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Army Medical Tactical Combat Casualty Care and Wound TreatmentTactical Combat Casualty Care and Wound TreatmentDevelopmentTable of ContentsTable of Contents-cont.IntroductionCredit AwardedLesson AssignmentLesson 1: Tactical Combat Casualty Care.Care Under FireFigure 1-1. Soldier and rescuers wounded.Figure 1-2. The Combat Application Tourniquet (CAT).Tactical Field CareBreathing.Figure 1-3. The F.A.S.T.1.Figure 1-4. HextendŽ.Any significant extremity or truncal woundFigure 1-5. Combat pill pack.Casualty Evacuation CareCasualty Evacuation Care-cont.Exercises, Lesson 1Exercises, Lesson 1-cont.Exercises, Lesson 1-cont.Solutions to Exercises, Lesson 1Lesson AssignmentLesson 2: Controlling Bleeding From an Extremity.External and Internal BleedingNatural Body Reactions to BleedingField Dressing.Figure 2-3 Emergency trauma dressing.Pressure Dressing.Figure 2-5. The Combat Application Tourniquet (CAT).External bleedingFigure 2-7. Hem-ConTM hemostatic dressing.Section II. Controlling External Bleeding from a Wound on an ExtremityCheck the Circulation Below the WoundApply and Secure the Field DressingFigure 2-8. Applying and securing a field dressing to a wound on a leg.Check the Circulation Below the Field DressingRe-evaluate the BleedingApply Digital Pressure, If NeededFigure 2-10. Locations of pressure points.Apply a Pressure DressingFigure 2-11. Making a cravat from a muslin bandage or similar material.Apply the Bandage.Evaluate the Effectiveness of the Pressure DressingApply the Combat Application Tourniquet, if Available.Figure 2-14. Place tourniquet above the injury site.Figure 2-16. Adhere self-adhering band completely around the limb until the clip is reachedFigure 2-17. Twist the windlass rod until the bleeding has stopped.Figure 2-20. Grasp the windlass strap, pull it tight, and adhere it to the Velcro on the windlass clip.Figure 2-21. CAT tourniquet secured.Apply an Improvised Tourniquet, if Needed.Document Treatment and Evacuate the CasualtySection III. Applying an Improvised TourniquetSecure the Rigid ObjectFigure 2-24. Applying an improvised tourniquet to a limb.Section IV. Controlling Bleeding from an AmputationApply a Tourniquet to an Amputation of the LimbFigure 2-25. Applying a recurrent bandage to a stump.Section V. Treating Internal Bleeding in an ExtremityApply a Spiral Wrap to an ExtremityApply a Spiral Reverse Wrap to an ExtremityFigure 2-27. Applying a reverse spiral bandage to a lower leg.Exercises, Lesson 2Exercises, Lesson 2-cont.Exercises, Lesson 2-cont.Exercises, Lesson 2-cont.Exercises, Lesson 2-cont.Exercises, Lesson 2-cont.Solutions to Exercises, Lesson 2Solutions to Exercises, Lesson 2-cont.Lesson AssignmentLesson 3: Treating Chest Injuries.Section II. Treating Open Chest WoundsExpose the Open Chest WoundSeal the Open Chest WoundImprovised Occlusive Dressing.Place sealing material over the wound.Dress the Open Chest WoundFigure 3-5. Applying a field dressing to an open chest wound.Position the CasualtyTreat Tension Pneumothorax, If NeededFigure 3-7. Needle position on the mid-clavicular line above the third rib.Section III. Treating Closed Chest InjuriesTreat a Casualty with a Fractured RibCheck for a Flail ChestTreat a Casualty with a Flail ChestCheck for Tension Pneumothorax and HemothoraxHemothorax. Treat Casualty with Tension PneumothoraxPericardial Tamponade.Exercises, Lesson 3Exercises, Lesson 3-cont.Exercises, Lesson 3-cont.Solutions to Exercises, Lesson 3Lesson AssignmentLesson 4: Treating Abdominal Injuries.Treat for ShockApply a DressingSecure the DressingMonitor a Casualty with an Open Abdominal WoundSection III. Treating an Acute AbdomenTreating a Casualty with an Acute AbdomenExercises, Lesson 4Exercises, Lesson 4-cont.Exercises, Lesson 4-cont.Solutions to Exercises, Lesson 4Lesson AssignmentLesson 5: Treating Head Injuries.Identify Signs and Symptoms of Increased Intracranial PressureSection II. Treating Open Head WoundsApply a Dressing to a Wound on the Forehead or Back of the HeadFigure 5-3. Tying the tails on the side of the headApply a Dressing to a Wound on the Top of the HeadFigure 5-5. Crossing the tails (wound