If you are new to the world of clinical things and how to do a SOAP note, need some brushing up, or you need to train some folks with a ready-made class.... Then here you go. It's on us! Please take it and make it your own if you need. 

If you are wondering a SOAP note is a written record that healthcare providers use to document a patient's care. SOAP stands for Subjective, Objective, Assessment, and Plan. 

Purpose 

• SOAP notes help healthcare providers assess, diagnose, and treat patients
• They help communicate between healthcare professionals
• They help standardize patient care documentation
• They help improve the quality of patient care

Content 

• Subjective: What the patient or caregiver says about their experience
• Objective: What the healthcare provider observes, tests, or measures
• Assessment: An evaluation of the patient's condition
• Plan: What the healthcare provider will do next for the patient

Who uses SOAP notes? 

• A wide range of healthcare professionals, including doctors, nurses, therapists, and pharmacists
• Other healthcare professionals in related fields
• Insurance companies
• Litigation

From your friends at www.911tacmed.com

​

Hemothorax occurs when blood accumulates in the pleural space, the area between the lungs and chest wall. Thos is generally caused by blunt force trauma, over pressure, or puncture that causes vascular damage. Symptoms can vary depending on the severity of the bleeding, but may include: 

• Shortness of breath: This is the most common symptom, as the blood accumulation reduces lung capacity. When you listen for breath sounds you may find them diminished on the affected side or even absent. 

• Chest pain: Pain may be sharp, stabbing, or dull, and can worsen with breathing. 


• Cough: A cough may produce bloody or frothy sputum. 


• Dyspnea on exertion: Difficulty breathing. This is due to the lung space that is normally taken up by air is now getting replaced with blood. The lung can't expand properly and have less volume. Oxygen and Carbon Dioxide exchange is not happening as it should. Can't oxygenate, can't ventilate causing the Hypercarbia and Hypoxia.


• Rapid heart rate and breathing: The body tries to compensate for the reduced oxygen levels. The heart has to beat faster to make up for the lack of volume. The heart is preload dependent and if the pressure builds up in the chest it will push on the Vena Cava choking off the blood return to the heart. If the heart can't get the blood in to fill it then it will not pump it out. This leaves your patient hemodynamically unstable. The blood filling lung becomes take the place of the air and the lung can't expand. As pressure builds you will lose your ability to oxygenate and ventilate your patient. The pressure on the Vena Cava will build and late signs are JVD and Tracheal Deviation. 


• Low blood pressure: Blood loss can lead to hypotension. As you lose blood from the vascular system the heart also has to speed up to compensate for the volume loss. 


• Pale, cool, and clammy skin: This indicates poor circulation. The body is shunting the blood to the vital organs and your patient is showing signs of shock. Shock is inadequate tissue perfusion at the cellular level. 


• Confusion or anxiety: In severe cases, blood loss can affect brain function. Your patient is not perfusing the brain, and your patient is in shock. The hearts inability to properly pump due to the lose of preload and vascular volume will affect the blood pressure. Now add the hypoxia and hypercarbia to the mix and you have H Bombs killing your patient. Hypotension, Hypercarbia, Hypoxia are just a few of the many you need be aware and know how to treat. 

• Fever: If the blood becomes infected. 

Other Symptoms: 

nausea, vomiting, and fatigue

www.911tacmed.com 

Hemothorax, a condition where blood accumulates in the pleural space between the lungs and chest wall, requires prompt medical attention. Treatment aims to stop bleeding, remove accumulated blood, and restore lung function. 

Initial Management:
Stabilize vital signs, Administer oxygen and monitor oxygen saturation, Perform chest X-ray or ultrasound to confirm diagnosis, and Control bleeding with chest tube placement. 

