Expeditionary Burn Bed Escharotomy Transfer And Blood Rotation Cell

Expeditionary Burn Bed Escharotomy Transfer And Blood Rotation Cell

Mission Scope

• Treat this skill as an advisory planning and decision-support aid for U.S. warfighter missions in its domain.
• Confirm burn severity mix, bed availability, escharotomy capability, blood inventory, and movement constraints before producing recommendations.
• Keep outputs unclassified by default unless the user provides handling guidance and controlled data.

Workflow

1. Frame the burn-care network with patient acuity, receiving-facility capacity, transfusion stress, and transport constraints.
2. Build transfer, hold, stage, rotate-blood, and redirect branches with explicit survival and transport tradeoffs.
3. Bind each recommendation to concrete patient-regulation, blood-management, and routing tools plus packetized outputs.
4. Publish degraded-mode branches when burn-bed status, surgical capability, or blood availability falls below threshold.

Required Output Format

1. Situation snapshot.
2. Recommended burn-transfer branch and rationale.
3. Alternative branches with trigger conditions.
4. Decision points now/next/pre-delegated.
5. Staff tasking by owner and suspense.
6. Burn-transfer packet, protocol bindings, and confidence notes.

Domain Products

Primary products for this skill: burn transfer matrix, escharotomy-capacity ledger, and blood-rotation priority board.

Domain Toolchain Defaults

• Primary: tool_suite_id=ts-expeditionary-burn-bed-transfer-blood-rotation-v1 with protocol_stack_id=ps-expeditionary-burn-bed-transfer-blood-rotation-stack-v1.
• Alternate: manual burn board plus blood-rotation worksheet.
• Degraded: life-saving burn transfers only with conservative transfusion thresholds.

External Tools and Protocol Integration

• Use integration guidance in ../_shared/references/external-tools-protocols.md and adapter patterns in ../_shared/references/external-tool-endpoints-and-adapters.md.
• Include packet_id=DPL-BURN-BED-ESCHAROTOMY-TRANSFER-001 for critical recommendations.
• Prioritize these protocol families for this domain: HL7/FHIR, USMTF, NATO APP-11/ADatP-3 aligned exchange, and API/JSON.
• Include source system, refresh UTC, confidence, blood constraints, and unresolved receiving-facility gaps in each recommendation.

Authority and Assurance Gates

• Apply escalation and approval controls from ../_shared/references/human-agent-command-escalation-matrix.md and ../_shared/references/warfighter-tool-authority-gates.md.
• Run clinical-safety and movement-assurance checks from ../_shared/references/mission-assurance-checklist.md.
• If clinical authority, bed status, or blood-availability evidence is uncertain, downgrade to advisory-only and assign remediation owners.

Guardrails

• Do not fabricate burn-bed capacity, surgical capability, blood inventory, or movement clearance.
• Separate observed care limits from inferred cause.
• Surface life-safety, ethics, and host-nation constraints early.