on top of head).Apply a Dressing to a Wound on the Cheek or Side of the HeadFigure 5-8. Crossing the tails (wound on cheek).Monitor a Casualty with an Open Head WoundSecton III. Treating Other InjuriesTreat an Unconcious CasualtyTreating Epistaxis.Exercises, Lesson 5Exercises, Lesson 5-cont.Exercises, Lesson 5-cont.Solutions to Exercises, Lesson 5Lesson AssignmentLesson 6: Treating Burns.Degrees (Depth) of Burn.Section II. Treating Thermal BurnsCheck for Inhalation InjuryExpose the Burned AreaFigure 6-3. Rule of nines for an adult casualty.Figure 6-4. Rule of nines for a small child.Initiate an Intravenous Infusion, If NeededSelect a large peripheral vein for needle insertion.Figure 6-6. Example of a flow rate computation using modified Brook formulaDress the Burn WoundsMonitor and Evacuate the CasualtySeparate Casualty and Current. Check for BreathingSection IV. Treating Chemical BurnsDry Chemicals.Remove Chemicals from an EyeSection V. Treating Radiant Energy BurnsWelding Arc. Treat a Casualty with a Radiant Energy BurnMonitor and Evacuate the CasualtyExercises, Lesson 6Exercises, Lesson 6-cont.Exercises, Lesson 6-cont.Exercises, Lesson 6-cont.Solutions to Exercises, Lesson 6Lesson AssignmentLesson 7: Treating Hypovolemic Shock.Identify Signs and Symptoms of Hypovolemic ShockTake Measures to Prevent or Treat Hypovolemic ShockMaintain Casualty's Body Temperature.Monitor a Casualty for Hypovolemic ShockPlace the Medical Anti-Shock Trousers on the CasualtyPosition the Medical Anti-Shock Trousers.Figure 7-3. Positioning the MAST underneath the casualty.Figure 7-5. Securing one leg of the MAST.Inflate the medical Anti-Shock TrousersOpen Stopcock Valves. Figure 7-7. Connecting the air hose to a leg of the MAST.Monitor a Casualty Wearing Medical Anti-Shock TrousersExercises, Lesson 7Exercises, Lesson 7-cont.Solutions to Exercises, Lesson 7Lesson AssignmentLesson 8: Treating Soft Tissue Injuries.Treat Open Soft Tissue InjuriesField dressing.Identify Closed Soft Tissue InjuriesTreat Closed Soft Tissue InjuriesExercises, Lesson 8Solutions to Exercises, Lesson 8
Army Medical
Tactical Combat Casualty Care and Wound TreatmentTactical Combat Casualty Care and Wound TreatmentDevelopmentTable of ContentsTable of Contents-cont.IntroductionCredit AwardedLesson AssignmentLesson 1: Tactical Combat Casualty Care.Care Under FireFigure 1-1. Soldier and rescuers wounded.Figure 1-2. The Combat Application Tourniquet (CAT).Tactical Field CareBreathing.Figure 1-3. The F.A.S.T.1.Figure 1-4. HextendŽ.Any significant extremity or truncal woundFigure 1-5. Combat pill pack.Casualty Evacuation CareCasualty Evacuation Care-cont.Exercises, Lesson 1Exercises, Lesson 1-cont.Exercises, Lesson 1-cont.Solutions to Exercises, Lesson 1Lesson AssignmentLesson 2: Controlling Bleeding From an Extremity.External and Internal BleedingNatural Body Reactions to BleedingField Dressing.Figure 2-3 Emergency trauma dressing.Pressure Dressing.Figure 2-5. The Combat Application Tourniquet (CAT).External bleedingFigure 2-7. Hem-ConTM hemostatic dressing.Section II. Controlling External Bleeding from a Wound on an ExtremityCheck the Circulation Below the WoundApply and Secure the Field DressingFigure 2-8. Applying and securing a field dressing to a wound on a leg.Check the Circulation Below the Field DressingRe-evaluate the BleedingApply Digital Pressure, If NeededFigure 2-10. Locations of pressure points.Apply a Pressure DressingFigure 2-11. Making a cravat from a muslin bandage or similar material.Apply the Bandage.Evaluate the Effectiveness of the Pressure DressingApply the Combat Application Tourniquet, if Available.Figure 2-14. Place tourniquet above the injury site.Figure 2-16. Adhere self-adhering band completely around the limb until the clip is reachedFigure 2-17. Twist the windlass rod until the bleeding has stopped.Figure 2-20. Grasp the windlass strap, pull it tight, and adhere it to the Velcro on the windlass clip.Figure 2-21. CAT tourniquet secured.Apply an Improvised Tourniquet, if Needed.Document Treatment and Evacuate the CasualtySection III. Applying an Improvised TourniquetSecure the Rigid ObjectFigure 2-24. Applying an improvised tourniquet