Military surgeons must assume a leadership role in combat casualty care in circumstances that are far less than ideal. This handbook provides much of the information needed to tackle these issues and features state-of-the-art principles and practices of forward trauma surgery as used by military physicians in far flung locations around the globe. In this volume you’ll learn such integral skills as: Tactical field care Field dressing Applying pressure dressing Treating burns Treating inhalation injuries And more! Tactical Combat Casualty Care and Wound Treatment is the most trusted and up-to-date manual offered by the Department of Defense for military medical personnel in the field.
This is the official manual from the U.S. military is a subcourse book used to train combat medics. Combat medics on today's battlefield experience a wide variety of conditions not previously experienced. The training on the standards that apply to the civilian emergency medical service (EMS) world may not apply to the combat environment. The U.S. Army found the need to migrate away from the civilian standards and allow the combat medics to analyze situations in ways not previously thought of. These techniques are called "combat casualty care." Factors influencing combat casualty care include the following: Enemy Fire Medical Equipment Limitations A Widely Variable Evacuation Time Tactical Considerations Casualty Transportation When you have casualties on the battlefield, you must determine the sequence in which the casualties are to be treated and how to treat their injuries. This subscourse discusses the procedures for performing tactical combat casualty care; treating injuries to the extremities, chest, abdominal, and head; and controlling shock. This subcourse consists of eight lessons: Tactical Combat Casualty Care Controlling Bleeding from an Extremity Treating Chest Injuries Treating Abdominal Injuries Treating Head Injuries Treating Burns Treating Hypovolemic Shock Treating Soft Tissue Injuries Tactical Combat Casualty Care and Wound Treatment is a highly regarded and up-to-date manual offered by the Department of Defense. It is available to combat medics and civilians who want to learn the critical medical treatments to be administered in adverse conditions.
INTRODUCTION When you have casualties on the battlefield, you must determine the sequence in which the casualties are to be treated and how to treat their injuries. This subcourse discusses the procedures for performing tactical combat casualty care; treating injuries to the extremities, chest, abdominal, and head; and controlling shock. Subcourse Components: This subcourse consists of eight lessons. The lessons are: Lesson 1, Tactical Combat Casualty Care. Lesson 2, Controlling Bleeding From an Extremity. Lesson 3, Treating Chest Injuries. Lesson 4, Treating Abdominal Injuries. Lesson 5, Treating Head Injuries. Lesson 6, Treating Burns. Lesson 7, Treating Hypovolemic Shock. Lesson 8, Treating Soft Tissue Injuries.
A decade of intense combat in two theaters has taught us many lessons about what works and what does not in the effort to accomplish that all-important mission of saving lives in battle. A severely injured Soldier today has about twice the likelihood of surviving his wounds compared to Soldiers in wars as recent as Vietnam. That progress is the result of many things: better tactics and weapons, better body armor and helmets, better trained and fitter Soldiers. But, the introduction of tactical combat casualty care (TCCC) throughout the Army has certainly been an important part of that improvement. TCCC is fundamentally different from civilian care. It is the thoughtful integration of tactics and medicine, but to make it work takes a different set of skills and equipment, and every Soldier and leader needs to understand it and practice it. This handbook is the result of years of careful study of the care of wounded Soldiers, painstaking research by medics and physicians, and the ability of leaders at all levels to see and understand the lessons being learned and the willingness to make the changes in equipment, training, and doctrine needed to improve the performance of the Army Health System. It is the best guidance we have at the time of publication, but new information, new techniques, or new equipment will drive changes in the future. Be assured that these performance improvement efforts will continue as long as American Soldiers go in harm’s way.
