedure or treatment in question. Emergency, trauma, and tactical medicine continues to evolve at a rapid pace. Accordingly, this document is subject to change as new information and guidelines become available and are accepted by the medical community.
+===COMMUNICATIONS===
+In a case where the Starfleet Doctor cannot contact Medical Control due to an acute time-sensitive injury or illness, a mass casualty scenario, or communication difficulties, all protocols become standing orders. Likewise, in the event that Starfleet Medical Control cannot respond to comm-badge instructions in a timely fashion required to provide optimal care to a patient, all protocols are considered standing orders. In the event that Starfleet Medical Control was not contacted, and treatment protocols were carried out as standing orders, Starfleet Medical Control will be contacted as soon as feasible following the incident and the medical record will be reviewed and countersigned by Starfleet Medical Control. Retroactive approval for appropriate care will be provided through this process.
+When communicating with Starfleet medical control, a medical officer or a receiving facility, a verbal report will include the following essential elements:
+. Provider – name, and unit.
+. Patient – name, unit, age, and gender.
+. Subjective – findings to include chief complaint and brief history of event.
+. Objective – findings to include mental status, vital signs, and physical exam.
+. Assessment – to include differential diagnosis and level of urgency.
+. Plan – to include treatment provided, patient response to treatment, and ETA.
+Provide patient status updates as dictated by patient status changes en route.
+==PATIENT CARE DOCUMENTATION==
+Patient care documentation is of paramount importance and should be performed for every patient encounter using a SMA Combat Casualty Card, a Trauma SF 600 Medical Record, or a SF 600 Medical Record.