Blood Removal: 

• Thoracentesis (needle aspiration): Used for small amounts of blood 
• Finger Thoracostomy: an emergency procedure that can be used to treat hemothorax and tension pneumothorax
  

• Chest tube insertion: For larger volumes of blood 
• Surgical intervention: May be necessary if bleeding is uncontrolled or a chest tube is ineffective 

Other Interventions: 

• Blood transfusions: To replace lost blood

• Antibiotics: If infection is suspected

• Pain management: To alleviate discomfort

• Observation: Monitor for complications such as infection, pneumonia, and lung collapse 

Follow-Up Care: 

• Regular chest X-rays to monitor blood drainage

• Removal of the chest tube when drainage ceases

• Observation for signs of infection or other complications

• Pulmonary rehabilitation: To restore lung function 

Specific Treatment Options: 

• Video-assisted thoracic surgery (VATS): A minimally invasive surgical procedure to remove blood clots and repair bleeding vessels. 
• Thoracotomy: An open chest surgery to access the pleural space directly and stop bleeding. 
• Intrapleural fibrinolytic therapy (IPFT): A medication injected into the pleural space to dissolve blood clots. 

It's important to note that the specific treatment plan for hemothorax will vary depending on the severity of the condition, the underlying cause, and the patient's overall health. Consult with a healthcare professional for proper diagnosis and treatment recommendations.

​



www.911tacmed.com 

Tranexamic acid (TXA) is an antifibrinolytic drug that can be used to reduce bleeding and the risk of death in trauma patients: 

• How it works
  TXA reduces blood loss by preventing the breakdown of fibrin, which helps stabilize blood as it clots.

• When to use it
  TXA is most effective when given within the first hour after injury but should be given within 3 hours. If given after 3 hours, there is a higher risk of death from bleeding. 


• Who to use it for
  TXA should be given to all trauma patients who are at risk of bleeding-related death, including those who need a blood transfusion. It's safe to administer to a wide range of patients and shouldn't be restricted to the most severely injured. 


• How to administer it
  A typical dose is 2g of TXA given slow bolus, 


• Benefits
  TXA has been shown to reduce mortality in trauma patients and can also reduce the need for blood transfusions. 


• Safety
  TXA is generally considered safe, with no serious side effects. 




• Pre-hospital administration of TXA is becoming more common and can be given by trained emergency personnel prehospital.

Find this and more in the training provided by www.911tacmed.com on the training calendar. Just scroll down for the list of courses and dates.

When evaluating a burn patient in the ER, common laboratory tests include a
complete blood count (CBC), electrolytes, blood urea nitrogen (BUN), creatinine, glucose, coagulation profile (PT/PTT), arterial blood gas (ABG), and sometimes a carboxyhemoglobin level to assess for smoke inhalation,
all aimed at monitoring fluid balance, electrolyte abnormalities, kidney function, and potential complications related to the burn severity. 
​
Key points about burn patient lab tests

• CBC:
  Checks for anemia or infection by evaluating red and white blood cell counts. 

• Electrolytes:
  Monitors sodium, potassium, and other electrolytes which can be significantly altered due to fluid shifts caused by burns. 
• BUN and Creatinine:
  Assesses kidney function, important for monitoring fluid resuscitation in severe burns. 
• Coagulation profile:
  Checks for potential bleeding issues like disseminated intravascular coagulation (DIC) which can occur in severe burns. 
• ABG:
  Measures blood oxygen and carbon dioxide levels, especially crucial for patients with smoke inhalation injuries. 
• Carboxyhemoglobin level:
  Specifically detects carbon monoxide poisoning from smoke inhalation. 

          Factors influencing specific lab tests:

• Burn severity:
  More extensive burns may require more frequent and comprehensive lab monitoring. 

• Type of burn:
  Chemical burns might require additional tests to assess specific toxins involved. 
• Patient's medical history:
  Existing conditions like diabetes or heart disease could necessitate additional lab monitoring.

911 Tactical Medicine has your FDA Approved Blood Coolers for your Blood Programs. visit at www.911tacmed.com or click the link to take you direct to the Blood Fridge and Cooler. 

Review the 2024 TCCC Guidelines. 

Look for TCCC Courses at www.911tacmed.com


#tccc

National Component Requirements Expiration dates through Sept. 30, 2025: Download the 2016 NCCP Model (PDF)
Expiration dates on or after March 31, 2026: Download the 2025 NCCP Model (PDF)

   
This is for everyone who is an EMR, EMT, A-EMT, and NRP to see where your hours count and the minimum required hours to recertify. 

For Scheduled Training please to go www.911tacmed.com and scroll down to mid page. 

