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Prolonged field care: Difference between revisions

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# '''Logistics''': Understand the chain of care and evacuation.
# '''Communication''': Establish and maintain reliable communication with operational and medical control.
[[File:Special Warfare Medical Group (Airborne) trains special-operations combat medics 120321-A-NR754-146.jpg|thumb|411x411px413x413px|'''Special Warfare Medical Group training in prehospital care, this stage would be the "ruck" stage, equipment used must be carried to the patient in a rucksack''']]
 
 
The first ten capabilities originates in military practice<ref>{{Cite web |date=2017-06-15 |title=Prolonged Field Care for the Combat Medic |url=https://nextgencombatmedic.com/2017/06/15/prolonged-field-care-for-the-combat-medic/ |access-date=2023-09-03 |website=Next Generation Combat Medic |language=en}}</ref><ref>{{Cite web |date=2015-02-10 |title=Position Paper – 10 Essential Core Capabilities for Prolonged Field Care |url=https://prolongedfieldcare.org/2015/02/09/10-essential-core-capabilities-for-prolonged-field-care/ |access-date=2023-09-03 |website=ProlongedFieldCare.org |language=en-US}}</ref> with the last two being later additions for a civilian Each of the core capabilities can then be considered in terms of Minimum, Better, Best in relation to planning to provide a gold standard level of care<ref>{{Cite web |date=2019-07-07 |title=Prolonged Field Care: Beyond the "Golden Hour" – MED-TAC International Corp. |url=https://tactical-medicine.com/en-gb/blogs/news/prolonged-field-care-beyond-the-golden-hour |access-date=2023-09-03 |website=tactical-medicine.com}}</ref> and in relation to Ruck, Truck, House and Plane<ref>{{Cite journal |last1=Mohr |first1=Christopher |url=https://prolongedfieldcare.org/wp-content/uploads/2015/09/mohr_keenan-jsom-fall-2015-edition.pdf |title=Prolonged Field Care Working Group Position Paper: Operational Context for Prolonged Field Care |last2=Keenan |first2=Sean|journal=Journal of Special Operations Medicine : A Peer Reviewed Journal for Sof Medical Professionals |date=2015 |volume=15 |issue=3 |pages=78–80 |pmid=26360359 }}</ref> to discuss the stages of care and logistical issues which may limit equipment provision.
 
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== Core interventions ==
There are two acronyms used to prompt the provision of Prolonged Casualty Care after completing a [[ABC (medicine)|Primary]] and Secondary Survey, those being HITMAN<ref>{{Cite web |last=Carden |first=Richard |date=2019-05-07 |title=Prolonged Field Care...in the ED. St Emlyn's |url=https://www.stemlynsblog.org/prolonged-field-care-in-the-ed/ |access-date=2023-09-24 |website=St.Emlyn's |language=en-GB}}</ref><ref>{{Cite journal |last1=Smith |first1=Michael |last2=Johnston |first2=K. |last3=Withnall |first3=R. |date=2021-04-01 |title=Systematic approach to delivering prolonged field care in a prehospital care environment |url=https://militaryhealth.bmj.com/content/167/2/93 |journal=BMJ Mil Health |language=en |volume=167 |issue=2 |pages=93–98 |doi=10.1136/jramc-2019-001224 |issn=2633-3767 |pmid=32111674|s2cid=211564442 }}</ref> and SHEEPVOMIT.<ref>{{Cite web |last=Development |first=PodBean |title=Eric Pirie - Prolonged Care in the Field {{!}} BASICS Scotland Podcast |url=https://basicsscotland.podbean.com/e/basics-scotland-prolonged-care-in-the-field/ |access-date=2023-09-03 |website=basicsscotland.podbean.com |language=en}}</ref><ref>{{Cite web |date=2018 |title=Nursing mnemonic SHEEP VOMIT |url=https://prolongedfieldcare.org/wp-content/uploads/2018/09/pfc-nursing-mnemonic-sheep-vomit.pdf}}</ref>
 
'''H''': Head to Toe examination; a full secondary survey to identify illnesses or stigmata of disease.
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A variety of terminology is used for the same concept, this is partly due to the differences between military and civilian practice. The following terms are used fairly interchangeably, but there may be specific differences between the association dogma, guidelines and protocols.
* Prolonged Prehospital Care - The [[British Armed Forces]] utilise this terminology as well as Prolonged Hospital Care.<ref name=":0" />
* Austere Emergency Care - Preferred civilian terminology relating to training and education<ref>{{Cite journal |last=O'Kelly |first=Aebhric |last2=Mallinson |first2=Tom |date=2023-09-02 |title=Prolonged field care (austere emergency care) principles in UK paramedic practice |url=http://www.magonlinelibrary.com/doi/10.12968/jpar.2023.15.9.359 |journal=Journal of Paramedic Practice |language=en |volume=15 |issue=9 |pages=359–366 |doi=10.12968/jpar.2023.15.9.359 |issn=1759-1376}}</ref>
* Austere Emergency Care<ref>{{Cite web |title=Austere Emergency Care – CoROM |url=https://corom.org/aec/ |access-date=2023-09-03 |language=en-GB}}</ref><ref>{{Cite web |title=Austere Emergency Care – Anyone Not Ready |url=https://anyonenotready.com/aec/ |access-date=2023-09-03 |language=en-US}}</ref> - Preferred civilian terminology relating to training and education
* Prolonged Field Care - Commonly used military term
* Prolonged Casualty Care - Preferred civilian term