This handbook was previously distributed as a supplement to the Journal of Special Operations Medicine. The realm of special operations forces (SOF) medicine is a unique and ever-changing one that demands specialized training for our joint SOF. Managing trauma on today’s battlefield presents a dynamic array of challenges where limited resources can be rapidly overwhelmed. An austere environment, hostile gunfire, and delays in casualty evacuation (CASEVAC) are the norms for the special operations medic. The material in this handbook was gleaned from special operations medics operating in the Global War on Terrorism and other operational environments. It should not be viewed as a substitute for the professional training and judgment of special operations medics; rather, it is designed to be a hip-pocket reference on the tactics, techniques, and procedures (TTP) of SOF-relevant tactical combat casualty care. Key Lessons Ninety percent of combat loss of life occurs before casualties ever reach a military treatment facility (MTF); treatment prior to casualty evacuation is vital. Litter carries are fundamental for good patient care; they prevent further injury and get individuals off target as soon as possible. Rehearse manual carry methods prior to deployment. Every special operations warfighter should carry a tourniquet and be thoroughly familiar with its application. When managing multiple casualties, apply the principles of triage in classifying the priority of treatment and evacuation. Rehearse and employ all of the mechanics of CASEVAC from the point of injury to the handover at a MTF. This handbook provides a number of considerations when employing medical support to SOF in combat. The challenges are numerous, but the special operations medic must deliver medical care to save Soldiers’ lives. The collection of TTP in this handbook will enhance the medic’s ability to determine the optimum method to deliver casualty survival assistance.
Tactical Combat Casualty Care Guidelines 28 October 2013 * All changes to the guidelines made since those published in the 2010 Seventh Edition of the PHTLS Manual are shown in bold text. The most recent changes are shown in red text. * These recommendations are intended to be guidelines only and are not a substitute for clinical judgment. Basic Management Plan for Care Under Fire 1. Return fire and take cover. 2. Direct or expect casualty to remain engaged as a combatant if appropriate. 3. Direct casualty to move to cover and apply self-aid if able. 4. Try to keep the casualty from sustaining additional wounds. 5. Casualties should be extricated from burning vehicles or buildings and moved to places of relative safety. Do what is necessary to stop the burning process. 6. Airway management is generally best deferred until the Tactical Field Care phase. 7. Stop life-threatening external hemorrhage if tactically feasible: - Direct casualty to control hemorrhage by self-aid if able. - Use a CoTCCC-recommended tourniquet for hemorrhage that is anatomically amenable to tourniquet application. - Apply the tourniquet proximal to the bleeding site, over the uniform, tighten, and move the casualty to cover.
Tactical Combat Casualty Care (TCCC) has saved hundreds of lives during our nation's conflicts in Iraq and Afghanistan. Nearly 90 percent of combat fatalities occur before a casualty reaches a medical treatment facility. Therefore, the prehospital phase of care is needed to focus on reducing the number of combat deaths. However, few military physicians have had training in this area and, at the onset of hostilities, most combat medics, corpsmen, and pararescue personnel in the U.S. military have been trained to perform battlefield trauma care through civilian-based trauma courses. These courses are not designed for the prehospital combat environment and do not reflect current practices in the area of prehospital care. TCCC was created to train Soldiers and medical personnel on current best practices for medical treatment from the point of injury to evacuation to Role 3 facilities.
