PFC | Resuscitation | Pain and medications | Wound care/infection control | Patient care |
PHEC level | ||||
8 | TXA, Ca2+
Fibrinogen Transfusion: Comp/FWB <C> Thoracostomy PHEA Cric Chest drain Thoracotomy | Intravenous paracetamol isotopes Sedation Anti-seizure | Irrigation Antibiotics Dead tissue debridement Dress and pack wound LA infiltration | Catheter NG tube Bladder tap |
7 | TXA, Ca2+
Fibrinogen Transfusion: Comp/FWB <C> Thoracostomy PHEA Cric Chest drain | |||
6 | TXA, Ca2+
Fibrinogen <C> IGel Cric Sedation Transfusion: Comp/FWB Novel chest decompression | Ketamine sedation Intravenous paracetamol Morphine OTFC Analgesic patch | Irrigation antibiotics Dead tissue debridement Dress and pack wound LA infiltration | Catheter Intravenous fluids Bladder tap Convene |
5 | TXA, Ca2+
Fibrinogen <C> IGel Cric Transfusion: Comp/FWB Novel chest decompression | Ketamine Intravenous paracetamol morphine OTFC Penthrox | Irrigation Antibiotics Dress and pack wound LA infiltration Dead tissue debridement | Cathete Intravenous fluids Convene |
4 | TXA <C> NPA/OPA Cric Needle decompression Saline Novel chest decompression Lyoplas | OTFC Penthrox Intravenous paracetamol | Irrigation Dress and pack wound LA infiltration Antibiotics Anaphylaxis Dead tissue debridement | Intravenous fluids Convene |
3 | TXA <C> NPA/OPA Cric Needle decompression Saline I/O access | OTFC Penthrox I/O Paracetamol | Irrigation LA infiltration Dress and pack wound Antibiotics Anaphylaxis | Oral hydration Catheter (PM only) Convene |
2 | <C> Jaw thrust/chin lift Recovery position TXA IM | OTFC Improvised splintage | Wound coverage Irrigation | Oral hydration convene |
1 | <C> Jaw thrust/chin lift Recovery position TXA IM | OTFC Improvised splintage | Wound coverage Irrigation | Oral hydration glucose, dioralyte convene |
FWB, Fresh whole blood; IM, Intramuscular; I/O, interosseous; LA, local anaesthetic; NG, Nasogastric; NPA/OPA, Nasal / oral pharyngeal airway; OTFC, Oral transmucosal fentanyl citrate; PFC, prolonged field care; PHEA, Pre-hospital emergency anaesthesia; PM, Patrol medic; TXA, tranexamic acid.