Pulse oximetry should be available as an adjunct to clinical monitoring. All individuals with moderate/severe TBI should be monitored with pulse oximetry. Readings may be misleading in the settings of shock or marked hypothermia.
Option 1 (Mild to Moderate Pain; Casualty is still able to fight)
TCCC Combat pill pack:
Tylenol - 650-mg bilayer caplet, 2 PO every 8 hours
Meloxicam - 15mg PO once a day
Option 2 (Moderate to Severe Pain; Casualty IS NOT in shock or respiratory distress AND casualty IS NOT at significant risk of developing either condition)
Oral transmucosal fentanyl citrate (OTFC) 800 ug
Place lozenge between the cheek and the gum
Do not chew the lozenge
Option 3 (Moderate to Severe Pain; Casualty IS in hemorrhagic shock or respiratory distress OR casualty IS at significant risk of developing either condition)
Ketamine 50mg IM or IN, OR
Ketamine 20mg slow IV or IO
Repeat doses q30min PRN for IM or IN
Repeat doses q20min PRN for IV or IO
End points: Control of pain or development of nystagmus (rhythmic back-and-forth movement of the eyes)
Tylenol - 650-mg bilayer caplet, 2 PO every 8 hours
Meloxicam - 15mg PO once a day
Oral transmucosal fentanyl citrate (OTFC) 800 ug
Place lozenge between the cheek and the gum
Do not chew the lozenge
Ketamine 50mg IM or IN, OR
Ketamine 20mg slow IV or IO
Repeat doses q30min PRN for IM or IN
Repeat doses q20min PRN for IV or IO
End points: Control of pain or development of nystagmus (rhythmic back-and-forth movement of the eyes)
Repeat doses q30min PRN for IM or IN
Repeat doses q20min PRN for IV or IO
End points: Control of pain or development of nystagmus (rhythmic back-and-forth movement of the eyes)
Tactical field care
Sign out tools
Mass casualty incident triage
Reexamination sample documentation
Tactical combat casualty care
Christiana Care Health 
Dermatologic nomenclature
Documentation for emergency physicians