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- MEDICAL -

Fire Superiority the best medicine on the battlefield

Actions as RFR
  1. Find all wounds
  2. Treat all life-threatening wounds
  3. Constantly reassess
    1. Airway/Breathing (12-24 breaths/min)
    2. Circulation (pulse at radial, carotid, femoral)
    3. Interventions/Treatments
1. Life threatening EXTREMITY bleeding(60%)
2. Tension Pneumothorax (33%) Indications for:
a. Mechanism of injury(hole in checst)
b. Increased resp. dificulty
3. Airway blockage (7%)
a. Tongue/teeth b. Blood c. Vomit
1. Care Under Fire
  1. Return fire, gain FIRE SUPERIORITY
  2. Self-aid, buddy aid
  3. Move casualty to cover/safety
  4. Stop life-threatening bleeding
  5. Apply tourniquet for major extremity bleeding
2. Tactical Field Care
  1. MARCH(Massive Hemorrhage/Major Life threats, Airway, Respiratory, Circulation, Hypothermia/Head Trama)
  2. Head to toe, treat as you go survey, if time permits
  3. Pain/ABX Meds
  4. Vitals, Casualty Card
3. CASEVAC/MEDVAC
  1. Reassess all interventions
  2. Reassess MARCH
  3. Vitals
  4. Improve airway
  1. Grid location of the pickup site
    (6-grid minimum)

  2. Radio frequency and call sign
    (so medevac can call you back)

  3. Number of patients by precedence
    a. Urgent
    b. Priority
    c. Routine

  4. Special Equipment
    a. None
    b. Hoist
    c. Extraction equipment
    d. Ventilator

  5. Number of patients by type
    L. Littler
    A. Ambulatory

    6. ----Above is the minimum to launch the bird----

  6. Security of pick up site
    N. No enemy
    P. Possible enemy
    E. Enemy in area
    X. Escort required

  7. Method of marking
    a. Panels
    b. Pyro signal
    c. Smoke signal
    d. None
    e. Other

  8. Patient Nationality
    a. US Military
    b. US Civilian
    c. Non US Military
    d. Non US Civilian
    e. EPW

  9. NBC(wartime)/Terrain Feature(peacetime)
    a. Nuclear
    b. Biological
    c. Chemical
Categories of CASEVAC/MEDEVAC
1. Urgent (less than 2hr)
2. Priority (2-4 hrs)
3. Routine (less than 24hrs)

Triage Categories
1. Immediate
2. Delayed
3. Minimal
4. Expectant

Bleeding
  1. Arterial (bright red and spurting: brining O2 from heart and lungs)
  2. Venous (dark red and flowing: moving towards heart and lungs. No O2)
  3. Capillary (red and oozing)

Lethal Triad:
Hypothermia
Coagulopathy
Acidosis

Indication for IV Fluids:***must have all bleeding controlled***
  1. Altered mental status
  2. Absent radial pulse
Categories of Mental Status: (AVPU)
Alert
Verbal Response
Pain Response
Unresponsive

Vitals:
Mental status.
Pulse Carotid: 60 B/P
Femoral: 70 B/P
Radial: 80 B/P
Pedal: 90 B/P
Respirations. B/P
Normal Vitals:
Pulse: 60-100 bpm
Respirations: 12-20 bpm
B/P: 90-14 Systolic
60-90 Diastolic

Types of Burns:
1. Chemical
2. Thermal
3. Electrical(exit wound)
4. Laser

Heat Injuries:
Heat cramps
Heat exhaustion
Heat stroke

Cold Weather Injuries:
Frostbite
Trench foot
Hypothermia
Snow blindness
Chill blains

Symptoms of Shock: (#1 is Mechanism of injury!)
Clammy skin, restnessness (could be due to combat/exertion), thirst (could be due to combat/exertion), Loss of blood, confusion (could be due to combat/exertion), fast/shallow breathing (could be due to combat/exertion), nausea, bluish skin, perspiration (clould be due to combat/exertion), unconscious, weak/rapid pulse.