BACKGROUND IN 1996, THE NAVAL SPECIAL WARFARE COMMAND DEVELOPED A NEW SET OF TACTICALLY APPROPRIATE BATTLEFIELD TRAUMA CARE GUIDELINES NAMED TCCC. THE TCCC GUIDELINES WERE ADOPTED BY THE U.S. SPECIAL OPERATIONS COMMAND (USSOCOM) AND APPROVED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS. THE COMMITTEE ON TCCC WAS ESTABLISHED IN 2001 AND WAS DIRECTED TO FURTHER DEVELOP THE TCCC STANDARDS AND GUIDELINES. THE COMMITTEE ON TCCC FUNCTIONS AS A WORKING GROUP OF THE TRAUMA AND INJURY SUBCOMMITTEE OF THE DEFENSE HEALTH BOARD (DHB), WHICH HAS A CHARTER TO PROVIDE MEDICAL RECOMMENDATIONS TO ASD (HA) AND THE SERVICE SURGEONS GENERAL. TCCC CONCEPTS WERE INCORPORATED INTO THE 8404 CORPSMAN TRAINING CURRICULUM IN 2005. THE TCCC/CLS TRAINER COURSE WAS DEVELOPED IN 2006 TO PROVIDE CORPSMEN AS TRAINERS TO TEACH AND SUSTAIN TCCC STANDARDS TO CORPSMEN AND CLS SKILLS TO SELECTED MARINES WITHIN THE OPERATING FORCES. THE IMPLEMENTATION OF TCCC ACROSS ALL SERVICES HAS BEEN IDENTIFIED AS ONE OF THE CONTRIBUTING FACTORS TO THE HIGHEST COMBAT CASUALTY SURVIVAL RATES IN HISTORY AND IS RECOMMENDED BY ASD (HA) FOR USE WHEN TRAINING COMBAT MEDICAL PERSONNEL, REF B. TCCC INFORMATION IS PUBLISHED IN THE PREHOSPITAL TRAUMA LIFE SUPPORT MANUAL (PHTLS), MILITARY EDITION, WHICH IS UPDATED EVERY FOUR YEARS. DEPARTMENT OF DEFENSE (DOD) APPROVED TCCC TRAINING CURRICULA ARE UPDATED ON THE DOD WEBSITE MHS.OSD.MIL/EDUCATION AND TRAINING/TCCC.ASPX AS THE TCCC GUIDELINES CHANGE. GOAL. ELIMINATE PREVENTABLE LOSS OF LIFE ON THE BATTLEFIELD. IN ACCOMPLISHING THIS GOAL, THE MOST RECENT TCCC GUIDELINES APPROVED BY DOD ARE TO BE UTILIZED AS A MEANS OF PROVIDING STANDARDIZED TRAINING TO THE MARINE CORPS AND IMPROVING FIRST RESPONDER CARE AT THE POINT OF INJURY. HISTORY OF TCCC: a. It is important to realize that civilian trauma care in a non-tactical setting is dissimilar to trauma care in a combat environment. TCCC and CLS are an attempt to better prepare medical and non-medical personnel for the unique factors associated with combat trauma casualties. b. Historical data shows that 90% of combat wound fatalities die on the battlefield before reaching a military treatment facility. This fact illustrates the importance of first responder care at the point of injury. c. TCCC was originally a US Special Operations research project which was composed of trauma management guidelines focusing on casualty care at the point of injury. d. TCCC guidelines are currently used throughout the US Military and various allied countries. e. TCCC guidelines were first introduced in 1996 for use by Special Operations corpsmen, medics, and pararescue (PJs). f. The TCCC guidelines are currently endorsed by the American College of Surgeons, Committee on Trauma and the National Association of Emergency Medical Technicians. The guidelines have been incorporated into the Prehospital Trauma Life Support (PHTLS) text since the 4th edition. STUDENT CURRICULUM: Tactical Combat Casualty Care/CLS Overview Identify Medical Fundamentals Manage Hemorrhage Maintain Casualty Airway Manage Penetrating Chest Injuries Manage Hemorrhagic Shock Manage Burn Casualties Perform Splinting Techniques Administer Battlefield Medications Perform Casualty Movement Perform Combat Lifesaver Triage Perform Combat Lifesaver Care
Over 2,300 total pages ... OVERVIEW Tactical Combat Casualty Care (TCCC) was developed to emphasize the need for continued improvement in combat pre-hospital care. The Committee on Tactical Combat Casualty Care (CoTCCC) was established in 2001 and is part of the Defense Health Board. CoTCCC is a standing multi-service committee charged with monitoring medical developments in regards to practice, technology, pharmacology and doctrine. New concepts in hemorrhage control, airway management, fluid resuscitation, analgesia, antibiotics and other lifesaving techniques are important steps in providing the best possible care for our Marines and Sailors in combat. The TCCC guidelines are published every 4 years in the Prehospital Trauma Life Support manual. It has been recognized that