Also, you can find level-specific information on the recertification pages for:  
EMR: https://nremt.org/EMR/Recertification  
EMT: https://nremt.org/EMT/Recertification  
AEMT: https://nremt.org/AEMT/Recertification  
Paramedic: https://nremt.org/Paramedic/Recertification  ​

Tactical Combat Casuatly Care (TCCC) 2 Day Course with Ballistic Wound Packing Lab, Lung & Airway Labs 
Sat, Feb 26 - Sun, Feb 27, 2022
8:00am-5:00pm
11641 I-35W N, Grandview, TX 76050-3522, United States
Tactical Combat Casualty Care
BRING YOUR TACTICAL KIT & (Weapon not required / optional) AND BE READY TO LEARN AND GET DIRTY!

If you have NVGs bring them for optional night training.

We have Plate Carriers and Armor if you do not have your own.
TCCC with ballistic wound packing lab, lung and airway lab

The Tactical Combat Casualty Care (TCCC) course introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. NAEMT conducts TCCC courses under the auspices of its PHTLS program, the recognized world leader in prehospital trauma education.

NAEMT’s TCCC courses use the PHTLS Military textbook and are fully compliant with the Department of Defense’s Committee on Tactical Combat Casualty Care (CoTCCC) guidelines. It is the only TCCC course endorsed by the American College of Surgeons.

The TCCC-MP (TCCC for Medical Personnel) course is designed for combat EMS/military personnel, including medics, corpsmen, and pararescue personnel deploying in support of combat operations.

NAEMT’s TCCC course is accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) and recognized by the National Registry of EMTs (NREMT).

Almost 90% of American service men and women who die from combat wounds do so before they arrive at a medical treatment facility. This figure highlights the importance of the trauma care provided on the battlefield by combat medics, corpsmen, PJs, and even the casualties themselves and their fellow combatants. With respect to the actual care provided by combat medics on the battlefield, however, J. S Maughon noted in his paper in Military Medicine in 1970 that little had changed in the preceding 100 years. In the interval between the publication of Maughon's paper and the United States’ invasion of Afghanistan in 2001, there was also little progress made. The war years, though, have seen many lifesaving advances in battlefield trauma care pioneered by the Joint Trauma System and the Committee on Tactical Combat Casualty Care. These advances have dramatically increased casualty survival. This is especially true when all members of combat units – not just medics - are trained in Tactical Combat Casualty Care (TCCC.)

Cost:

$400
You must notify us to pay and reserve a training seat.
Call if you have anyquestions or to submit payment: 270-871-2953


Where:

11641 I-35W N, Grandview, TX 76050-3522, United States

Credit:
16 hours TCOLE Credit
16 hours Medical CEUs

• Host Hotel:
Comfort Suites Hotel
(817) 293-7900
400 Village Park Dr., Alvarado, TX 76009
Rate Code: RANGE 35 Rate: $59.00 King - $69.00 double queen


Course info can be found on the www.911tacmed.com homepage





#tccc #deplymentmedicine #911tacmed #combatmedic #68W #pj #corpsman #military #ems #leo #fire #police

26
FEB

IBSC TACTICAL PARAMEDIC (TP-C) & TACTICAL RESPONDER (TR-C) REFRESHER COUSRSE 
Sat, Feb 26 - Sat, Mar 5, 2022
11641 S. Interstate 35W, Grandview, TX 76050
TP-C & TR-C Refresher Course
26
FEB

Tactical Combat Casuatly Care (TCCC) 2 Day Course with Ballistic Wound Packing Lab, Lung & Airway Labs 
Sat, Feb 26 - Sun, Feb 27, 2022
8:00am-5:00pm
11641 I-35W N, Grandview, TX 76050-3522, United States
Tactical Combat Casualty Care
26
FEB

TEMS / Basic SWAT Tactical Medic Course 
Sat, Feb 26 - Fri, Mar 4, 2022
8:00am-5:00pm
11641 S. Interstate 35W, Grandview, TX 76050
Basic SWAT Medic Course
28
FEB

