RAVINES Prolonged Field Care Training

RAVINES is the Prolonged Field Care (PFC) priority framework for casualties requiring extended care beyond the golden hour. Train the full spectrum from resuscitation through surgical procedures.

• Resuscitate with blood products: whole blood, walking blood bank, permissive hypotension
• Reduce/convert tourniquets: reperfusion injury, conversion criteria, >6 hour protocol
• Airway care: cric/ETT management, capnography, cuff pressure, sedation management
• Ventilate: lung-protective strategy, MOVE mnemonic, PEEP, altitude considerations
• Initiate telemedicine: MIST format, 9-line MEDEVAC, problem list preparation
• Nursing care: HITMAN framework, vitals trending, DVT prophylaxis, wound care schedule
• Environmental: cold/heat/altitude/flight considerations
• Surgical procedures: thoracostomy, escharotomy, fasciotomy, lateral canthotomy

prolonged field care, PFC, RAVINES, HITMAN nursing, telemedicine TCCC, walking blood bank, combat casualty management