Cincinnati MD Prep Letter

.pdf

School

American Military University *

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Course

CCATT

Subject

Mechanical Engineering

Date

Jan 9, 2024

Type

pdf

Pages

Uploaded by angeli697

DEPARTMENT OF THE AIR FORCE AIR FORCE RESEARCH LABORATORY WRIGHT-PATTERSON AIR FORCE BASE OHIO 45433 April 14, 2020 MEMORANDUM FOR: CCATT Consultant to the AFSG MAJCOM/44Y3 FM MTF/44Y3 FM FROM: 711 HPW/USAFSAM/ET/CCATT Advanced, C-STARS 3188 Bellevue Dr. Cincinnati, OH 45219 SUBJECT: CCATT Advanced Course, C-STARS, Cincinnati 1. The purpose of this memorandum is to help CCAT Physician members (44Y3) maintain adequate preparedness for attendance of the CCATT advanced course and performance of the CCATT mission in support of contingency and peacetime operations. Although this is not an all-inclusive list, everything on this list is evaluated by C-STARS cadre with either an UNSAT or SAT at the end of the course to assist in determining validation status. These measures of evaluation are based on the published CMRP requirements, current clinical practice guidelines and current mission requirements. 2. Physician Competency Proficiency Assessment: a. Medical Knowledge: i. Demonstrate appropriate management of severe and catastrophic head trauma according to current Clinical Practice Guideline (CPG) ii. Demonstrate appropriate management of abdominal and thoracic trauma iii. Demonstrate appropriate management of thermal injuries per current CPG iv. Demonstrate the appropriate management for respiratory failure, Acute Respiratory Distress Syndrome, and mechanical ventilation v. Demonstrate appropriate management of ACLS per the most current guidelines vi. Demonstrate appropriate management of volume resuscitation in the trauma patient (current transfusion indications and recommendations) vii. Recognize the need for radiographic studies in the transport patient viii. Assess labs: Identify need for, interpret & apply results ix. Demonstrate familiarity with common critical care medications to include (but not limited to) sedatives, hypnotics, paralytics, vasopressors, inotropes; dosages, indications, delivery routes b. Support During Emergency Procedures: i. Identify, interpret and respond to arrhythmias ii. Perform Advanced Cardiac Life Support per current guidelines with limited manpower and resources iii. Identify and manage compromised airways using appropriate algorithms iv. Tube thoracostomy indications and placement v. Identify appropriate level of vascular access needed for both therapy and monitoring purposes c. Patient Movement Items (PMI): Understand, set-up and troubleshoot i. Physiologic monitoring unit (Propaq) ii. Zoll (Propaq MD) Defibrillator: Set-up, monitor, defib, ECG, etc.

iii. Impact 731: set-up, initiates, manage & troubleshoot iv. SMEED v. iSTAT Blood gas analyzer vi. Wright Spirometer vii. Codman Ventric & Interface Control Unit-level, zero, monitor and drain viii. IV Triple channel pump ix. Vacuum Spine Board (VSB) d. CCAT “Team” Concept: i. Demonstrate closed loop communication ii. Foster a positive dynamic within assigned teams iii. Maintain situational awareness of the patients being cared for as well as team members themselves. iv. Pre-flight planning — identify the medications, equipment, appropriate patient handoff, and potential clinical course for optimal en route patient care v. Understand CCATT TTPs: Tasking process, chain of command, AE interface 3. For additional guidance or clarification please refer to a. AFI 48-307v2: https://static.e-publishing.af.mil/production/1/af_sg/publication/afi48-307v2/afi48-307v2.pdf b. Joint Trauma System Clinical Practice Guidelines: https://jts.amedd.army.mil/index.cfm/PI_CPGs/cpgs

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