TCCC guidelines and curriculum will need to change more often than the 4-year cycle of the PHTLS textbook publication. The National Association of Emergency Medical Technicians (NAEMT) will include the updated TCCC guidelines and curriculum on its website as they are approved as a way to help get this new information out to the combat medical personnel in the military that need it. PRINCIPLES OF TACTICAL COMBAT CASUALTY CARE (TCCC) The principles of Tactical Combat Casualty Care are fundamentally different from those of traditional civilian trauma care, where most medical providers and medics train. These differences are based on both the unique patterns and types of wounds that are suffered in combat and the tactical conditions medical personnel face in combat. Unique combat wounds and tactical conditions make it difficult to determine which intervention to perform at what time. Besides addressing a casualty’s medical condition, responding medical personnel must also address the tactical problems faced while providing care in combat. A medically correct intervention at the wrong time may lead to further casualties. Put another way, “good medicine may be a bad tactical decision” which can get the rescuer and the casualty killed. To successfully navigate these issues, medical providers must have skills and training oriented to combat trauma care, as opposed to civilian trauma care. The specifics of casualty care in the tactical setting will depend on the tactical situation, the injuries sustained by the casualty, the knowledge and skills of the first responder, and the medical equipment at hand. In contrast to a hospital Emergency Department setting where the patient IS the mission, on the battlefield, care of casualties sustained is only PART of the mission. TCCC recognizes this fact and structures its guidelines to accomplish three primary goals: 1. Treat the casualty 2. Prevent additional casualties 3. Complete the mission In thinking about the management of combat casualties, it is helpful to divide care into three distinct phases, each with its own characteristics and limitations.
CONTENTS: Tactical Combat Casualty Care Guidelines for Medical Personnel 03 June 2016 COMBAT LIFESAVER / TACTICAL COMBAT CASUALTY CARE STUDENT HANDOUT (2014) COMBAT LIFESAVER / TACTICAL COMBAT CASUALTY CARE STUDENT HANDOUT (2017) COMBAT LIFESAVER / TACTICAL COMBAT CASUALTY CARE TRAINER COURSE STUDENT HANDBOOK - Combat Lifesaver / Tactical Combat Casualty Care Instructor Course (2014) COMBAT LIFESAVER / TACTICAL COMBAT CASUALTY CARE TRAINER COURSE STUDENT HANDBOOK - Combat Lifesaver / Tactical Combat Casualty Care Instructor Course (2017) CASUALTY EVALUATION AND EVACUATION STUDENT HANDOUT PREVENTION AND TREATMENT OF FIELD RELATED INJURIES B151236 STUDENT HANDOUT COMBAT LIFE SAVING STUDENT HANDOUT
CONTENTS: 1. U.S. SPECIAL OPERATIONS COMMAND's TACTICAL TRAUMA PROTOCOLS (TTPs) TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) RECOMMENDED DRUG LIST (RDL) CANINE TACTICAL COMBAT CASUALTY CARE (December 2016), 253 pages 2. TRANSFUSION FOR THE MILITARY WORKING DOG (December 2019), 27 pages 3. General Instructions for Canine Trauma Combat Casualty Care Card (2019), 3 pages 4. General Instructions for Canine Treatment and Resuscitation Record (2019), 11 pages 5. Working Dog Handler Medical Care Manual (2017), 100 pages INTRODUCTION Military Working Dogs (MWDs) are at the same risk for injury as their human counterparts and when they are severely injured, best practice for resuscitation mirrors those recommended for humans.1 A recent study of trauma in MWDs shows that explosions, gunshot wounds and lacerations account for the vast majorities of injuries sustained within the Central Command area of responsibility. In severe cases, these mechanisms of injuries could require resuscitation with blood products. Hemostatic resuscitation has been shown in a many species to be superior to resuscitation with crystalloids or synthetic colloids and should therefore be considered the first-choice resuscitation product in severely wounded MWDs.
