APPENDIX D: DOCUMENTATION RESOURCES

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.