Preparing nurses to perform quality
resuscitative care is vital; the Institute of Medicine (2015) noted use of simulation training can improve provider performance and quality of cardiopulmonary resuscitation (CPR).
The field hospital can also provide first responder care, forward
resuscitative care, definitive care with augmentation, and en route capability, but its primary function is to provide hospitalization support on the battlefield.
Goals of Care Designation Chest Intubation ICU Compressions 1 [check] [check] [check]
Resuscitative Care 2 X [check] [check] 3 X X [check] Medical Care 1 X X X 2 X X X Comfort Care 1 X X X 2 X X X Goals of Care Designation Surgery Site Transfer Symptom Control 1 [check] [check]
Resuscitative Care 2 [check] [check] [check] 3 [check] [check] [check] Medical Care 1 [check] [check] [check] 2 Can consider, if required [check] Comfort Care 1 for symptom control [check] 2 X X From: AHS (2016) Goals of Care Designation (GCD) Pocket Card.
"Delays in providing effective
resuscitative care can have marked consequences on survival or the development of long-term complications.
We must continue to embrace and explore emerging capabilities to deliver far-forward
resuscitative care. History teaches that the lessons we have learned regarding combat casualty care may be lost if we fail to attend to them in the coming years.
Until 1980s, the standard of care remained immediate neonatal surgery followed by postoperative
resuscitative Care. It is essential to consider that the CDH is a physiologic emergency and not a surgical emergency.
Initial
resuscitative care was provided in collaboration with the surgical team in trauma centre.
Extrapolation of battlefield
resuscitative care to the civilian setting.
MTFs within the theater of operations should provide
resuscitative care, limited hospitalization for stabilization and short-term medical treatment, with an emphasis on return to duty or placement in the PM [patient movement] system; and assist with PM to a selected civilian facility, in emergencies where loss of life, limb, or eyesight could occur.
The IPT's initial focus is on expeditionary medicine and required first responder and forward
resuscitative care Authorized Medical/Dental Allowance Lists (AMAL/ADAL).
It would also involve dedicated communications and ensure adequate standards and oversight of first-responder care at the point of injury, initial
resuscitative care at the battalion aid station, forward surgery, en route care, definitive care either in the theater or aboard MPF(F)s or ships of the expeditionary strike group, and finally strategic transport care beyond the combat zone.
advanced
resuscitative care requiring hospitalization, including surgery, postoperative management, and initial restorative procedures