[Trapper John]

Originally Posted by miclo18d

Well sure as sugar you have been exposed. If the jr or sr is the other medic, you segregate him and the team members not exposed. Get them off the base. They can conduct patrols in relation to finding and trying to fix this Taliban element before it attacks the compound and you're fighting with a sick NG company.

Quarantine the 30 exposed in the tight element and treat with IV Gorillacilli (I took cefoxitan with me on all my deployments but only like 25 viles, that's enough for combat wounds but would only last for about 8 hours with this problem. Make sure you have your mannitol handy (unless there is something better now). Separate the platoons and have platoon medics monitor closely. No contact between platoons. Emphasize the importance of this platoon quarantine. Put the quarantine guys back in the building and make this your home for the next week. The rest of the NG guys go on the perimeter and/or local patrols.

No way you're going to treat an entire 120 man inf company (plus SF team with ANA) prophylacticly. There won't be enough drugs in country but I would order them up just in case. Order up a doctor and/or pa and the med sustainment officer ( I think those guys do PM and infectious disease stuff). Order up PPE masks for everyone in the camp. You might look gay but you'll be able to fight when the time comes.

You've done this before haven't ya?

Get them off the base. They can conduct patrols in relation to finding and trying to fix this Taliban element before it attacks the compound and you're fighting with a sick NG company.

IMO this is the most important thing to do given the situation.

Quarantine the 30 exposed in the tight element and treat with IV Gorillacilli[n]

This is priority action #2 IMO.

Separate the platoons and have platoon medics monitor closely. No contact between platoons. Emphasize the importance of this platoon quarantine. Put the quarantine guys back in the building and make this your home for the next week. The rest of the NG guys go on the perimeter and/or local patrols.

That's #3.

Order up PPE masks for everyone in the camp. You might look gay but you'll be able to fight when the time comes.

And that's #4

Ladies and gentlemen you have just had a short tutorial on combat medicine SF style. What, XSFmedic, Ender18d, and Miclo18d have shown you are couple of key points that are emphasized in our training. (1) Limit your Hx and PE to a few key points (3-4). I had this Dx with Patient #1. (2) Speed is your friend - Act -don't second guess yourself. (3) Work with what you have, improvise if necessary. (4) SA is essential. Medical emergencies in a combat environment require decisions that take into account the tactical situation. Plan accordingly.

The actions implemented by Miclo18d would have averted a much a larger disaster IMO. It is very likely that the increased patrolling and your Team out of the FOB would have located the Taliban and dissuaded them from their present intention.

So, this raises another question in my mind. Does anyone think that the pending attack on the FOB and the emergence of bacterial meningitis in NG troops was a coincidence? With that question in mind, what would be some things that you would consider in the AAR?

I don't mean to extend this thread beyond it's usefulness in this forum, but that question just occurred to me as this scenario unfolded and I thought it might be an interesting discussion topic.