AFMAN 44-158 INDEPENDENT DUTY MEDICAL TECHNICIAN MEDICAL AND DENTAL TREATMENT PROTOCOLS

This book is included in the Military Field & Training Manuals section.
This is the initial publication of AFMAN 44-158. This manual provides patient treatment guidance and
defines the Independent Duty Medical Technician’s (IDMT) scope of care as outlined in the
complementary AFI 44-103, The Air Force Independent Duty Medical Technician Program/Medical
Support for Mobile Medical Units. It applies to all Independent Duty Medical Technicians throughout
the Air Force, including the Air National Guard (ANG). It does not apply to Air Force Reserve
Command (AFRC). Compliance with this manual is mandatory. Send comments and suggested
improvements on AF Form 847, Recommendation for Change of Publication, through major
commands to 381 TRS/XWB, Missile Road, Sheppard AFB TX, or AFMOA/SGOC, 110 Luke Ave
Room 405, Bolling AFB DC 20332-7050

Chapter 1—INTRODUCTION 7
	1.1. Background Information
	1.2. General Guidance

Chapter 2—EMERGENCY MEDICINE PROTOCOLS
	2.1. Anaphylactic Reaction.
	2.2. Unconscious Patient.
	2.3. CARDIAC.
	2.4. TRAUMA.
Table 2.1. Table of Suspicion.

Chapter 3—EYE PROTOCOLS
	3.1. Anterior Uveitis.
	3.2. Chalazion.
	3.3. Chemical Trauma.
	3.4. Conjunctivitis.
	3.5. Corneal Abrasion.
	3.6. Corneal Ulcer.
	3.7. Foreign Body.
	3.8. Hordeolum.
	3.9. Hyphema.
	3.10. Lacerations and Contusions of the Eye.
	3.11. Penetrating Wounds of the Eye.

Chapter 4—EAR, NOSE AND THROAT PROTOCOLS 
	4.1. Ear.
	4.2. Nose.
	4.3. Throat.

Chapter 5—DENTAL PROTOCOLS
	5.1. Acute Necrotizing Ulcerative Gingivitis.
	5.2. Alveolar Osteitis ("Dry Socket").
	5.3. Aphthous Ulcer.
	5.4. Avulsed Tooth/Displaced Tooth.
	5.5. Caries.
	5.6. Fracture Tooth or Crown.
	5.7. Gingivitis.
	5.8. Periapical Abscess.
	5.9. Pericoronitis.
	5.10. Periodontal Abscess.
	5.11. Pulpitis.

Chapter 6—NEUROLOGICAL PROTOCOLS
	6.1. Cerebral Vascular Accident.
	6.2. Headache.
	6.3. Head Injuries.
	6.4. Herniated Nucleus Pulposus.
	6.5. Meningitis.
	6.6. Seizures.

Chapter 7—CARDIAC/PULMONARY PROTOCOLS
	7.1. Adult Respiratory Distress Syndrome (ARDS).
	7.2. Angina Pectoris.
	7.3. Asthma.
	7.4. Bronchitis.
	7.5. Costal Chondritis.
	7.6. Flail Chest.
	7.7. Pleurisy.
	7.8. Pneumonia.
	7.9. Pneumothorax.
	7.10. Pulmonary Edema.
	7.11. Pulmonary Embolism and Infarction of the Lung.

Chapter 8—GASTROINTESTINAL PROTOCOLS
	8.1. Abdominal Trauma.
	8.2. Appendicitis.
	8.3. Cholecystitis (Acute).
	8.4. Enterobiasis.
	8.5. Gastritis.
	8.6. Gastroenteritis.
	8.7. Gastrointestinal Bleeding.
	8.8. Hepatitis.
	8.9. Hemorrhoids.
	8.10. Inguinal Hernia.
	8.11. Intestinal Obstruction.
	8.12. Pancreatitis (Acute).
	8.13. Peptic Ulcer.
	8.14. Peritonitis.

Chapter 9—GENITOURINARY/GYNECOLOGICAL PROTOCOLS
	9.1. Candidiasis.
	9.2. Cystitis.
	9.3. Ectopic Pregnancy.
	9.4. Epididymitis.
	9.5. Gonorrhea.
	9.6. Hard Mass in the Testicle.
	9.7. (Genital) Herpes.
	9.8. HI.V. Infection.
	9.9. Hydrocele.
	9.10. Orchitis.
	9.11. Pelvic Inflammatory Disease.
	9.12. Prostatitis (Acute).
	9.13. Pyelonephritis.
	9.14. Syphilis.
	9.15. Toxic Shock Syndrome.
	9.16. Trichomoniasis.
	9.17. Testicular Tension.
	9.18. Urethritis.
	9.19. Urinary Tract Calculi.
	9.20. Vaginitis.
	9.21. Varicocele.
	9.22. Venereal Warts.

Chapter 10—INTEGUMENTARY PROTOCOLS
	10.1. General Eruptions.
	10.2. Acne.
	10.3. Atopic Dermatitis.
	10.4. Contact Dermatitis.
	10.5. Cellulitis.
	10.6. Eczema and Dyshydrosis.
	10.7. Fungal Infection.
	10.8. Herpes Zoster.
	10.9. Herpes Simplex.
	10.10. Impetigo.
	10.11. Infections and Conditions of the Nails.
	10.12. Infections and Conditions of the Scalp.
	10.13. Masses.
	10.14. Pediculosis.
	10.15. Pruritus.
	10.16. Pseudofolliculitis Barbae.
	10.17. Psoriasis.
	10.18. Scabies.

Chapter 11—MUSCULO-SKELETAL PROTOCOLS
	11.1. Bursitis and Tendonitis
	11.2. Fractures, Dislocations, Sprains, Strains
	11.3. Low Back Pain
	11.4. Shin Splints

Chapter 12—MENTAL HEALTH/SUBSTANCE ABUSE PROTOCOLS 
	12.1. Mood Disorders.
	12.2. Anxiety Disorders.
	12.3. Somatoform Disorders.
	12.4. Adjustment Disorders.
	12.5. Suicidal Gestures/Attempts.
	12.6. Substance Abuse.

Chapter 13—POISONOUS BITES, STINGS AND CONTACTS
	13.1. Marine Life.
	13.2. Insects.
	13.3. Reptile Bites.
	13.4. Poisonous Plants.

Chapter 14—ENVIRONMENTAL INJURIES 
	14.1. Heat Related Injuries.
	14.2. Cold Related Injuries.
	14.3. Burns.
	14.4. Electrical
	14.5. Forms Prescribed

Attachment 1—GLOSSARY OF REFERENCES AND SUPPORTING INFORMATION 
Attachment 2—DIFFERENTIAL DIAGNOSIS MATRIX. 
Attachment 3—DRUG FORMULARY.
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