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CSTARS:
EDUCATION
VALIDATION
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Col William Pond, IN SAS
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MEDFAC/ADFAC
Col William Pond, IN SAS
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C-STARS CCATT Cincinnati is located at the
Cincinnati University Hospital Trauma Center,
Cincinnati Ohio. The Trauma Center is part of
the University of Cincinnati Medical Center
Department of Surgery and serves the tri-state
region of Southwest Ohio. It is also a verified
regional Burn Center and is the only Level One
Adult Trauma Center in the area.
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• Course Description
This 14-day course is composed of
12 days
clinical/didactic/simulator/flight
exercise plus travel days and is
designed specifically for personnel
assigned to the CCATT UTC.
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• The emphasis is on critical care and
there will be didactics on the airevacuation system culminating in a
field exercise involving a flight on an
AC-130 aircraft. Personnel will rotate
in the intensive care units of the
University Hospital a
multidisciplinary 18 bed unit with
over 3000 patient encounters each
year.
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• They will function as the primary providers for
critically ill and injured patient under the tutelage
of both civilian and military faculty. The physicians
will complete approximately 80 hours of clinical
duties including nighttime call responsibilities in
the Surgical Intensive Care Unit. The nurse and
technicians will complete approximately 56 hours
of clinical duties primarily in the Surgical Intensive
Care Unit. In addition there will be approximately
20 hours of AFSC/UTC specific lessons. This course
enables the rotator to complete the AFSC specific
RSV's and the CCATT sustainment training items.
The course is designed to meet 100% of the RSV's
for the individuals assigned to the CCATT UTC.
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Continuing Education
Physicians: The Office of the Surgeon
General, United States Air Force (USAF),
designates this educational activity for a
maximum of 60.0 hours in AMA PRA
Category 1 Credit(s) ™. Physicians should
claim credit commensurate with the extent
of their participation in the activity.
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Col William Pond, IN SAS
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• Prerequisites
Course participants must be assigned to a CCATT
UTC and must have completed the CCATT basic
course at Brooks AFB, TX (B3OZYCCATT-000
• ALL Personnel must bring a copy of their CURRENT
1042 & Central Validation Committee (CVC)
approval letter with them.
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• Applications will be handled by the CSTARS Home Office, AFEMSI at WrightPatterson Air Force Base (WPAFB), OH.
Once you have been identified to attend
C-STARS Cincinnati training an AFEMSI
credentialing specialist will contact you
via email to assist with completing and
submitting required paperwork. Please
pay particular attention to drop dead
dates as the civilian Universities will
NOT provide extensions.
If they do not do so, contact them and be
persistent until a position is granted.
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• C-STARS is a centrally funded AFMS course for
ANG members. For ANG Personnel, your UTM
MUST contact HQ AFRC/SGS Formal Training
Manager at Commercial 478-327-1903 or DSN
497-1903; For GUARD Personnel, your UTM
MUST contact USAF ANG NGB Formal Training
Manager at Commercial 301-836-8325 or DSN
278-8325; PRIOR TO scheduling with Air Force
Expeditionary Medical Skills Institute (AFEMSI).
Once selected for training, you will receive a
training RIP. Typically, the training RIP flows
from your Formal Training Office.
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CSTAR Pearls
• Take CCATT reference materials on
deployment.
• Watch for pulmonary injuries that may
blossom 24-48 hours after injury.
• Check tympanic membranes for additional
evidence of blast injury.
• Ask for most current labs prior to
departure.
• Personally view the radiographs.
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• The deadly triangle—Acidosis,
Hypothermia, Coagulopathy
• Signs of severity of trauma.
•
•
•
•
•
Systolic blood pressure less than 90
INR greater than 1.5
Hemoglobin less than 11.0
Temperature less than 96.0
Base deficit in excess of -6.0
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CSTAR Pearls
• The deadly triangle—Acidosis,
Hypothermia, Coagulopathy
• Signs of severity of trauma.
•
•
•
•
•
Systolic blood pressure less than 90
INR greater than 1.5
Hemoglobin less than 11.0
Temperature less than 96.0
Base deficit in excess of -6.0
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• Alaris IVAC is a “canary.” Note the lights—
if all green, pump is functioning and power
supplied. Green flashing means pump is
working, but no power supply.
• Usually have IVAC with fluids Maintenance
100-200, Propofol 15-30, Fentanyl 1-4.
• Warm patient before boarding aircraft.
• Maintain temperature with HPK pack.
• Use the reflective foil on the outside of the
patient to maintain heat.
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• Try not to use a body bag to maintain heat
due to the psychological negative effect of
placing a patient in a body bag normally
used for deceased patients.
• The heating blanket requires time to
activate, so open the blanket and allow to
warm prior to application.
• Do not switch equipment with the FOB.
• Do not have a litter above the CCATT
patient so that there will be extra access.
• At the FOB, if there has been a blood drive,
take the blood with the patient since it will
probably not be utilized otherwise.
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• Most patients receive feeding tubes;
continue the tube feedings for nutritional
purposes.
• Acquire small S shaped carabiners for
securing IV bags and other equipment.
• Do not use Lactated Ringers during the
treatment of lactic acidosis.
• Ballpark formula—initial PC02 X respiratory
rate = final pC02 X respiratory rate.
• Bring a sleeping bag and thermarest
mattress.
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• Be cognizant of circadian rhythm
disruptions and sleep if opportunity
arises.
• Take a bag of personal items for all
deployments.
• Assure that bags are labeled.
• Secure bags in the plane to keep
them from being placed in a pile and
secured.
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• Look professional in the aircraft.
• If sleeping on the aircraft and a
family or friend is on aircraft, explain
it and note who will be caring for the
patient.
• Prior to departure
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