Airway Management in Prolonged Field Care (CPG ID:80) - Clinical Practice Guideline

Sep 23, 2026

Uploaded by Ben

Joint Trauma System clinical practice guideline for Airway Management in Prolonged Field Care (CPG ID:80), designed for use after Tactical Combat Casualty Care (TCCC) guidance when immediate evacuation to higher-level care is not possible. The guideline outlines indications and structured approaches to address disrupted face or neck anatomy and insufficient oxygenation or ventilation. It covers equipment, suction, monitoring, airway techniques, tube placement, IV/IO access, drugs, prolonged sedation, performance improvement monitoring, responsibilities, reporting, and references, plus detailed appendix procedures and checklists.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages362

Reading Time15 h 12 min

AccessFree to download

Purpose

Background

Indications for Airway Management

Disrupted Face or Neck Anatomy

Insufficient Oxygenation or Ventilation

Machine, Suction, Monitor, Airway, Intravenous Access, Drugs

Proper Tube Placement

IV/IO Access

Drugs

Airway Placement

Prolonged Sedation

Performance Improvement (PI) Monitoring

Population of Interest

Intent (Expected Outcomes)

Performance/Adherence Metrics

Data Sources

System Reporting & Frequency

Responsibilities

References

Appendix A: Airway Equipment

Appendix B: Airway Management Nursing/Continued Care

Appendix C: Bag-Valve-Mask Technique

Appendix D: Supraglottic Airway Placement

Appendix E: Cricothyroidotomy Procedure Checklist

| JOINT TRAUMA SYSTEM CLINICAL PRACTICE GUIDELINE (JTS CPG) | | | | --- | --- | --- | | | Airway Management
in Prolonged Field Care (CPG ID:80)
This Role 1, prolonged field care (PFC) clinical practice guideline (CPG) is intended to be used after Tactical Combat Casualty Care (TCCC) Guidelines, when evacuation to higher level of care is not immediately possible | | | Contributors | | | | SSG Collin Dye, SOCM, USA
COL (Ret) Sean Keenan, MC, USACPT Brandon Carius, PA-C, USASFC Paul Loos, 18D, USA
MSG Michael Remley, SOCM, USASSFC Brandon Mendes, 18D, USA | | CPT Jacob L. Arnold, MC, USA MAJ Ian May, MC, USA
LTC Douglas Powell, MC, USAR CAPT Joshua M. Tobin, MC, USNRLTC (P)Jamie Riesberg, MC, USA Col Stacy Shackelford, USAF, MC | | Publication Date: 01 May 2020 | | | | JTS CPGs are developed and peer reviewed by subject matter experts serving on the Defense Committees on Trauma: the Committee on Tactical Combat Casualty Care; the Committee of Surgical Combat Casualty Care; and the Committee of En Route Combat Casualty Care. Special thanks goes to these individuals who donate their time and share their experience to aid the JTS mission of publishing standardized clinical practice guidelines which improve patient care and save lives. | | | TABLE OF CONTENTS Purpose .......................................................................................................................................................................... 3 Background .................................................................................................................................................................... 3 Indications for Airway Management ............................................................................................................................. 3 Disrupted Face or Neck Anatomy.............................................................................................................................. 3 Insufficient Oxygenation or Ventilation ....................................................................................................................4 Machine, Suction, Monitor, Airway, Intravenous Access, Drugs ...................................................................................5 Machine..................................................................................................................................................................... 5 Suction....................................................................................................................................................................... 6 Monitor ..................................................................................................................................................................... 6 Airway ....................................................................................................................................................................... 7 Proper Tube Placement ........................................................................................................................................ 9 IV/IO Access............................................................................................................................................................... 9 Drugs ....................................................................................................................................................................... 10 Airway Placement ............................................................................................................................................... 10 Prolonged Sedation............................................................................................................................................. 10 Performance Improvement (PI) Monitoring......................................................................................................

FAQs

When is this Airway Management guideline intended to be used?

It is intended for use after Tactical Combat Casualty Care (TCCC) Guidelines when evacuation to higher level of care is not immediately possible.

What patient scenarios does the guideline address for airway management?

It covers indications including disrupted face or neck anatomy and insufficient oxygenation or ventilation.

What key components and procedures are included beyond basic airway techniques?

The guideline includes machine, suction, monitor, airway, IV/IO access, and drugs, along with proper tube placement, prolonged sedation, performance improvement monitoring, and multiple appendix procedures and checklists.

Sep 23, 2026

Uploaded by Ben