Damage Control Resus.
The JTS recommended dose and route for Tranexamic Acid (TXA) administration in severe hemorrhagic shock, updated to simplify the previous two-step drip method.
What is 2 grams IV/IO slow push (over 1 minute)?
To prevent volutrauma in an adult trauma patient per ARDSnet protocols, the initial ventilator tidal volume (Vt) should be set to this range based on Ideal Body Weight (IBW).
What is 6-8 mL/kg of Ideal Body Weight?
For a casualty with a severe TBI (GCS < 8), the target End-Tidal CO2 (ETCO2) must be strictly maintained within this range to balance cerebral blood flow.
What is 35-40 mmHg?
This rapid calculation method is used to determine the initial IV fluid rate (in mL/hr) for burn casualties weighing between 40-80 kg during the first 24 hours.
What is the Rule of 10s (% TBSA x 10)?
A REBOA catheter deployed to control catastrophic pelvic or lower extremity hemorrhage should have its balloon inflated in this specific aortic landmark.
What is Zone 3 (distal aorta, above the bifurcation)?
Because banked blood products contain citrate, this medication (at a dose of 1 gram) is required after the 1st unit of blood, and every 4 units thereafter, to prevent a lethal triad complication.
What is Calcium (Chloride or Gluconate)?
This induction agent (dosed at 1-2 mg/kg IV) is the JTS preferred medication for Rapid Sequence Intubation (RSI) in trauma patients presenting in hemorrhagic shock.
What is Ketamine?
To maintain an adequate Cerebral Perfusion Pressure (CPP) in an isolated severe TBI patient, fluids/blood must be titrated to keep the Systolic Blood Pressure (SBP) strictly above this value.
What is > 110 mmHg?
According to ERC guidelines, casualties with untreated pneumothoraces or penetrating eye injuries require the aircraft cabin altitude to be restricted to at or below this level.
What is 4,000 feet (or Sea Level Cabin)?
To convert a casualty from a commercial tourniquet to a pressure dressing in the en route environment, the tourniquet must have been in place for less than this maximum duration.
What is 6 hours? (Ideal is < 2 hours)
For a casualty with penetrating torso trauma and NO suspected brain injury, resuscitation is titrated to maintain a palpable radial pulse or a target systolic blood pressure (SBP) of this range.
What is an SBP of 80-90 mmHg (Permissive Hypotension)?
In a mechanically ventilated casualty, the sudden onset of hypoxia, hypotension, and elevated Peak Inspiratory Pressures (PIP) is the classic triad indicating this emergency.
What is a tension pneumothorax?
This specific hyperosmolar therapy (dose and concentration) is the primary JTS recommendation for a TBI casualty exhibiting signs of impending herniation (e.g., asymmetric pupils).
What is 250mL of 3% Hypertonic Saline (HTS) or 30mL of 23.4% HTS?
During prolonged flight transport, a burn patient's fluid resuscitation should be titrated to maintain a target urine output (UOP) of this range for adults.
What is 30-50 mL/hr?
This intervention is absolutely contraindicated for a casualty exhibiting a high thoracic, retroperitoneal, or axillary hemorrhage, as it only occludes flow distal to the diaphragm.
What is REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta)?
This is the universal donor blood type specifically utilized in the Ranger O Low Titer (ROLO) program for Whole Blood administration.
What is Blood Type O (specifically low anti-A/anti-B titers)?
For a severely traumatized patient failing conventional ventilation parameters, the target plateau pressure (Pplat) must be maintained below this threshold to prevent barotrauma.
What is < 30 cmH2O?
The clinical formula used to calculate a patient's Cerebral Perfusion Pressure (CPP).
What is Mean Arterial Pressure (MAP) minus Intracranial Pressure (ICP)?
If an adult trauma casualty has sustained high-voltage electrical burns or a severe crush injury resulting in rhabdomyolysis, the target urine output (UOP) is increased to this range.
What is 75-100 mL/hr?
This class of antibiotic (e.g., Ertapenem 1g IV/IM) is the JTS standard for a trauma casualty in shock who cannot take oral medications (Moxifloxacin).
What is a Carbapenem?
This life-threatening pulmonary complication of massive transfusion presents with fever, hypotension, and non-cardiogenic pulmonary edema within 6 hours of the infusion.
What is Transfusion-Related Acute Lung Injury (TRALI)?
If a definitive surgical airway (cricothyroidotomy) is placed during Prolonged Field Care, the cuff pressure should be monitored and maintained strictly between these values to prevent tracheal necrosis.
What is 20-30 cmH2O?
If brief therapeutic hyperventilation is required for a casualty actively herniating, the provider must target this specific ETCO2 range—ensuring it never drops below the absolute minimum.
What is 30-35 mmHg?
This is the specific anatomical term for the "safe triangle" boundaries (5th intercostal space, anterior latissimus dorsi, lateral pectoralis major) used for tube thoracostomy insertion during flight.
What is the Triangle of Safety?
An invasive surgical procedure, specifically a lateral cut through the eschar of a circumferentially burned chest, required when mechanical ventilation is physically restricted by the burn.
What is an Escharotomy?