COMPREHENSIVE MEDICAL READINESS PROGRAM

Aerospace Medical Service - 4N0X1X Checklist

Knowledge/ Yes (Y) Trainer Member

Skill Set Frequency Training Sources Date
Performance No (N) Initials Initials

Category-I CLINICAL Knowledge: Comprehension

CURRENCY for READINESS:
Fundamental training and skills of
an Airman, usually obtained
through medical education and in-
garrison care that form a
foundation on which to build
readiness skills.
gained through study,
experience, or practice
Performance:
Initiating/completing a task
or function to achieve a
desired result

AFI 41-106, Medical Readiness

Program Management, 5.6.1.
*Frequency:
All Category I training will be
current prior to entering
deployment vulnerability period
(DVP).
Personnel considered deployed in
place & those required to maintain
a high state of readiness (assigned
an AEFI of YR) must be current
on Category I training at all times.
AFI 41-106, Medical Readiness
Program Management, 5.6.2.

1. Certification: Performance Initial & • MTF-everyday work experience

Meets all requirements for Re- • Deployments/real world
licensure and/or certification. certification operations
Q24M
• Centers for Sustainment of
Trauma & Readiness Skills (C-
STARS)
• Sustained Medical and
Readiness Training (SMART)
Regional Currency Site (RCS)
• Training Affiliation Agreement
(TAA)
• Memo of Understanding (MOU)
• Memo of Agreement (MOA)

2. Orientation: Knowledge/ Initial/ • Career Field Education and

Complete unit specific and Core Performance Upgrade Training Plan (CFETP)
Task requirements for scope of • Part II Attachment 2 – 4N0X1
practice/skill level. STS

3. Air Force Medical Services Knowledge/ Q24M TCCC Curriculum

(AFMS): Performance • Levels 1-3
Mandated readiness training for
AFSC. **NOTE 1: IDMTs will
Tactical Combat Casualty Care complete levels 1-4
(TCCC). **NOTE 2: Frequency
requirement begins upon
completion of initial training
course**
 COMPREHENSIVE MEDICAL READINESS PROGRAM
Aerospace Medical Service - 4N0X1X Checklist
Category-II READINESS Begins on Clinical Practice Guidelines
SKILLS TRAINING: arrival to (CPG)
Skills specific to an AFSC, which duty station,
allow an Airman to perform within AFI 41-106, Joint Theater Trauma System
the full scope of their AFSC in a 5.7.4 (JTTS)
deployed environment. Joint Trauma System (JTS)
AFI 41-106, Medical Readiness
Program Management, 5.7.1.
*Frequency:
AFI 41-106, Medical Readiness
Program Management, 5.7.2.

2. MERGENCY/CRITICAL Performance Q12M C-STARS, SMART/RCS, TAA,

CARE MANAGEMENT: MOU or Everyday work
Assist with the triage, evaluation experience validated by
and management of trauma supervisor; in-services in
patients throughout continuum of conjunction with simulation
care. training
40 hours of clinical duty in an
Emergency Department or
Intensive Care Unit

3. SIMULATION T.RAINING Performance Q12M Training will be conducted

Minimum of 12 hours of training using any of the CPGs
oversite performed by local identified in Blocks 3A-6
Functional Managers.

3A. INITIAL ASSESSMENT Knowledge Q12M C-STARS, SMART/RCS or

JTTS Clinical Practice
Guidelines
• Battle and Non-Battle Injury
Documentation: The
Resuscitation Record

3B. DAMAGE CONTROL Knowledge Q12M C-STARS, SMART/RCS or

RESUSCITATION: JTTS Clinical Practice
A. Assist with prevention of Guidelines
coagulopathy by dilution of • Damage Control Resuscitation
factors needed to provide
hemostasis. • Fresh Whole Blood Transfusion

