05-08-2004, 18:59
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#16
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Asset
Join Date: Jan 2004
Posts: 9
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Sorry for the earlier answer Doc. Should have inserted imoticon thingy to show sarcasm for the most part.
Not exactly sure what NDD is looking for. My background is ex-infantry soldier, current practicing paramedic in a largish city.
I know the way I do things on the streets is different than the way military medics do things given the circumstances.
Take Care,
rak
PS-James I know your're itching to jump in on this one.....get some fellow Southern Fried Medic!!!
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A 2/187 INF
101st ABN (AASLT)
88-91
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rakkasan187 is offline
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05-08-2004, 20:20
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#17
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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What I'm looking for is the medical section of the new and real world soldier's manual of common tasks.
I figure a non-medic can learn and retain about 5-6 "advanced" DX/TX that will save a life on the battlefield.
Emergency Procedures for the non-medick prioritized for the battlefield.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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NousDefionsDoc is offline
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05-08-2004, 20:23
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#18
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Consigliere
Join Date: Jan 2004
Location: Free Pineland (at last)
Posts: 8,842
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Quote:
Originally posted by NousDefionsDoc
I'll be over here practicing hand-tying sutures on the cat if you need anything.
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You'd better watch it, or Catwoman will kick your ass.
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Roguish Lawyer is offline
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05-08-2004, 20:27
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#19
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Let me put it another way:
Your A Detachment, A-001, just got alerted for Afghanistan. To deploy NLT 6 days. You are the only medic. The Team Sergeant tells you you have 5 one hour blocks of instruction to train the Team on medical subjects.
Show the POI.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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NousDefionsDoc is offline
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05-08-2004, 20:29
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#20
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Guest
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Quote:
Originally posted by NousDefionsDoc
I'll be over here practicing hand-tying sutures on the cat if you need anything.
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one of my old partners used to make medical students in the middle of their interview for surgical residency tie knots...... he'd pull out a piece of suture material and tell them to start, one handed and two handed... if they couldn't do it he gave them very low marks...
it was amazing how many couldn't ...lol.
doc t.
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05-12-2004, 08:45
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#21
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Quiet Professional
Join Date: Jan 2004
Location: Colorado Springs
Posts: 4,540
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5 hours to teach? Are we then concentrating on trauma Tx? If so, how about the following:
1. Use of an NPA
2. How to do a good primary survey (reminding the guys that GSWs often have entry AND exit holes, how to log roll a pt, etc)
3. Quick refresher on TQ use (pre-made and expedient, placement, etc)
4. How to Dx a tension pneumothorax and perform a needle thoracostomy (is that the right term?) or apply an expedient flutter valve.
5. Make everyone open up their med kits, pull out each item, briefly go over its use and repack it so the equipment, its purpose and its location is fresh in everyone's mind.
6. Narcotic/other pain med administration
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Razor is offline
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05-12-2004, 08:53
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#22
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Quiet Professional
Join Date: Jan 2004
Location: Phoenix, AZ
Posts: 20,929
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1.ABC’c
2.Primary surveys
3.IV’s
4.Dustoff procedures under fire
5.Basic GSW care and bandages
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"The Spartans do not ask how many are the enemy, but where they are."
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Team Sergeant is offline
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05-12-2004, 14:14
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#23
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Auxiliary
Join Date: Mar 2004
Location: Canada, when I have nowhere else to be.
Posts: 91
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Quote:
Originally posted by Razor
5 hours to teach? Are we then concentrating on trauma Tx? If so, how about the following:
4. How to Dx a tension pneumothorax and perform a needle thoracostomy (is that the right term?) or apply an expedient flutter valve.
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Just curious here, but if the intent here is to instruct non-medics, are there any military policy issues with non-medics performing a needle thoracostomy (which in my world is an ALS skill requiring medical control), or are we operating under the "save your buddy's life first, sort out the legal details later" principle? I'm not arguing against, just wondering if the military medical system is flexible enough to allow for this. I've also noticed that IV skills are taught fairly liberally in military cirlces.
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Maple Flag is offline
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05-12-2004, 15:29
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#24
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Quiet Professional
Join Date: Jan 2004
Location: Colorado Springs
Posts: 4,540
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Well, NDD set the scenario as a USSF ODA, operating with only one 18D. Considering their potentially austere operational environment and definite lack of medical support, I'm more concerned with saving lives than worrying about who is doing what. Shoot, I was only two weeks on a team when the 18D decided it was time to update shots, so he grabbed me and said, "Ok, this is how you administer an IM injection." After a 15 second demo, he handed me a syringe, grabbed the senior 18E and said, "Now you try it."
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Razor is offline
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05-22-2004, 08:23
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#25
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Here's mine
DX
1. Not breathing
2. Pneumo/hemo thorax
3. Arterial bleeding
4. Shock
5. Blast injuries/Burns
TX
1. Open airway
2. Cryc
3. Occlusive dsngs/ACS, etc.
3. Stop the bleeding
- Direct Pressure
- Clotting agents
- Tourniquet
5. Treat for shock/Ivs, etc.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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05-30-2004, 10:12
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#26
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Quiet Professional
Join Date: Jan 2004
Location: LA
Posts: 1,653
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Was this a bad question?
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
Still want to quit?
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NousDefionsDoc is offline
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05-30-2004, 10:37
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#27
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Quiet Professional
Join Date: Jan 2004
Location: Free Pineland
Posts: 24,828
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Quote:
Originally posted by NousDefionsDoc
Was this a bad question?
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Great question, I am just lurking to learn here.
TR
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"It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat." - President Theodore Roosevelt, 1910
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