Three preventable causes of death - Hemorrhage 90%
Airway obstruction 8%
Tension pneumothorax 2%
Wound data-where - Extremities 60%
Head 25%
Torso 9%
How many % require CPR - 1.4%
When to use C-SPINE - Motor vehicle crash
Fall greater than 15ft
IED blast with MRAP
When to use CPR - Hypothermia
Near drowning
Electrocution
Damage to hollow organs - Lungs colon stomach middle ear
Primary blast - Wave from explosion
Damage to organ
,Secondary blast - Debris and shrapnel from explosion
Tertiary blast injury - Casualty blown into solid object
Blunt trauma
Greatest concern in the field is airway edema resulting in an adequate airway
-occurs in fires in confined spaces - Inhalation burns
-cricothyrpidotomy
Single most significant obstacle to combat medic - Enemy fire M
factors influencing care on battlefield - Enemy fire
Medical equipment limitations
Evacuation time
Tactical consideration
Casualty transportation
Personnel on battlefield - Warrior task and battle drills
Combat Life Saver - 40 hrs
Vehicle first aid kit - WALK
Warrior Aid and Litter Kit
What do you give mild to moderate pain - TCCC combat pill pack
-Tylenol and Meloxicam
Moderate to severe pain-NOT in shock/respiratory distress - OTFC 800 micrograms tranbuccal
Reassess 15 minutes
, Moderate to severe pain-IS in shock/respiratory distress - Ketamine
50mg-30min IM or IN
20mg-20min IV
Alternative to OTFC if IV access obtained - Morphine
5mg
Reassess 10min
nausea and vomiting - Zofran (Ondansetron)
4-8mg every 6 hours
Rhythmic back and forth movement of eyes - Nystagmus
(Seen in Ketamine)
Potential to worsen severe TBI - Ketamine and OTFC
If able to take PO (conscious) - Moxifloxacin 400mg once a day
If unable to take PO (shock,unconscious) - Ertapenem 1mg once a day
PPE - Interceptor body armor (IBA)
Small arms protective inserts (SAPI plates)
Advance Combat helmet (ACH)
Army combat shirt (ACS)
Eye pro
Green in yellow out - Maximum protection
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