Transcript Combat Casualty Care - NH-TEMS

Introduction to Tactical
Combat Medical Care
CPT James R. Rice PA-C
Emergency Medicine
Interservice Physician Assistant Program
Goals
Provide the student with a realistic approach to the
combat casualty.
Provide the student with ideas on how to prepare
for a combat deployment.
Reinforce minor surgical skills critical to the
combat casualty.
Provide the student Continuing Medical
Education.
Provide the student with a starting point in the
development of their own training program.
Our Expectations
Be professional
There is no final exam
Attendance and participation is key
• Motivation
• Discussion-please share your experiences!
Uniform-BDUs
• Army PT uniform for the surgical skills lab
 AAFES Clothing Sales is down the street
Resources
Student Booklet
NOT in order
Lecture Library CD
Surgical Skills DVD
TCMC Reference Cards
CD packet
Emergency War Surgery
MEDIC
Deployment Medicine Resources
Admin
Schedule
Strip map
Critique
No critique…Sorry, no CME
POV Pass
Roster confirmation
This Week
Schedule
Didactic lecture
Skills stations
Surgical skills lab
Simulation lab
This Week
This program is developing based on AARs
and Lessons Learned
Very fluid and dynamic
Please share your experiences
Instructors are combat experienced
This Week
Lectures
Geared toward the combat environment
• Primarily Levels I/II
• Not a lot of doctrine
• Realistic ideas with an emphasis on contingency plans
Hands-on practice
• Skill stations




Primary/Secondary Survey
Extremity wounds
Chest Trauma
Airway Management
• Surgical Skills lab
• Combat Simulation Lab/Trauma Lanes
The Combat Casualty
Pre-deployment preparation
What will you see?
• Injury Pattern
 Penetrating trauma
 Blast Injury
 IED
 MVA
• Patient Population
 Indigenous personnel
 Civilians
 Local security forces
 Insurgents
 Allied forces
How Do We Prepare?
Evaluate your Assets:
Equipment?
Will need some work
Don’t expect class VIII resupply
This system has improved
Medics?
Motorpool medics
CASEVAC
Plan on significant delays
This system has also improved
Yourself?
Develop your approach and skills and then train your medics to that
standard! Get comfortable with your approach.
Lessons Learned
• http://lessonslearned.amedd.army.mil/
• https://armysuggestions.army.mil/services/a
sp/asp_home.cfm
• [email protected]
Take a Break!