B. Assist with hemorrhage • Frozen Blood

control adjuncts: Resuscitative • REBOA for Hemorrhagic Shock
Endovascular Balloon Occlusion
of Aorta (REBOA).
C. Assist with and have
understanding of blood
components throughout the
resuscitation process.
D. Have understanding of
adjuncts to resuscitation
(tranexamic acid (TXA),
viscoelastic testing.
 COMPREHENSIVE MEDICAL READINESS PROGRAM
Aerospace Medical Service - 4N0X1X Checklist
3C. THERMAL INJURY: Knowledge Q12M C-STARS, SMART/RCS or
A. Assist with estimating depth of JTTS Clinical Practice Guidelines
burn and total body surface area • Burn Care
(TBSA) burned using “Rule of
Nines.” • Simulation: 54% Burn (once
finalized it will be attached)
B. Assist with administration of
initial IV fluids based on “Rule of
Ten.”
C. Assist with documentation of
intake/output on JTS Burn
Resuscitation flow sheet.
D. Assists with and performs burn
wound management.
E. Assist with recognition of
emerging burn complication
syndromes.

3D. BLAST/BLUNT INJURY: Knowledge Q12M C-STARS, SMART/RCS or

A. Assist with and have JTTS Clinical Practice Guidelines
understanding of potential injuries • Blunt Abdominal Trauma,
from specific mechanisms and Splenectomy and Post-
patterns of injury. Splenectomy Vaccination
B. Assist with identifying patients • Aural Blast Injury/Acoustic
at high risk of missed injury, Trauma and Hearing Loss
compartment syndrome and
conducting serial abdominal • High Bilateral Amputations and
exams. Dismounted Complex Blast
Injury

3E. NEUROLOGIC Knowledge Q12M C-STARS, SMART/RCS or

INJURIES: JTTS Clinical Practice Guidelines
A. Assist with managing a patient • Catastrophic Non-Survivable
with potential/actual intracranial, Brain Injury
spinal cord, and cervical-thoracic-
lumbar injury. • DoD Policy Guidance for
Mild Traumatic Brian Injury
B. Assist with performing (TBI)/Concussion in deployed
Military Acute Concussion setting
Evaluation (MACE)
Medic/Corpsman screening of • Concussion management
Service members involved in a Algorithm Cards
potentially concussive/ Mild • Neurosurgery and Severe
Traumatic Brain Injury event. Head Injury (CPG ID: 30), 02
Mar 2017.
C. Documents Intracranial
Pressure (ICP), Cerebral • Cervical and Thoracolumbar
Perfusion Pressure (CPP) and Spine Injury Evaluation,
Ventriculostomy output hourly Transport, and Surgery in the
IAW Neurosurgery and Severe Deployed Setting (CPG ID:
Head Injury CPG Performance 15), 05 Aug 2016.
Measure in patient’s medical
record.
D. Assist with evaluating the
effectiveness of medical and
nursing interventions for the
neurologic trauma patient.
 COMPREHENSIVE MEDICAL READINESS PROGRAM
Aerospace Medical Service - 4N0X1X Checklist
4. MECHANICAL Knowledge Q12M C-STARS, SMART/RCS or
VENTILATION: • Impact 731 Setup C-STARS
CCATT (2:58)
https://www.youtube.com/watc
h?v=PHdnb43Sibo
• Impact 731 O2 Low Flow C-
STARS CCATT(2:34)
https://www.youtube.com/watc
h?v=60c7ppjwRfI
• Impact 731 Volume Control C-
STARS CCATT(3:40)
https://www.youtube.com/watc
h?v=WGNq94KwbNc
• Impact 731 Pressure Control
CSTARS CCATT (3:43)
https://www.youtube.com/watc
h?v=I4Xhc8JdTUM