This is a complete reproduction of the revised Edition C of the Army's Combat Lifesaver course. The course contains information needed to pass the written, written performance, and performance examinations for combat lifesaver certification and recertification. All of the tasks contain important, lifesaving information. Terminal objectives are: Tactically manage a casualty. Given a casualty in a battlefield environment and a combat lifesaver medical equipment set. Applied the procedures given in this course so that the mission is not endangered and the risk of additional injury to the casualty is minimized. Evaluate and treat a casualty. Given a combat lifesaver medical equipment set 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. Performed needed procedures in accordance with the procedures given in this course and documented the treatment on a U.S. Field Medical Card or Tactical Combat Casualty Care Card, as appropriate. Prepare and transmit a request for medical evacuation. Given a writing instrument, a MEDEVAC worksheet, needed information, and a transmitting device. Prepared a MEDEVAC request in correct format and transmitted the request following the rules for proper transmission. Transport a casualty. Given a casualty in need of evacuation, drag equipment (such as a Dragon Harness or SLICK litter), a SKED litter, a Talon litter, materials for improvising a litter (if used), and assistant(s) (if needed). Prepared the SKED litter, Talon litter, improvised litter, or other equipment (if used) and evacuated the casualty using a drag, manual carry, or litter in accordance with the procedures given in this subcourse. Combat Lifesaver * Lesson 1 - INTRODUCTION TO THE COMBAT LIFESAVER AND TACTICAL COMBAT CASUALTY CARE * Lesson 2 - CARE UNDER FIRE * Lesson 3 - TACTICAL FIELD CARE * Lesson 4 - CONTROLLING BLEEDING * Lesson 5 - OPENING AND MANAGING A CASUALTY'S AIRWAY * Lesson 6 - TREATING PENETRATING CHEST TRAUMA * Lesson 7 - INITIATING A FIELD MEDICAL CARD OR TCCC CARD * Lesson 8 - REQUESTING MEDICAL EVACUATION * Lesson 9 - TACTICAL CASUALTY MOVEMENT * Lesson 10 - EVACUATING A CASUALTY USING A LITTER * Appendix A - COMBAT LIFESAVER MEDICAL EQUIPMENT SET * Appendix B - HAWES CARRY
Over 380 total pages ... 1. FULL TITLE: U.S. SPECIAL OPERATIONS COMMAND's TACTICAL TRAUMA PROTOCOLS (TTPs) TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) RECOMMENDED DRUG LIST (RDL) CANINE TACTICAL COMBAT CASUALTY CARE For SPECIAL OPERATIONS ADVANCED TACTICAL PARAMEDICS (SO-ATPs) - December 2016 CONTENTS By SECTION: SECTION 1: TACTICAL TRAUMA PROTOCOLS SECTION 2: TACTICAL MEDICAL EMERGENCY PROTOCOLS SECTION 3: RECOMMENDED DRUG LIST SECTION 4: CANINE COMBAT CASUALTY CARE (C-TCCC) SECTION 5: BURN QUICK REFERENCE GUIDE SECTION 6: NERVE CHARTS 2. FULL TITLE: Tactical Combat Casualty Care Handbook, Version 5 - May 2017 CONTENTS By CHAPTER: Chapter 1. Tactical Combat Casualty Care Overview Chapter 2. Tactical Combat Casualty Care Phases of Care Chapter 3. Tactical Combat Casualty Care Medical Equipment Chapter 4. MARCH/PAWS Treatment Algorithms Chapter 5. Tactical Combat Casualty Care-All Combatants Chapter 6. Tactical Combat Casualty Care-Medical Provider Appendix A. Tactical Combat Casualty Care Card Appendix B. Tactical Combat Casualty Care After Action Report Appendix C. Medical Triage Categories Appendix D. Medical Evacuation Precedence Categories Appendix E. 9-Line Request With MIST Report Appendix F. Prolonged Field Care Appendix G. Drug Reference Guide Appendix H. Medical Transition Guidelines in a Tactical Environment Appendix I. Medical Planning Functions Appendix J. Tactical Combat Casualty Care Background Appendix K. References
Scope. a. USSOCOM’s principle function is to prepare SOF to carry out assigned missions. This responsibility is derived from US Code Title 10, Section 167. In addition to organizing, training, and equipping SOF for unique missions, medical education is fundamental to fulfilling this law. Title 10 explicit responsibilities include development of strategy, doctrine, tactics, conducting specialized courses of medical instruction for commissioned and non-commissioned officers, and monitoring the medical education and professional certification of officers and enlisted personnel. USSOCOM’s medical education and certification responsibilities are inherent responsibilities of developing strategy, doctrine