Remerciez-le!

Remerciez @Admin pour avoir partagé cet document gratuitement, de la manière la plus simple, en partageant sur les réseaux sociaux.

IS0871 ii CLARIFICATION OF TRAINING LITERATURE TERMINOLOGY When used in this pu

IS0871 ii CLARIFICATION OF TRAINING LITERATURE TERMINOLOGY When used in this publication, words such as "he," "him," "his," and "men" are intended to include both the masculine and feminine genders unless specifically stated otherwise or when obvious in context. This subcourse is approved for resident and correspondence course instruction. It reflects the current thought of the U.S. Army Medical Department Center and School and conforms to Department of the Army doctrine as closely as currently possible. Development and progress render such doctrine subject to change. The "B" edition of IS0871, Combat Lifesaver Course: Student Self-Study, is an update of the previous "A" edition. The "A" edition may be used until supplies are depleted. This subcourse may be reproduced locally as needed. IS0871 iii COMBAT LIFESAVER COURSE: STUDENT SELF-STUDY INTERSCHOOL SUBCOURSE 0871 U.S. Army Medical Department Center and School Fort Sam Houston, Texas GENERAL Interschool Subcourse 0871, Combat Lifesaver Course: Student Self-Study, contains information needed to successfully complete the written, written performance, and performance examinations for combat lifesaver certification and recertification. All of the tasks contain important, lifesaving information. Terminal objectives for this course are given below. TASK: Tactically manage a casualty. CONDITIONS: Given a casualty in a battlefield environment and a combat lifesaver aid bag. STANDARDS: Applies the procedures given in this subcourse so that the mission is not endangered and the risk of additional injuries to the casualty is minimized. TASK: Evaluate and treat a casualty. CONDITIONS: Given a combat lifesaver aid bag and a casualty with one or more of the following problems: blocked airway, no respiration, bleeding from an extremity, amputation of an extremity, hypovolemic shock, or open chest wound. STANDARDS: Performs needed procedures in accordance with the procedures given in this subcourse. TASK: Transport a casualty. CONDITIONS: Given a casualty in need of evacuation, SKED® litter or materials for improvising a litter, and assistant(s) (if available). STANDARDS: Evacuates the casualty using a SKED® litter or an improvised litter in accordance with the procedures given in this subcourse. IS0871 iv TABLE OF CONTENTS GENERAL..... .......................................................................................................... iii TABLE OF CONTENTS .......................................................................................... iv ADMINISTRATIVE INSTRUCTIONS ....................................................................... v GRADING AND CERTIFICATION............................................................................ vi INTRODUCTION...................................................................................................... vii Lesson 1: PERFORMING TACTICAL COMBAT CASUALTY CARE..................... 1-1 Lesson Exercises .................................................................................. 1-9 Lesson 2: EVALUATING A CASUALTY ................................................................ 2-1 Lesson Exercises .................................................................................. 2-8 Lesson 3: OPENING AND MANAGING A CASUALTY'S AIRWAY........................ 3-1 Lesson Exercises .................................................................................. 3-8 Lesson 4: TREATING PENETRATING CHEST TRAUMA AND DECOMPRESSING A TENSION PNEUMOTHORAX........................... 4-1 Lesson Exercises .................................................................................. 4-10 Lesson 5: CONTROLLING BLEEDING ................................................................. 5-1 Lesson Exercises .................................................................................. 5-31 Lesson 6: INITIATING A SALINE LOCK AND INTRAVENOUS INFUSION........... 6-1 Lesson Exercises .................................................................................. 6-18 Lesson 7: INITIATING A FIELD MEDICAL CARD ................................................. 7-1 Lesson Exercises .................................................................................. 7-14 Lesson 8: REQUESTING MEDICAL EVACUATION (MEDEVAC)......................... 8-1 Lesson Exercises .................................................................................. 8-15 Lesson 9: EVACUATING A CASUALTY USING A SKED® OR IMPROVISED LITTER........................................................................... 9-1 Lesson Exercises .................................................................................. 9-9 Appendix COMBAT LIFESAVER MEDICAL EQUIPMENT SET ........................... A-1 IS0871 v ADMINISTRATIVE INSTRUCTIONS SUBCOURSE CONTENT This subcourse contains nine lessons. Each lesson presents information needed to successfully perform tasks that a combat lifesaver is required to know and perform. SUPPLEMENTARY REQUIREMENTS Materials Needed. You will be furnished with needed materials at the time you take the examinations for this subcourse. Successful completion of the comprehensive written (multiple-choice) examination, written performance (Field Medical Card and MEDEVAC request) examinations, and all performance (hands-on) examinations is required for successful completion of the Combat Lifesaver Course. Supervisory Assistance. Study the information contained in this subcourse on your own before attending classroom instruction. When you take the performance (hands-on) examinations, the evaluator will use checklists similar to those contained in this subcourse. Each written performance examination will require you to