U.S. Air Force Independant Duty Medical Technician (IDMT) Medical and Dental Treatment Protocols

INTRODUCTION

1.1. Background Information: These USAF IDMT Medical and Dental Treatment Protocols are the
product of a concerted effort by representatives from all major command surgeons offices with the
express goal to standardize the care IDMTs are permitted to provide regardless of location and command
affiliation. The ever-increasing mobility requirements of Air Force IDMTs make this standardization is a
necessity. These protocols also clearly define the scope of care parameters that the IDMT is expected
and trained to work within. These treatment protocols are designed as a guide to accepted step-by-step
treatments for medical disorders that may be encountered by IDMTs in the field. Critical to this system is
the requirement for close communication between the IDMT and the assigned Physician and Dentist
Preceptors. All IDMTs must be certified in the use of these protocols prior to treating patients IAW AFI
44-103, The Air Force Independent Duty Medical Technician Program And Medical Support For
Mobile Medical Units/Remote Sites paragraphs 10.1.5 and 10.1.6.

1.2. General Guidance:
1.2.1. IDMTs are cautioned to remain extremely conservative when dispensing medication. It is
important to note all medications listed in Attachment 3, Drug Formulary annotated with the term
“MD” denotes those items that may be dispensed by the IDMT only after physician preceptor
consultation. IDMTs must document the specific instructions and the name of the physician prescribing
the medication on the SF 600, Health Record - Chronological Record of Medical Care entry. Dentist
preceptors may approve deviations from prescribed dental treatment protocols, however, these deviations
must be documented on AF Form 644, Record of Dental Attendance.

1.2.2. Intravenous Infusion options: If possible, contact physician preceptor to determine flow rate.
Pending preceptor direction, if hypotensive general guidance is 1000cc wide open then 125cc/hr. For
medication access: keep vein open (KVO).