Basic SWAT Course by Special Operations Systems 
Mon, Feb 28 - Fri, Mar 4, 2022
10:00am-10:00am
11641 I-35W Frontage Rd, Grandview, TX 76050
[email protected]
7
MAY

TEMS Advanced SWAT Medic (MUST HAVE COMPLETED BASIC TEMS OR EQUIV) 
Sat, May 7 - Wed, May 11, 2022
All day
11641 S. Interstate 35W, Grandview, TX 76050
Advaned SWAT Medic for the Tactical Operators
If you Agency or Department needs any K-9, Medical or Tactical Training for TCOLE, Medical CEs, or Proficiency Training do not hesitate to contact us at [email protected] , [email protected] or call 270-871-2953. Find more training on the homepage of www.911tacmed.com



#training #Medical #tactical #SWATMedic #Tactical Paramedic #TCCC #TCOLE #911tacmed

FREE TCCC Card DD-1380 $0.00Get your free download for TCCC Cards / DD-1380. This stuff is free so please take it and download it here, print it off and laminate of if you need to, punch a hole in it and put a rubber band on it. After words put that sucker in your IFAK and your teams IFAKs. Then go get a sharpie (small one) and you are set.

he DD Form 1380, TCCC Card is the standardized method for documentation of casualty care in the prehospital environment for battle and non-battle injuries.  The DD Form 1380 promotes Department of Defense goals of capturing documentation of pre-hospital medical interventions at the point-of-injury.  First responders, to include clinical providers, will document treatment using the current TCCC guidelines.
ADDITIONAL INFORMATION
This content was designed for use in the Tactical Combat Casualty Care for All Service Members Course (TCCC ASM), and is intended for nonmedical personnel.
The Joint Trauma System (JTS) establishes the standard of care for prehospital battlefield medicine for the Department of Defense. The JTS is part of the Defense Health Agency providing clinical practice guidelines and performance improvement for all levels of military trauma care.
The JTS is supported by the Committee on Tactical Combat Casualty Care (CoTCCC) which is composed of representatives from across the Army, Navy, Air Force and Marines develops clinical practice guidelines for the delivery of Tactical Combat Casualty Care (TCCC) on the battlefield.

For all your medical training needs and real-world mission needs feel free to reach out to us at www.911tacmed.com 



#TCCC #Documentation #CoTCCC #TacticalMedicine #Emergency #tacticalParamedic, #DD1380 #TECC #Tacmed #Fire #EMS #EMT #911tacticalmedicine #documentation

Here at 911 Tactical Medicine, we do a lot of training and teaching others about some serious real-world situations. A lot of the time some of the minor things get over looked, even though they are just as important. We want to start publishing articles on some of the more common things around us. Anything from allergies to a sprained ankle, we want to cover all areas of education to help you.
 
Injuries and Back Pain
 
Injuries can cause back torment, including injuries to the upper appendages, shoulders, neck, spine, and so forth Injuries can happen likewise cause back torment if the rotator sleeves are upset. The rotator sleeves contain acromion, ligaments, for example, the rotator sleeves, which rest at the upper bones at the arm, and associate with rotator sleeve muscles. The muscles are at the highest point of the upper arm bones, and beneath the shoulder joints. Rotator sleeves are bunches of more modest muscles, ligaments, and so on, and join to different pieces of the body. On the off chance that the ligaments are torn or potentially burst it can cause back torment. The injuries as a rule happen when unexpected effects or powers focus on the district. Applying the muscles can likewise cause injury. On the off chance that the ligaments are harmed, it causes aggravation and expansion, which makes a large amount of pain.
 
Such issues are treated with rest, ice packs, pressure, and elevation. Shoulder injuries are seen when the arm is tossed out of attachment. The injuries happen from falls, overexerting muscles, and so forth. The specialist considers such injuries carefully since breaks might emerge, which begin inside the humerus. In certain occurrences, medical procedure is mandatory to address the issue.
 