complete a form. The comprehensive written examination will consist of 40 multiple-choice items and will be closed-book and proctored. Reference materials in addition to those provided by the evaluator will not be permitted. References. This subcourse contains all information needed to pass the written, written performance, and performance examinations. No supplementary references are needed. SUGGESTED STUDY PROCEDURES After reading and studying the text assignment of a lesson, complete the lesson exercises at the end of the lesson. If possible, answer the exercises without referring back to the lesson text. After completing the exercises, check your answers with the answer key that follows the lesson exercises. For each exercise answered incorrectly, reread the subcourse material referenced and rework the exercise. If the lesson exercises contain a performance exercise, practice performing the task (if possible) and have someone check your actions against the performance checklist. When you take the actual performance examinations, an instructor will grade your performance using checklists similar to those contained in this subcourse. Keep practicing until you can score a GO on all steps. Complete each lesson before proceeding to the next. IS0871 vi GRADING AND CERTIFICATION You must score a minimum of 70 percent on the written examination and score a GO on each written performance and performance examination in order to satisfactorily complete this subcourse. A NO-GO on any step of a performance checklist will result in a NO-GO for the entire checklist. The written examination will be proctored. You will not be allowed to use the subcourse or notes during the examination. The primary instructor (or a designated assistant) will be responsible for grading the written, written performance, and performance examinations. Please consult your primary instructor or his designated assistant for any questions concerning retaking a failed examination (written, written performance, or performance). An examination may have more than one version. If so, an alternate version may be used for retesting. A student who successfully completes the entire Combat Lifesaver Course (successfully completes all performance and written performance examinations and passes the comprehensive written examination) will receive 40 credit hours from the Army Institute for Professional Development (AIPD), Newport News, Virginia. There is no partial credit. AIPD will send a notice of completion to the primary instructor for each student who has successfully completed the entire course. IS0871 vii INTRODUCTION The Army battle doctrine was developed for a mobile and widely dispersed battlefield. The doctrine recognizes that battlefield constraints will limit the ability of trained medical personnel, including combat medics (Health Care Specialist MOS 68W), to provide immediate, far-forward care. Therefore, a plan was developed to provide additional care to injured combat soldiers. The combat lifesaver is part of that plan. PURPOSE OF THE COMBAT LIFESAVER The combat lifesaver is a bridge between the self-aid/buddy-aid (first aid) training given all soldiers during basic training and the medical training given to the combat medic. The combat lifesaver is a nonmedical soldier who provides lifesaving measures as a secondary mission as his primary (combat) mission allows. The combat lifesaver may also assist the combat medic in providing care and preparing casualties for evacuation when the combat lifesaver has no combat duties to perform. Normally, one member of each squad, team, crew, or equivalent-sized unit will be trained as a combat lifesaver. A major advantage of the combat lifesaver is that he will probably be nearby if a member of his squad or crew is injured. It may take a combat medic several minutes or longer to reach the casualty, especially if there are several other casualties and/or the medic is at another location. The combat lifesaver is trained to provide immediate care that can save a casualty's life, such as stopping severe bleeding, administering intravenous fluids to control shock, and performing needle chest decompression for a casualty with tension pneumothorax. COMBAT LIFESAVER'S AID BAG The combat lifesaver carries a small aid bag (called a medical equipment set or MES) containing supplies for controlling bleeding, initiating saline lock and intravenous infusion, relieving tension pneumothorax, and other procedures. The combat lifesaver's aid bag (with contents) weighs about six and a half pounds and occupies about 1.3 cubic feet. A listing of the supplies found in the aid bag at the time this subcourse was developed is given in the Appendix. For current information, check the U.S Army Medical Materiel Agency (USAMMA) listing at http://www.usamma.army.mil/ on the Internet under DOD Unit Assemblages. Some items, such as the bag of intravenous fluid, must be replaced when their expiration date nears. Usually, the combat lifesaver's unit will perform the needed stock rotation. If the combat lifesaver maintains his own bag, he must replenish his supplies in accordance with his unit's standing operating procedures (SOP). IS0871 viii During combat, the combat lifesaver will need to be resupplied rapidly as his supplies can be quickly depleted. The combat lifesaver can obtain additional supplies from combat medics, from battalion aid stations or other nearby medical treatment facilities, and from ambulances evacuating casualties. COMBAT LIFESAVER TASKS The primary tasks for which a combat lifesaver is responsible are listed in the subcourse Table of Contents. The tasks covered in lessons 1, 2, 3, 4, 5, and 9 are based upon buddy-aid tasks given in Soldier Training Publication 21-1-SMCT, Soldier's Manual of Common Tasks: Skill Level 1, and FM 21-11, First Aid for Soldiers. The tasks taught in lessons 6, 7, and 8 are uploads/Management/ field-medics-guide.pdf