The Pararescue Medical Operations Handbook is designed to form the basis of medical practice during both Rescue Operations and training mishaps for USAF Pararescuemen (PJs).This revised handbook includes an outline of the Principles of PJ medicine and the patient assessment checklist. This approach to patients is slightly modified from traditional primary and secondary surveys to reflect both amore efficient and a comprehensive approach to combat trauma based on PJ experience and data from Overseas Contingency Operations.Portions of the Tactical Combat Casualty Care (TCCC) guidelines and the ATP Tactical Medical Emergency Protocols (TMEPS) that pertain to the Pararescue are included and have been modified to suit the PJ mission.The goal remains to have all PJs work to a single standard. The section on prolonged care has been modified and expanded based on PJ experiences.

INTRODUCTION This handbook is designed to provide concise information regarding management of patients in austere environments. It is a "quick reference‟ and is not meant to provide detailed discussions of physiological events. You are expected to provide the standard of care for your EMT certification, including the unique skills native to Pararescue. Note: No handbook can anticipate every tactical and/or medical situation that might occur in a rescue. When faced with adverse situations, a PJ and his team will have to improvise, adapt, and overcome. Always keep in mind the mission, your safety, and your patient‟s safety. CONTENTS 1. AIR FORCE SPECIALTY CODE 1T2XX PARARESCUE SPECIALTY CAREER FIELD EDUCATION AND TRAINING PLAN - 1 January 2018 2. Pararescue Medication and Procedure Handbook 5th Edition - February 2011 3. Pararescue Medication and Procedure Handbook 2nd Edition - 28 February 2001

This handbook is designed to provide concise information regarding management of patients in austere environments. It is a ‘quick reference’ and is not meant to provide detailed discussions of physiological events. You are expected to provide the standard of care for your EMT certification, including the unique skills native to Pararescue. NOTE: No handbook can anticipate every tactical and/or medical situation that might occur in a rescue. When faced with adverse situations, a PJ and his team will have to improvise, adapt, and overcome. Always keep in mind the mission, your safety, and your patient’s safety.

This instruction implements AFPD 16-12, Pararescue. This publication outlines procedures and techniques to conduct Pararescue operations. It applies to Air National Guard and United States Air Force Reserve units or members. Send recommended changes, additions, deletions, and any conflict or duplication of other reports to HQ AF/XOOP, Air Force Pentagon, Washington DC 20330-1480, on Air Force (AF) Form 847, Recommendation for Change of Publication. MAJCOMs may supplement this instruction. MAJCOMs will send one copy of their printed supplement to HQ AF/XOOP; other organizations send one copy of each supplement to the next higher headquarters. See Attachment 1 for a glossary of references and supporting information. NOTE: This instruction may reference Air Force publications under the old publications scheme (Air Force regulations [AFR] and manuals [AFM]) which remain in force until converted to the new types of publications.

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