Additional injuries incorporate circular segment pain, shoulder freeze, tendonitis, subacromial bursa, acromio-clavicular, etc. The Bursa is a sac loaded up with liquids that fill in as cushioning to diminish friction. The reason for the bursa is to make development simple and to deflect scouring of the joints. The bursa can cause issues when the shoulders are out of nowhere thrown over the head. Treatment for subacromial bursa conditions, incorporate steroid regimens, exercise-based recuperation, prescriptions, and so forth, particularly when aggravations set in. The condition can cause back pain since the bursa is an aide to the joints, ligaments, bones, and synovium. Bursa works by making light of the dangers of joint harm. On the off chance that bursa kindles it packs the nerves or ligaments. What occurs after is a disappointment, particularly once the joints rub. The delicate pockets amid the bones that cover and ensure different bones can cause genuine back torment since aggravation has set in from bursa problems. The strain caused by aggravation hits the muscles, overexerting these muscles, which the tangible nerves are dialed back and development is restricted.
 
Stance is the posture we get from bearing muscles and joints. If an individual slouches, regularly it can cause back pain, since the muscles and joints are not moving, as they ought to. Active recuperation and medications are frequently utilized to address the issue. Sitting at long spans can likewise cause back issues, particularly if the lower back isn't upheld. Indeed, sitting erroneously can twist the spine at the lower back and cause genuine agony. Back torment in this nature might show up from sport exercises also, for example, truly difficult work, continued curving, etc. Slouches can address back issues by figuring out how to sit and remain in legitimate positions. The back when harmed from slumping influences the lumbar. Furthermore, the slouchier should learn the right methods of lifting.
 
Back pain can show up from the slipped circle, sciatica, Sacro-iliac, and so forth Slip circles are a Herniated core pulposa (HNP) jumble. Slip circles are bursting of the "intervertebral plate." The intervertebral circle sits amid the Spinal Columns and is close to the spine.
 
Profoundly, lastly at the disk. At the point when the nerve roots are compelled, the disk can slip, causing herniated core pulposa. Sciatica is a kind of slipped disk, since the aggravation sends sharp, electrical shock-like agony down the waterway of the spine, sending an upsetting hurt that begins in the back. The aggravation conveys onto the legs. The aggravation is now and again discontinuous, yet on different occasions, it can prompt ongoing torment condition. Surgeries are frequently needed to address the issue.
 
Published by,
Michael Taylor
Head of 911TacMed
- Networking
- Marketing
- Social Media
- Web Managemen
US Army Ret.
CEO TaylorLyfe Digital Marketing
 
911 TacMed Website: www.911tacmed.com
Facebook: https://www.facebook.com/911TACMED
LinkedIn: https://www.linkedin.com/company/911-tactical-medicine
YouTube: https://www.youtube.com/channel/UCHM_WFJAeVy2t40CsT11Pqw/featured
​

​Please Share With Anyone Who May Need Them.
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​This is why we train and stay ready. This is the difference between 2 and 24 killed. Church shooting today near Fort Worth Tx. Bad guy in black with shotgun (red) gets killed by good guy and parishioner with LTC (green). Clearly this could have ended so much worse. That’s a solid distance to shoot a pistol under stress. Good work! Make sure you have trained staff and kits to treat people afterwards. If you need help let us know. If we cant get you what you need we will point you in the right direction or find someone else who can. Train hard because dying sucks.

#thingsthatmatter #training #emt #medic #leo #police #chl #shooter #stayready #tragedy #education #medical #tactical #stopthebleed #bleedingcontrol #shootingclass #pistol #school #church #trainhardbecausedyingsucks #goodpeople #Texas

Check out the Spring 2018 Combat & Casualty Care magazine put out by Defense Media. Matthew Kinney our CEO wrote a little article that was three pages with picture. Those pictures where of him doing a Rescue Hoist mission in the Korengal Valley, Afghanistan, Training Soldiers in TCCC and PFC, and last is one of his critical care patients that had a gunshot wound to the right side of the head who was ventilated in Iraq. Take a read through the magazine and make sure to read the"
"EVOLVING “GOLDEN HOUR” CARE TO MITIGATE THE TREATMENT GAP"

Please watch and share the touching story of the 173rd Airborne during the Battle of Wanat. Matthew Kinney helped save the lives of these men and wants everyone to hear their story as they tell it. This film is a True Life Documentary, Narrated by the soldiers of Chosen Company 2nd Platoon 173 Airborne