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

The Advanced Tactical Paramedic Protocols Handbook (ATP-P) 8th Edition contains the 2014 updates for the US Special Operations Command Tactical Trauma Protocols and Tactical Medical Emergency Protocols.The ATP-P handbook is a checklist to emergent medical care protocol. The guidelines contained in this handbook are created, compiled, and reviewed annually by the Curriculum and Examination Board, which consists of a combined group of Special Operations Forces (SOF) physicians, advanced tactical paramedics (ATPs), SOF medical personnel from all branches, and civilian medical personnel. For quick reference in a lifesaving situation, the uniform pocket-sized ATP-P Handbook contains the USSOCOM Tactical Trauma Protocol and Tactical Emergency Medical Protocol; Canine-TCCC; the Recommended Drug List (RDL), (which covers the side-effects / adverse effects / contraindications / warnings, adult and pediatric dosages, and what protocols they would be relevant to); Burn and Nerve Charts, and the Military Acute Concussion Evaluation (MACE) and pre-hospital Combat Medic/Corpsman Algorithm (CMA) Charts that are approved for use by the ATP.

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.

The Advanced Tactical Paramedic Protocols Handbook (ATP-P) 10th Edition -Print