Starfleet Combat Medicine Manual: Difference between revisions

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When communicating with Starfleet medical control, a medical officer or a receiving facility, a verbal report will include the following essential elements:
When communicating with Starfleet medical control, a medical officer or a receiving facility, a verbal report will include the following essential elements:
===PERTINENT INFO===
===PERTINENT INFO===
1. Provider – name, and unit.
1. Provider – name, and unit.
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===PATIENT CARE DOCUMENTATION===
===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.
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.


=TRAUMA MANAGEMENT TEAM=
==SQUAD EMT==
A non-medical MOS Medic currently registered as an EMT-Basic/Intermediate by the Department of Medicine (DOM) and designated by the command to operate in this capacity. This individual functions as a bridge between the RFR and the Starfleet Medic in respect to tactical and administrative trauma management. Squad EMTs conduct their scope of practice under the licensure of a medical director.
==SPECIAL OPERATIONS COMBAT MEDIC ADVANCED TACTICAL PRACTITIONER==
(SOCM-ATP) – A Starfleet Medic currently registered as an NREMT-Paramedic by the DOT and/or USSOCOM State-Paramedic (Advanced Tactical Practitioner) who has been awarded the identifier W1 (Special Operations Combat Medic) and has been approved by the unit Medical Director to function at this advanced level of care. A Starfleet Medic can train and direct routine and emergency medical care, establish combat casualty collection points, conduct initial surgical and medical patient assessment and management, triage and provide advanced trauma management, and prepare patients for evacuation.
Routine garrison care includes assisting unit medical officers with daily sick call and requires advanced knowledge in common orthopedic problems, respiratory illnesses, gastrointestinal disorders, dermatological conditions, and environmental hazard illnesses. Starfleet Medics train non-medical personnel on first responder skills and preventive medicine. Starfleet Medics conduct their scope of practice under the licensure of a medical director and are not independent health care providers. Starfleet Medics should always obtain medical director advice and supervision for all care provided. However, on rare occasions Starfleet Medics may be required to operate relatively independently with only indirect supervision in remote, austere, or clandestine locations. In these cases, it is still extremely rare that a Starfleet Medic will be unable to communicate by computer.
=STANDING ORDERS= 


Advanced life support interventions, which may be undertaken before contacting on-line medical control.
PROTOCOLS – Guidelines for out of hospital patient care. Only the portions of the guidelines, which are designated as “standing orders”, may be undertaken before contacting an on-line medical director.
MEDICAL CONTROL / MEDICAL DIRECTOR / MEDICAL OFFICER – A licensed 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 Rangers. 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 physician.


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