# Expeditionary Blood Warming And Hypothermia Resuscitation Cell

> Coordinate blood warming, casualty rewarming, and cold-exposure resuscitation sequencing when austere care, prolonged evacuation, or cold weather threaten preventable survivability loss.

- Skill: `zwright8/expeditionary-blood-warming-and-hypothermia-resuscitation-ce` (Agent Skill)
- Install (CLI): `npx skillmds@latest add zwright8/expeditionary-blood-warming-and-hypothermia-resuscitation-ce`
- Raw SKILL.md: https://api.skillmd.com/api/skills/zwright8/expeditionary-blood-warming-and-hypothermia-resuscitation-ce/raw
- Safety review: pending
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: zwright8 (https://skillmd.com/u/zwright8)
- Updated: 2026-09-10
- Page: https://skillmd.com/skills/zwright8/expeditionary-blood-warming-and-hypothermia-resuscitation-ce

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# Expeditionary Blood Warming and Hypothermia Resuscitation Cell

## Mission Scope

- Treat this skill as a planning and decision-support aid for U.S. warfighter missions in this domain.
- Confirm casualty acuity, warming-device availability, transport timelines, clinician authorities, and environmental conditions before recommending action.
- Keep outputs unclassified by default unless explicit handling guidance is provided.

## Workflow

1. Frame the mission problem with casualty temperature trends, blood inventory, warming equipment status, evacuation routes, and commander priorities.
2. Build one recommended COA and at least two alternatives with explicit tradeoffs in survivability, warming speed, equipment burden, and transport risk.
3. Identify branch triggers for immediate warming, blood reallocation, transfer prioritization, or damage-control-only care.
4. Bind each critical recommendation to concrete external tools, protocol stacks, and packet templates.
5. Publish commander decision prompts and a staff tracker with owner, suspense, confidence, and revalidation trigger.

## Required Output Format

1. Situation snapshot and key changes.
2. Recommended COA and rationale.
3. Alternative COAs with trigger conditions.
4. Decision points and escalation gates.
5. Staff tasks by owner and suspense.
6. Tool invocation packets with protocol bindings.

## Domain Products

Primary products: hypothermia resuscitation board, blood-warming ladder, and casualty transfer priority matrix.

## Domain Toolchain Defaults

- Primary: `tool_suite_id=ts-expeditionary-blood-warming-hypothermia-resuscitation-v1` with `protocol_stack_id=ps-expeditionary-blood-warming-hypothermia-resuscitation-stack-v1`.
- Alternate: select a mission-adjacent role 2 or role 3 medical, med-log, or aeromedical-evac suite or stack from `../_shared/references/warfighter-external-tool-and-protocol-catalog.md` and explain tradeoffs.
- Degraded: lifesaving manual warming only with conservative blood use and senior clinician approval.

## Domain Packet Defaults

- Default packet ID: `DPL-BLOOD-WARMING-HYPOTHERMIA-001`.
- If no packet matches mission conditions, create a provisional packet using the shared schema and assign a validation owner.

## External Tool Stack and Protocols

- Preferred external toolsets for this domain: casualty temperature tracker, blood warmer inventory board, med-log temperature ledger, and evacuation regulation queue.
- Preferred protocol profiles for coordination and machine exchange: `HL7/FHIR`, signed med-log manifests, `DICOM`, `API/JSON`, and `USMTF`.
- Use `../_shared/references/warfighter-external-tool-and-protocol-catalog.md`, `../_shared/references/domain-tool-packet-library.md`, and `../_shared/references/tool-protocol-playbooks.md`.
- Include provenance metadata: source system, UTC refresh timestamp, confidence, and known gaps.

## Tool Invocation Contract

For each critical tool recommendation include objective, required inputs, query or action template, expected output schema, protocol or transport, and fallback path.

## Mission Tool Authority Gates

- Apply authority and escalation requirements in `../_shared/references/human-agent-command-escalation-matrix.md` and `../_shared/references/warfighter-tool-authority-gates.md`.
- Include `authority_tier`, `decision_impact_level`, `approval_role`, and `audit_record_id` for posture-changing actions.
- If casualty temperature status, blood integrity, or transfer authority is uncertain, downgrade to advisory-only and request command decision.

## Interoperability Validation Checklist

- Run `../_shared/references/mission-assurance-checklist.md` and `../_shared/references/us-joint-protocol-assurance-drill.md` before release.
- Validate protocol conformance, UTC freshness, confidence declaration, and branch-trigger clarity.
- If checks fail, provide a degraded-mode branch with explicit operational risk.

## Guardrails

- Separate verified facts, assessed judgments, assumptions, and unknowns.
- Flag preventable cold-shock mortality, blood-product spoilage, transport delay, and warming-equipment scarcity before recommending action.
- Do not fabricate patient status, warming effectiveness, or clinician approvals.