Prolonged Field Care – Patient Packaging, 11 Aug 2021

Patient packaging is highly dependent upon the Casualty Evacuation (CASEVAC) / Medical Evacuation (MEDEVAC) platform that is operationally available. If possible, rehearse patient packaging internally and with the external resources. Train with MEDEVAC assets understand transporting teams’ standard operating procedures in order to best prepare the patient for transport. (Example some teams want to secure the patient and interventions themselves while others may be okay with a fully wrapped patient).

Ensure the patient is stable before initiating a critical patient transfer. For POI/unstable patients ensure the appropriate transport team (MEDEVAC with en route critical care nurse or advanced provider). Interfacility transfers should meet the following minimum:

  1. Hemorrhage control
  2. Resuscitation adequate (SBP 70-80 mmHg, MAP >60, or UOP >0.5ml/kg/hr)
  3. Initial post-op recovery as indicated
  4. Stabilization of fractures

Prepare Documentation

*preference: secure to patient strip of 3in Tape with medications administered attached to blanket or HPMK

Prepare Report

Report should give highlights, expected course, and possible complications during transport. The hand-off is the most dangerous time for the patient it is as important as treatments or medications.  If it is rushed things can easily be missed.

Prepare Medications

Hypothermia Management

Flight Stressor/ Altitude Management

Secure Interventions and Equipment

*if possible, identify with tape the location of interventions or access points on top of hypothermia management to allow transport teams quick identification of location.

Prepare Dressings

Air Evacuation and other MEDEVAC assets do not routinely change dressings during transport; therefore, ensure all dressings are changed, labeled, and secured before patient pick up

Secure the Patient

 Moving a Critical Care Patient

Prolonged Casualty Care Patient Packaging Flowchart

Equipment:

Possible Complications: