Perform tactical combat


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Perform tactical combat

  1. 1. <ul>In the Vietnam conflict, over 2500 soldiers died due to hemorrhage from wounds to the arms and legs even though the soldiers had no other serious injuries. </ul>
  2. 2. <ul>Combat Lifesaver </ul><ul><li>Functioning as a Combat Lifesaver is your secondary mission.
  3. 3. Your primary mission is still your combat duties.
  4. 4. You should render care only when such care does not endanger your primary mission. </li></ul>
  5. 5. <ul>Combat Casualty Evacuation Care </ul><ul><li>Care rendered during casualty evacuation
  6. 6. Call Medivac and set up LZ
  7. 7. Additional medical personnel and equipment may have been pre-staged and available at this stage of casualty management </li></ul>
  8. 8. <ul>Care Under Fire </ul>
  9. 9. <ul>Care Under Fire </ul><ul><li>If the casualty can function, direct him to return fire, move to cover, and administer self-aid
  10. 10. If unable to return fire or move to safety and you cannot assist, tell the casualty to “play dead” </li></ul><ul><li>If a victim of a blast or penetrating injury is found without a pulse, respirations, or other signs of life, DO NOT attempt CPR </li></ul>
  11. 11. <ul>Care Under Fire </ul><ul><li>move casualty to cover quickly
  12. 12. If the casualty has severe bleeding from a limb or has an amputation, apply a tourniquet </li></ul><ul>Improved First Aid Kit </ul>
  13. 13. <ul>Care Under Fire </ul><ul><li>Hemorrhage from extremities is the 1 st leading cause of preventable combat deaths </li></ul><ul><li>Prompt use of tourniquets to stop the bleeding may be life-saving in this phase </li></ul>
  14. 14. <ul>Combat Application Tourniquet (CAT) </ul><ul>WINDLASS </ul><ul>OMNI TAPE BAND </ul><ul>WINDLASS STRAP </ul>
  15. 15. <ul>Tourniquets </ul>
  16. 16. <ul>Tactical Field Care </ul>
  17. 17. <ul>Tactical Field Care </ul><ul>Casualties with confused mental status should be disarmed immediately of both weapons and grenades. </ul>
  18. 18. <ul>Tactical Field Care </ul><ul><li>Initial assessment is the ABCs </li></ul><ul><ul><li>Airway
  19. 19. Breathing
  20. 20. Circulation </li></ul></ul>
  21. 21. <ul>Nasopharyngeal Airway </ul>
  22. 22. <ul>Tactical Field Care: Breathing </ul><ul><li>tension pneumothorax </li></ul><ul><ul><li>cover the wound with occlusive dressing
  23. 23. Perform a needle chest decompression </li></ul></ul>
  24. 25. <ul>Needle Chest Decompression </ul>
  25. 26. <ul>Tactical Field Care: Circulation </ul><ul><li>Any bleeding site not previously controlled should now be addressed
  26. 27. Only the absolute minimum of clothing should be removed, although a thorough search for additional injuries must be performed </li></ul>
  27. 28. <ul>Tactical Field Care: Circulation </ul><ul><li>Apply a tourniquet to a major amputation of the extremity
  28. 29. Apply an emergency trauma bandage and direct pressure to a severely bleeding wound
  29. 30. If a tourniquet was previously applied, consider changing to a pressure dressing and/or using hemostatic dressings (HemCon) or hemostatic powder (QuikClot) to control any additional hemorrhage </li></ul>
  30. 31. <ul>Hemostatic Dressing </ul>
  31. 32. <ul>Tactical Field Care: Additional injuries </ul><ul><li>Splint fractures as circumstances allow while verifying pulse and prepare for evacuation
  32. 33. Administer the Soldier’s Combat Pill Pack </li></ul>
  33. 34. <ul>Combat Casualty Evacuation Care </ul>
  34. 35. <ul>Casevac Care </ul><ul><li>If the casualty requires evacuation, prepare the casualty
  35. 36. Use a blanket to keep the casualty warm
  36. 37. If the casualty is to be evacuated by medical transport, you may need to prepare and transmit a MEDEVAC request </li></ul>
  37. 39. <ul>QUESTIONS? </ul>
  38. 40. <ul>United States Army Medical Material Agency (USAMMA) </ul>