to a limb.Section IV. Controlling Bleeding from an AmputationApply a Tourniquet to an Amputation of the LimbFigure 2-25. Applying a recurrent bandage to a stump.Section V. Treating Internal Bleeding in an ExtremityApply a Spiral Wrap to an ExtremityApply a Spiral Reverse Wrap to an ExtremityFigure 2-27. Applying a reverse spiral bandage to a lower leg.Exercises, Lesson 2Exercises, Lesson 2-cont.Exercises, Lesson 2-cont.Exercises, Lesson 2-cont.Exercises, Lesson 2-cont.Exercises, Lesson 2-cont.Solutions to Exercises, Lesson 2Solutions to Exercises, Lesson 2-cont.Lesson AssignmentLesson 3: Treating Chest Injuries.Section II. Treating Open Chest WoundsExpose the Open Chest WoundSeal the Open Chest WoundImprovised Occlusive Dressing.Place sealing material over the wound.Dress the Open Chest WoundFigure 3-5. Applying a field dressing to an open chest wound.Position the CasualtyTreat Tension Pneumothorax, If NeededFigure 3-7. Needle position on the mid-clavicular line above the third rib.Section III. Treating Closed Chest InjuriesTreat a Casualty with a Fractured RibCheck for a Flail ChestTreat a Casualty with a Flail ChestCheck for Tension Pneumothorax and HemothoraxHemothorax. Treat Casualty with Tension PneumothoraxPericardial Tamponade.Exercises, Lesson 3Exercises, Lesson 3-cont.Exercises, Lesson 3-cont.Solutions to Exercises, Lesson 3Lesson AssignmentLesson 4: Treating Abdominal Injuries.Treat for ShockApply a DressingSecure the DressingMonitor a Casualty with an Open Abdominal WoundSection III. Treating an Acute AbdomenTreating a Casualty with an Acute AbdomenExercises, Lesson 4Exercises, Lesson 4-cont.Exercises, Lesson 4-cont.Solutions to Exercises, Lesson 4Lesson AssignmentLesson 5: Treating Head Injuries.Identify Signs and Symptoms of Increased Intracranial PressureSection II. Treating Open Head WoundsApply a Dressing to a Wound on the Forehead or Back of the HeadFigure 5-3. Tying the tails on the side of the headApply a Dressing to a Wound on the Top of the HeadFigure 5-5. Crossing the tails (wound on top of head).Apply a Dressing to a Wound on the Cheek or Side of the HeadFigure 5-8. Crossing the tails (wound on cheek).Monitor a Casualty with an Open Head WoundSecton III. Treating Other InjuriesTreat an Unconcious CasualtyTreating Epistaxis.Exercises, Lesson 5Exercises, Lesson 5-cont.Exercises, Lesson 5-cont.Solutions to Exercises, Lesson 5Lesson AssignmentLesson 6: Treating Burns.Degrees (Depth) of Burn.Section II. Treating Thermal BurnsCheck for Inhalation InjuryExpose the Burned AreaFigure 6-3. Rule of nines for an adult casualty.Figure 6-4. Rule of nines for a small child.Initiate an Intravenous Infusion, If NeededSelect a large peripheral vein for needle insertion.Figure 6-6. Example of a flow rate computation using modified Brook formulaDress the Burn WoundsMonitor and Evacuate the CasualtySeparate Casualty and Current. Check for BreathingSection IV. Treating Chemical BurnsDry Chemicals.Remove Chemicals from an EyeSection V. Treating Radiant Energy BurnsWelding Arc. Treat a Casualty with a Radiant Energy BurnMonitor and Evacuate the CasualtyExercises, Lesson 6Exercises, Lesson 6-cont.Exercises, Lesson 6-cont.Exercises, Lesson 6-cont.Solutions to Exercises, Lesson 6Lesson AssignmentLesson 7: Treating Hypovolemic Shock.Identify Signs and Symptoms of Hypovolemic ShockTake Measures to Prevent or Treat Hypovolemic ShockMaintain Casualty's Body Temperature.Monitor a Casualty for Hypovolemic ShockPlace the Medical Anti-Shock Trousers on the CasualtyPosition the Medical Anti-Shock Trousers.Figure 7-3. Positioning the MAST underneath the casualty.Figure 7-5. Securing one leg of the MAST.Inflate the medical Anti-Shock TrousersOpen Stopcock Valves. Figure 7-7. Connecting the air hose to a leg of the MAST.Monitor a Casualty Wearing Medical Anti-Shock TrousersExercises, Lesson 7Exercises, Lesson 7-cont.Solutions to Exercises, Lesson 7Lesson AssignmentLesson 8: Treating Soft Tissue Injuries.Treat Open Soft Tissue InjuriesField dressing.Identify Closed Soft Tissue InjuriesTreat Closed Soft Tissue InjuriesExercises, Lesson 8Solutions to Exercises, Lesson 8
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