The following resources and associated links are included in this CPG as attachments.  

  • DD 1380 TCCC Card and accompanying POI TCCC After Action Report
  • DD 3019 Resuscitation Record
  • DA 4700 TACEVAC form
  • Nursing care grid (See Appendix B.)
  • Teleconsultation Script

 

DD 1380 TCCC Card

Open the attachment on the side menu or open the below link to print or fill out electronically.

https://jts.health.mil/index.cfm/documents/forms_after_action 

 

DD 1380 - POI TCCC After Action Report

Open the attachment on the side menu or open the below link to print or fill out electronically.

https://jts.health.mil/index.cfm/documents/forms_after_action

 

DD 3019 Resuscitation Record

Open the attachment on the side menu or open the below link to print or fill out electronically.

https://www.esd.whs.mil/Portals/54/Documents/DD/forms/dd/dd3019.pdf

 

DA 4700 TACEVAC Form

Open the attachment on the side menu or open the below link to print or fill out electronically.

https://jts.health.mil/index.cfm/documents/forms_after_action -

Instructions: https://jts.health.mil/index.cfm/documents/forms_after_action 

Prolonged Field Care Casualty Card v22.1, 01 Dec 2020

Open the attachment on the side menu or open the below link to print or fill out electronically.

https://jts.health.mil/assests/docs/forms/Prolonged_Field_Care_Casualty_Card-Worksheet.pdf

Virtual Critical Care Consultation Guide

Guide is to be used with the Prolonged Field Care Card.