THULS - Standard Medical Operating Guidelines (SMOG)
This five-book series covers a wide array of medical topics and most of the issues seen in the military and austere environments, including trauma, medicines, working dog care, and more.
Emergency medicine professionals, experienced flight paramedics, aeromedical physician assistants, critical care nurses, and flight surgeons across the Department of War provided input to create the source for this series. The goal is to ensure the highest quality en route care possible and to standardize care across all evacuation/emergency medical pre-hospital units.
This publication is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
Always consult a qualified healthcare provider for medical concerns. Never disregard or delay seeking professional medical advice based on information in this guide.
The authors, editors, publisher, and distributors make no warranties as to the accuracy, completeness, or suitability of the information and disclaim all liability for any loss or injury arising from its use.
In a medical emergency, contact your doctor or emergency services immediately.
Volume Details |
||
|---|---|---|
Topic |
Cards |
Contents |
|
VOLUME 1: General, Trauma, Medical, & Environmental |
21 |
Universal Patient Care Allergic Reaction Tactical Evacuation Abdominal Pain Airway (Adult / Pediatric) Altered Mental Status Rapid Sequence Intubation Back/ Neck Pain Ventilator Management Hyperglycemia / Hypoglycemia Blood And Component Use Lower Respiratory Distress Blood Transfusion Reactions Upper Respiratory Distress Iv/10 Protocol Seizure Trauma Sepsis / Fever Abdominal Injury Toxic Ingestion Burns / Electrical Injury Vomitting & Diarrhea Burn Fluid Resuscitation Environmental Chest Trauma Altitude Illness Crush Syndrome Animal & Insect Bites/ Stings Extremity Trauma Decompression Sickness Eye Injury / Pain Hot / Cold Weather Injury Head Injury / Tbi Submersion Injury Traumatic Arrest Hypotension/Shock Pediatric Hypotension / Shock |
|
VOLUME 2: Important references, Cardiac flow charts, Special populations |
20 |
Mascal Triage Vital Functions Assessment Charts Glasgow Coma Scale Pediatric Als / Defib Settings Broslow Tape Chart Oxygen Saturation Musculoskeletal Injury Assess Vasopressor Priority Chart Quick Reference Drug Chart Y-Site Compatibility Chart Antibiotic Therapy Chart Common Laboratory Values Fluid Volume For Dilution Oxygen Cylinder Life Facility Transfer Pre-Flight Checklist Example Standing Order Ccp Useful Calculations Cardiac Bradycardia With Pulse Cardiac Arrest Chest Pain Post-Cardiac Arrest Care Suspected Stroke /Tia Tachycardia W/ Pulse Pediatric Bradycardia Pediatric Cardiac Arrest Pediatric Tachycardia Ap Pediatric Tachycardia Pp Special Populations Cbrn Marche Childbirth Newborn Care And Distress Obstetric Emergency Patient Refusal |
|
VOLUME 3: Military working dog |
6 |
Mwd Airway Management Mwd Analgesia & Sedation Mwd Cpr Mwd Gastric Dilation-Volvulus Mwd Heat Injury Mwd Normal Parameters Mwd Normal Parameters Illustrations Mwd Shock Fluid Therapy |
|
VOLUME 4: Medications Part A (A-H) |
20 |
Acetaminophen Epinephrine 1:1000 Acetazolamide Epinephrine 1:10,000 Acetylsalicylic Acid Ertapenem Activated Charcoal Etomidate Adenosine Albuterol Fentanyl Amiodarone Furosemide Atropine Sulfate Glucagon Calcium Chloride 10% Calcium Gluconate Heparin Cefazolin Hetastarch Hydromorphone Dexamethasone Hydroxocobalamin Dextrose 50% Diazepam Diltiazem Diphenhydramine Dobutamine Dopamine |
|
VOLUME 5: Medications Part B (K-V) |
23 |
Nitroglycerin Ketamine Norepinephrine Ketorolac 0.9% Sodium Chloride (Normal Saline) Hypertonic Saline 3% Sodium Chloride Labetalol Ringer's Lactate (Lactated Ringers) Ondansetron Dextrose 5% In Water (Dw) Oxygen Levetiracetam Lidocaine Plasmalyte A Lorazepam Phenylephrine Promethazine Magnesium Sulfate Propofol Mannitol 20% Methylprednisolone Rocuronium Metoclopramide Metoprolol Succinylcholine Midazolam Morphine Thiamine Moxifloxacin Tranexamic Acid (Txa) Naloxone Vasopressin Nifedipine Vecuronium |
This series of THULS books ("the Guide") is for general informational and educational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
The information contained in this Guide is based on sources believed to be reliable at the time of publication, but medicine is an ever-changing science. New research, clinical experience, and updated guidelines may render some of the information outdated or incomplete after publication. The authors, editors, contributors, publisher, and any distributors make no representations or warranties that the information in this Guide is complete, accurate, or up to date for any specific individual or situation.
Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment. Never disregard professional medical advice or delay in seeking it because of something you have read in this Guide.
Reliance on any information provided in this Guide is solely at your own risk. The authors, editors, contributors, publisher, printer, and distributors expressly disclaim any liability or responsibility for any loss, injury, or damage (whether direct, indirect, consequential, or otherwise) allegedly arising from the use or application of any information, suggestions, or recommendations contained in this Guide.
If you think you may have a medical emergency, call your doctor or your local emergency number immediately.
No part of this Guide may be construed as the practice of medicine or the provision of medical services.
Copyright © 2025 Mission Information Resources. All rights reserved.
!