and tactics. b. The Commander, United States Special Operations Command (CDRUSSOCOM) has the service- like responsibility of providing joint training and education venues that specialize in the art and science of joint Special Operations and its medical support. These efforts complete the education and training picture within the Department of Defense (DOD). While each of the Services, and the joint community, provide education and training to fill a particular niche (i.e., naval warfare, air warfare, joint warfare, etc.) the Joint Special Operations Medical Training Center (JSOMTC) within USSOCOM and the Air Force’s Pararescue (PJ) course provides training to fill the medical niche of joint SOF core task requirements. SOF medical training and certification is force-wide, designed to initiate, maintain, and/or enhance medical skills of those SOF medics and non-medics who are required to perform the unique, global, multi- discipline mission of USSOCOM. Within the parameters of this directive, as outlined by first reference (Glossary Section III), USSOCOM’s primary responsibility is the medical education and training and certification of SOF. A secondary responsibility is the training and education of select DOD, interagency, and international military personnel in the requirements, capabilities, and limitation(s) of joint special operations organizations. Fostering a mutual understanding ensures the proper application of SOF and the enhancement of joint, combined and interagency medical operations. General. In support of the Global War On Terrorism (GWOT), Special Operations medical personnel often find themselves providing care for both trauma and non-traumatic medical emergencies, beyond the Forward Edge of the Battlefield Area/Forward Line Of Troops, often in non-linear environments that may be far forward of any supporting medical infrastructure. This directive identifies the authority, mission, command relationships, functions, and responsibilities of the United States Special Operations Command as directed under Section 167, Title 10 of US Code to provide SOF medics with the required skill sets. In order to define and administer this SOF Medical skill set, USSOCOM has established a SOF Emergency Medical Services (EMS) State that is administered by the Command Surgeon. Medics who successfully complete the required academic requirements as defined within this directive will thus be known as SOF Advanced Tactical Practitioners (ATP).
Tactical Emergency Care explores the new and rapidly developing area of tactical EMS. Tactical emergency services is a special blend of prehospital care and military-style tactical operations, encompassing field and wilderness medicine under austere and often hostile conditions. Focusing on the unique problems facing all tactical EMTs, the text covers wounds from conventional weapons as well as nuclear, biological, and chemical weapons.
The second edition of Front Line Surgery expands upon the success of the first edition, providing updated discussion of practical management of commonly encountered combat injuries.This edition reflects the cutting edge of combat casualty care, refined principles of surgical management of specific injury patterns, and incorporation of the spectrum of recent research advancements in trauma care. Each chapter continues to follow the same organization as the first edition. The “BLUF”, or bottom line up front, headlines each topic, providing the critical pearls for the reader, followed by a focused and straight forward discussion of management, pitfalls, and recommendations. In addition, select chapters conclude with a section discussing the application of this topic in civilian practice, as potentially encountered by the rural or humanitarian relief surgeon. Additional new topics include: REBOA and endovascular techniques for hemorrhage control, updates in transfusion and resuscitation practice, active shooter situations, rural trauma management in developed nations, advancements in prehospital care and the Tactical Combat Casualty Care (TC3) course, and discussion of the newest generations of topical hemostatic agents and tourniquets. These additions serve to both enhance the breadth and depth of the material relevant to military surgeons, but should also further expand the applicability and interest in this work to all civilian trauma surgeons.
