introduction to tactical combat medical care cpt james r. rice pa-c emergency medicine interservice...
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Introduction to Tactical Combat Medical Care
CPT James R. Rice PA-CEmergency Medicine
Interservice Physician Assistant Program
Introduction to Tactical Combat Medical Care
CPT James R. Rice PA-CEmergency Medicine
Interservice Physician Assistant Program
GoalsProvide 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 professionalThere 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
ResourcesStudent Booklet
NOT in order
Lecture Library CDSurgical Skills DVDTCMC Reference CardsCD packet
Emergency War SurgeryMEDICDeployment Medicine Resources
Admin
Schedule
Strip map
CritiqueNo critique…Sorry, no CME
POV Pass
Roster confirmation
This Week
ScheduleDidactic 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 WeekLectures
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 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?How Do We Prepare?How Do We Prepare?How Do We Prepare?
Evaluate your Assets:Equipment?
Will need some workDon’t expect class VIII resupply
This system has improved
Medics?Motorpool medics
CASEVACPlan 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/asp/asp_home.cfm
Take a Break!