Tactical Combat Casualty Care and Wound Treatment

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Tactical Combat Casualty Care and Wound Treatment
Tactical Combat Casualty Care and Wound Treatment
Development
Table of Contents
Table of Contents-cont.
Introduction
Credit Awarded
Lesson Assignment
Lesson 1: Tactical Combat Casualty Care.
Care Under Fire
Figure 1-1. Soldier and rescuers wounded.
Figure 1-2. The Combat Application Tourniquet (CAT).
Tactical Field Care
Breathing.
Figure 1-3. The F.A.S.T.1.
Figure 1-4. Hextend.
Any significant extremity or truncal wound
Figure 1-5. Combat pill pack.
Casualty Evacuation Care
Casualty Evacuation Care-cont.
Exercises, Lesson 1
Exercises, Lesson 1-cont.
Exercises, Lesson 1-cont.
Solutions to Exercises, Lesson 1
Lesson Assignment
Lesson 2: Controlling Bleeding From an Extremity.
External and Internal Bleeding
Natural Body Reactions to Bleeding
Field Dressing.
Figure 2-3 Emergency trauma dressing.
Pressure Dressing.
Figure 2-5. The Combat Application Tourniquet (CAT).
External bleeding
Figure 2-7. Hem-ConTM hemostatic dressing.
Section II. Controlling External Bleeding from a Wound on an Extremity
Check the Circulation Below the Wound
Apply and Secure the Field Dressing
Figure 2-8. Applying and securing a field dressing to a wound on a leg.
Check the Circulation Below the Field Dressing
Re-evaluate the Bleeding
Apply Digital Pressure, If Needed
Figure 2-10. Locations of pressure points.
Apply a Pressure Dressing
Figure 2-11. Making a cravat from a muslin bandage or similar material.
Apply the Bandage.
Evaluate the Effectiveness of the Pressure Dressing
Apply 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 reached
Figure 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 Casualty
Section III. Applying an Improvised Tourniquet
Secure the Rigid Object
Figure 2-24. Applying an improvised tourniquet to a limb.
Section IV. Controlling Bleeding from an Amputation
Apply a Tourniquet to an Amputation of the Limb
Figure 2-25. Applying a recurrent bandage to a stump.
Section V. Treating Internal Bleeding in an Extremity
Apply a Spiral Wrap to an Extremity
Apply a Spiral Reverse Wrap to an Extremity
Figure 2-27. Applying a reverse spiral bandage to a lower leg.
Exercises, Lesson 2
Exercises, Lesson 2-cont.
Exercises, Lesson 2-cont.
Exercises, Lesson 2-cont.
Exercises, Lesson 2-cont.
Exercises, Lesson 2-cont.
Solutions to Exercises, Lesson 2
Solutions to Exercises, Lesson 2-cont.
Lesson Assignment
Lesson 3: Treating Chest Injuries.
Section II. Treating Open Chest Wounds
Expose the Open Chest Wound
Seal the Open Chest Wound
Improvised Occlusive Dressing.
Place sealing material over the wound.
Dress the Open Chest Wound
Figure 3-5. Applying a field dressing to an open chest wound.
Position the Casualty
Treat Tension Pneumothorax, If Needed
Figure 3-7. Needle position on the mid-clavicular line above the third rib.
Section III. Treating Closed Chest Injuries
Treat a Casualty with a Fractured Rib
Check for a Flail Chest
Treat a Casualty with a Flail Chest
Check for Tension Pneumothorax and Hemothorax
Hemothorax.
Treat Casualty with Tension Pneumothorax
Pericardial Tamponade.
Exercises, Lesson 3
Exercises, Lesson 3-cont.
Exercises, Lesson 3-cont.
Solutions to Exercises, Lesson 3
Lesson Assignment
Lesson 4: Treating Abdominal Injuries.
Treat for Shock
Apply a Dressing
Secure the Dressing
Monitor a Casualty with an Open Abdominal Wound
Section III. Treating an Acute Abdomen
Treating a Casualty with an Acute Abdomen
Exercises, Lesson 4
Exercises, Lesson 4-cont.
Exercises, Lesson 4-cont.
Solutions to Exercises, Lesson 4
Lesson Assignment
Lesson 5: Treating Head Injuries.
Identify Signs and Symptoms of Increased Intracranial Pressure
Section II. Treating Open Head Wounds
Apply a Dressing to a Wound on the Forehead or Back of the Head
Figure 5-3. Tying the tails on the side of the head
Apply a Dressing to a Wound on the Top of the Head
Figure 5-5. Crossing the tails (wound on top of head).
Apply a Dressing to a Wound on the Cheek or Side of the Head
Figure 5-8. Crossing the tails (wound on cheek).
Monitor a Casualty with an Open Head Wound
Secton III. Treating Other Injuries
Treat an Unconcious Casualty
Treating Epistaxis.
Exercises, Lesson 5
Exercises, Lesson 5-cont.
Exercises, Lesson 5-cont.
Solutions to Exercises, Lesson 5
Lesson Assignment
Lesson 6: Treating Burns.
Degrees (Depth) of Burn.
Section II. Treating Thermal Burns
Check for Inhalation Injury
Expose the Burned Area
Figure 6-3. Rule of nines for an adult casualty.
Figure 6-4. Rule of nines for a small child.
Initiate an Intravenous Infusion, If Needed
Select a large peripheral vein for needle insertion.
Figure 6-6. Example of a flow rate computation using modified Brook formula
Dress the Burn Wounds
Monitor and Evacuate the Casualty
Separate Casualty and Current.
Check for Breathing
Section IV. Treating Chemical Burns
Dry Chemicals.
Remove Chemicals from an Eye
Section V. Treating Radiant Energy Burns
Welding Arc.
Treat a Casualty with a Radiant Energy Burn
Monitor and Evacuate the Casualty
Exercises, Lesson 6
Exercises, Lesson 6-cont.
Exercises, Lesson 6-cont.
Exercises, Lesson 6-cont.
Solutions to Exercises, Lesson 6
Lesson Assignment
Lesson 7: Treating Hypovolemic Shock.
Identify Signs and Symptoms of Hypovolemic Shock
Take Measures to Prevent or Treat Hypovolemic Shock
Maintain Casualty's Body Temperature.
Monitor a Casualty for Hypovolemic Shock
Place the Medical Anti-Shock Trousers on the Casualty
Position 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 Trousers
Open Stopcock Valves.
Figure 7-7. Connecting the air hose to a leg of the MAST.
Monitor a Casualty Wearing Medical Anti-Shock Trousers
Exercises, Lesson 7
Exercises, Lesson 7-cont.
Solutions to Exercises, Lesson 7
Lesson Assignment
Lesson 8: Treating Soft Tissue Injuries.
Treat Open Soft Tissue Injuries
Field dressing.
Identify Closed Soft Tissue Injuries
Treat Closed Soft Tissue Injuries
Exercises, Lesson 8
Solutions to Exercises, Lesson 8