The FIELD MEDICAL SERVICE TECHNICIAN provides medical and dental services for personnel in field units; also provides technical and administrative assistance to support the mission and functions of the Navy and Marine Corps field units. Maintains organizational level AMAL’s and ADAL’s. Assits in the procurement and distribution of supplies and equipment for field use and combat areas. Maintains field treatment facilities. Renders first aid and emergency medical and dental treatment to unt personnel/combatants. Coordinates and performs medical evacuation procedures. Ensures observance of field sanitary measures and preventive measures in specialized warfare. Conducts first aid and health education training programs. COURSE DESCRIPTION: During this 8 week course, you will have a mix of classroom and field training. Emphasis is placed on learning field medicine by using the principles of Tactical Combat Casualty Care (TCCC). This includes familiarization with USMC organization and procedures, logistics, and administrative support in a field environment. Additionally, training will include general military subjects, individual and small unit tactics, military drills, physical training/conditioning, and weapons familiarization with the opportunity to fire the rifle. Completion of FMST results in the student receiving Navy Enlisted Classification HM-8404. MEDICAL-SPECIFIC CONTENT: PREVENTIVE MEDICINE Treat Dehydration FMST 201 Treat Environmental Heat Injuries FMST 202 Manage Environmental Cold Injuries FMST 203 Perform Care of the Feet FMST 204 Perform Water Purification for Individual Use FMST 205 Supervise Field Waste Disposal FMST 206 Manage Envenomation Injuries FMST 207 Review Questions COMBAT MEDICINE Introduction to Tactical Combat Casualty Care FMST 401 Manage Shock Casualties FMST 402 Manage Hemorrhage FMST 403 Maintain Airway FMST 404 Perform Emergency Cricothyroidotomy FMST 405 Manage Respiratory Trauma FMST 406 Manage Abdominal Injuries FMST 407 Manage Musculoskeletal Injuries FMST 408 Manage Head, Neck and Face Injuries FMST 409 Tactical Fluid Resuscitation FMST 410 Perform Casualty Assessment FMST 411 Medication Appendix Review Questions COMPONENTS OF FIELD MEDICINE Blast Related Injuries FMST 501 Traumatic Brain Injury (TBI) FMST 502 Manage Burn Casualties FMST 503 Conduct Triage FMST 504 Coordinate Casualty/Tactical Evacuation FMST 505 Perform Aid Station Procedures FMST 506 Medical Support for Military Operations in Urban Terrain (MOUT) FMST 507 Review Questions
The FIELD MEDICAL SERVICE TECHNICIAN provides medical and dental services for personnel in field units; also provides technical and administrative assistance to support the mission and functions of the Navy and Marine Corps field units. Maintains organizational level AMAL’s and ADAL’s. Assits in the procurement and distribution of supplies and equipment for field use and combat areas. Maintains field treatment facilities. Renders first aid and emergency medical and dental treatment to unt personnel/combatants. Coordinates and performs medical evacuation procedures. Ensures observance of field sanitary measures and preventive measures in specialized warfare. Conducts first aid and health education training programs. COURSE DESCRIPTION: During this 8 week course, you will have a mix of classroom and field training. Emphasis is placed on learning field medicine by using the principles of Tactical Combat Casualty Care (TCCC). This includes familiarization with USMC organization and procedures, logistics, and administrative support in a field environment. Additionally, training will include general military subjects, individual and small unit tactics, military drills, physical training/conditioning, and weapons familiarization with the opportunity to fire the rifle. Completion of FMST results in the student receiving Navy Enlisted Classification HM-8404.
"This book is designed to deliver combat casualty care information that will facilitate transition from a continental US or civilian practice to the combat care environment. Establishment of the Joint Theater Trauma System and the Joint Theater Trauma Registry, coupled with the efforts of the authors, has resulted in the creation of the most comprehensive, evidence-based depiction of the latest advances in combat casualty care. Lessons learned in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) have been fortified with evidence-based recommendations to improve casualty care. The educational curriculum was designed overall to address the leading causes of preventable death and disability in OEF and OIF. Specifically, the generalist combat casualty care provider is presented requisite information for optimal cae of US combat casualties in the first 72 to 96 hours after injury. The specialist provider is afforded similiar information, supplemented by lessons learned for definitive care of host nation patients."--