The current management process about the Tactical Combat Casualty Care goals and objectives are mainly based on care under fire, tactical field care, and evacuation care. The care under fire is usually rendered at the section of the damage during both the casualty and Medicare under aggressive fire. The challenge in the form of management is that there is a limitation of medical equipment since those available are the once carried by the medic and operators. Tactical field care is given once the injured person is no longer under unfriendly fire. The medical equipment is also inadequate to those carried by undertaking personnel. In this phase, the time before the evacuation can range from a few minutes to several hours. Tactical evacuation care has a higher level of care. Additional medical equipment and personnel are available in the phase. The plan is to minimize victims exposure to elements by ensuring all good practices are done in casualty.
The primary management plan for care under fire begin with return fire and take cover. The supervisor can direct an injured person to remain engaged as a participant if suitable. If the victims are able, they should move to cover and provide themselves aid. Members can try to keep the casualty from sustaining further injuries (Callaway 140). The procedure state that losses from burning buildings or vehicle should be moved to places of comparative safety to halt the burning process. The central management process for tactical field care starts with establishing a security perimeter according to unit tactical standard. The step aims to maintain planned situational alertness. The phase follows the guidelines that communications equipment and weapons should be immediately take away for victims with mental issues. The procedure also involves the identification of the unrecognized internal injuries and control of all bases of blood loss. Airway management should allow processes that best protects the airline including sitting up.
The management procedure for tactical evacuation care involves activities such as the transition of care and massive bleeding. The diplomatic personnel should identify removal point and security. The workforce should also communicate patient status and information to the management as precise as possible. Some of the crucial information expressed include stable or unstable, treatment rendered, and injuries identified. The staff should stage casualties on evacuation platform as needed following unit policies, safety requirements, and period configurations. The workforce re-evaluates and re-assess victims previous interventions and injuries. Massive hemorrhage involves assessment of unrecognized outflow and control of all sources of bleeding. The limb tourniquet is used to control life-threatening external injury that anatomically friendly to bandage use or any disturbing confiscation. Concerning external depletion that is not amenable to limb bandage, staffs can assess or use an assistant for removal of the strap through combat gauze as dressing choice. Other hemostatic dressing choices include celox, chito gauze, and xstat which is used for keeping narrow-tract junctional injuries (Callaway 143). The dressing should be applied in not less than three minutes of straight pressure but the practice optional for xstat. Notably, each covering works inversely and thus if on fails to regulate hemorrhage it can be removed and replaced with a fresh bandage of similar or dissimilar type. However, xstat is not removed in the field but rather an extra one is placed or trauma bandage. The phase also covers air management, circulation, and respiration of victims.
The management process considers protocols in civilian situations and strategic paramedics since a delay can occur in getting patients to ultimate care. The procedure must make appropriate benefit and risk determinations concerning medical and safety interventions needed. The management process must reflect the need to offer care under threating situations. The method should involve important features of keeping responders in a condition that facilitate the continuity of their objective (Callaway 145). The management should identify the appropriate protocols that fit their department by identifying the proper resources and transport system. The directors should also determine the rules subjects suitable for their planned medics.
The process of data collection can be used to generate knowledge for improving the present management processes. The management should consider an improvement of available information through extensive research to advance the tactical combat casualty care system. Research products should be translated into defensive action by the services and combat units to progress the care given to countrys victims injured. The organization should purpose to implement their guidelines to attain their objectives. There is no use of identifying various plans that need to be undertaken if proper procedure and follow up is not done to ensure their achievement. Strategies such as military leader briefings should be conducted seriously and adequate arrangement for administration concepts to inform the various high-level committees (UNNO, and HOSAKA 402). After the presentation, the management should use the idea to develop a specific plan of action to address the issues of the organization with emerging trends. The administration can adopt new ways to increase their efficiency of operation to match the changing environments. Staffs should be encouraged to respond to current practices of treatment, prevention, and control of suffering. The lack of applying standards and new recommendations can result in traditional or outdated medicine. The advanced method is essential in reducing preventable deaths to the highest degree possible.
The management should also maintain an active search for good ideas to attain the most exceptional level of evidence to drive changes in medical practice. Considering that not all casualty care involvement has extensive prospective and control trials to provide backing. There are those who can question the finding of the present experiments and methodology of the research. The inquiry can give room for disputing the validity of investigation findings. Thus, a continuous and optimal study of injured body care is needed to provide enough evidence from a wide range of sources (UNNO, and HOSAKA 403). The management should take corrections positively which can be from gained through experience or additional evidence. An occurrence of poor performance could be as a result of system failure to act on acknowledged opportunities. Change should be expected in the evolvement of trauma care where evidence is obtained, and new challenges are met and overcome.
Tactical Combat Casualty Care makes a significant contribution to the militarys ability to continue with its objective. The process requires strategic trained staff as part of battle members. The management serves functions such as leadership, planning, organizing, staffing, and control. The roles are essential in directing the organization to its mission. The set goals inform staffs on where the management intends to achieves as well as its fundamental values. The administration has also established its guidelines and rules to guide the participants to attain the set goals. The organization has displayed the need for highly trained staff in delivering its mandate since the nature of work is very delicate. Crews have the responsibility of providing quality services that are backed by evidence to prevent deaths.
Callaway, David W. “Translating Tactical Combat Casualty Care Lessons Learned to The High-Threat Civilian Setting: Tactical Emergency Casualty Care and The Hartford Consensus”. Wilderness & Environmental Medicine, vol 28, no. 2, 2017, pp. 140-145. Elsevier BV, doi:10.1016/j.wem.2016.11.008.
UNNO, Y., and R. HOSAKA. “An Examination About Easy Operation for New Medical Information Management System”. The Japanese Journal of Ergonomics, vol 30, no. Supplement, 2013, pp. 402-403. Japan Ergonomics Society, doi:10.5100/jje.30.supplement_402.