5. PAIN, ANXIETY AND Knowledge Q12M C-STARS, SMART/RCS or

DELIRIUM: JTTS Clinical Practice Guidelines
A. Comprehension and • Management of Pain, Anxiety
performance of use of DoD/VA and Delirium
pain rating scale.
• Ambit PCA CCATT Advanced
B. Understands effects of (3:22)
analgesics. https://www.youtube.com/watc
C. Understands effects of h?v=cVNiOhcnFYE
sedatives. • AMBIT PCA - Clearing Hx
(History) CCATT Advanced
D. Assist/Set up AMBIT Pain (1:06)
Pump. https://www.youtube.com/watc
E. Assist in assessing for sedation h?v=SQ6HfwM4Iu0
level using Richmond Agitation
Sedation Scale (RASS).
F. Comprehension and
performance of Confusion
Assessment Method (CAM).
G. Mission/use of Acute Pain
Service (APS) at Role 3.
H. Care of patient with peripheral
nerve block.
 COMPREHENSIVE MEDICAL READINESS PROGRAM
6. EXPEDITIONARY
EQUIPMENT:
A. Triple channel IV pump.
B. Patient Controlled Analgesic
(PCA) pump (e.g., AMBIT Pain
Pump).
C. Portable lab equipment (e.g.,
I-Stat machine).
D. Rapid Infuser.
E. Wound vacuum (e.g., KCI
wound vac).
F. Chest tube drainage system -
Adult/pediatric (e.g., Atrium).
G. Bair Hugger.
H. Intracranial Pressure
Monitoring Device –
Intraventricular Drainage Device.
I. Propaq/Defibrillator.
7. DEPLOYED
ENVIRONMENT
CONSIDERATIONS:
A. Intratheater Transfer and
Transport.
B. Infection Prevention in the
Operational Environment.
C. Litter Evacuation.
D. Ambulance Familiarization.
E. Clinical Management of
Military Working Dog.
F. Unexploded Ordinance (UXO)
Management.
Aerospace Medical Service - 4N0X1X Checklist
Knowledge Q12M JTTS Clinical Practice Guidelines
• Acute Respiratory Failure
• Airway Management of
Traumatic Injuries
• Prime Triple Channel Pump C-
STARS CCATT (2:14)
https://www.youtube.com/watc
h?v=EpO4UFxGAus
• Program Vasopressin in Triple
Channel Pump C-STARS
CCATT (3:31)
https://www.youtube.com/watc
h?v=2vmsptvnPRI
• Program Secondary Line Triple
Channel Pump C-STARS
CCATT(1:04)
https://www.youtube.com/watc
h?v=EcFRONwj7gc
• Change Device Mode Triple
Channel Pump C-STARS
CCATT (1:15)
https://www.youtube.com/watc
h?v=Le_JbVmBWIA
• Codman Express C-STARS
CCATT (7:14)
https://www.youtube.com/watc
h?v=FMxX97LXhbw
• EVD Stopcock Positions C-
STARS CCATT (4:04)
https://www.youtube.com/watc
h?v=YRv3oX1Urws
• EVD Level and Open Zero C-
STARS CCATT (3:12)
https://www.youtube.com/watc
h?v=_2quwzlmyqk
• EVD Draining C-STARS
CCATT (3:29)
https://www.youtube.com/watc
h?v=IErGQjHad2I
Knowledge Q12M JTTS Clinical Practice Guidelines
• Intratheater transfer and
transport
• Infection prevention in Combat
Related Injuries
• Management of War Wounds
• Invasive Fungal Infection in
war wounds
• Litter Evacuation Guide
(located on AFMS Kx with
CMRP checklists)
• Ambulance Familiarization
Guide (located on AFMS Kx
with CMRP checklists)
• Clinical Management of
Military Working Dogs
• UXO Management
 COMPREHENSIVE MEDICAL READINESS PROGRAM
Aerospace Medical Service - 4N0X1X Checklist
Category-III UTC Training: Per AFI 41-106, Chapter 5.
Training specific to a UTC for Auto-populated in Medical
which an Airman is assigned. Readiness Decision Support
System (MRDSS) upon
assignment to a UTC.

* Care includes all phases of the nursing process (assessment, planning, implementation and evaluation). Additionally, care includes
the correct set up and performance of monitoring technologies and the integration of these data into the plan of care.

Additional References can be found at:

“Joint Trauma System” The Department of Defense Center of Excellence for Trauma
http://jts.amedd.army.mil/index.cfm/PI_CPGs/cpgs

For Comprehensive Medical Readiness Program questions, please contact the En Route Care Training Department, Academic Operations
Branch (USAFSAM/ETS) at Comm: 937-938-3114 / DSN: 798-3114 and/or send correspondence to USAFSAM.ETS.CMRP@us.af.mil. For
comments or suggestions regarding the content of the Comprehensive Medical Readiness Skills list, please contact your Surgeon General
Consultant or Career Field Manager (Consultant Roster available at https://kx2.afms.mil/kj/kx4/SGConsultants/Pages/home.aspx).

(Updated 20 Nov 2018) NAME:_______________________________________