SECTION I: REFERENCES Number | Title | Date | Additional Information | IS0871 | Combat Lifesaver Course | | | 4-25.11 | First Aid | | |
Slide # Motivator
Slide # Tactical Field Care
SECTION II: INTRODUCTION
Method of Instruction: Conference
Instructor to student ratio is: 1: 5
Time of instruction (minutes): 2:30
Media: Power Point
Terminal Learning Objective
Slide # 3
Action: Discuss Tactical Field Care
Condition: Given a guided discussion in a classroom environment.
Standard: Discuss Tactical Field Care to include: * Identifying when Tactical Field Care applies * Medical …show more content…
treatments involved
Lesson Administrative Information
Slide # 4
Safety Requirements: No Major Considerations
Risk Assessment Level: Low
Environmental Consideration: No Major Considerations
Evaluation: None
Instructional Lead-In:
Talk about Black Hawk Down
Note: The learning step/activity is a one-sentence statement describing the training activity, preferably in student action terms.
SECTION III: PRESENTATION
Method of Instruction: Conference
Instructor to student ratio is: 1: 5
Time of instruction (minutes): 27
Media: power point
Slide # 5
Note: Once the tactical situation has changed and you are no longer under effective fire you have more time to evaluate your casualty and provide treatment for other injuries.
Remember, the tactical situation will dictate when and how much care you can provide.
Slide # 6
Note: As you approach the casualty try and form a general impression of what happened and what types of injuries the casualty may have. CPR does not save a lot of lives in patients who have traumatic injuries. if your casualty has no pulse, no respirations, and no signs of life CPR will not save them
Slide # 7
Note: Reassess previous hemorrhage control performed in Care Under Fire or identify and control any ongoing bleeding. Follow above guidelines depending on where the site of the bleeding is located. Tourniquets for extremity wounds or hemostatic gauze if bleeding site not amenable to tourniquet use
Slide # 8
Note: Use the AVPU system to determine you casualty’s level of
consciousness.
Slide # 9
Note: A Alert
V Can respond to verbal commands
P Can only respond to painful stimuli
U Unconscious, unresponsive
MIDPOINT REVIEW
Determine if students have learned the material presented by---
Check on Learning
a. Soliciting student questions and explanations
b. Asking questions and getting answers from the students.
1. What is Tactical Field care?
2. Where do you place the TQ?
3. How do you assess consciousness? 4.
c. Providing immediate feedback in context to the material presented and correcting student misunderstandings.
Midpoint Summary (Recap)
We’ve discussed what Tactical Field Care is and how we treat hemorrhage using tourniquets and hemostatic agents.
Instructional Lead-In
Slide # 10
Note: Breathing problems will require you to open the casualty’s IBA and expose the chest to look for injuries. if you find one place an occlusive bandage over the injury. Don’t forget to roll the casualty over and check for another wound on the back. Apply an occlusive bandage here also. Transport the casualty in the position of comfort if conscious or on the injured side if unconscious.
Slide # 11
Note:
Slide # 12
Note: Once you have covered any open chest wounds you will need to monitor your casualty’s respiration. Your casualty may have some respiratory distress secondary to the wound they have. Monitor the rate and ease of respiration over the next several minutes. If your casualty develops progressive respiratory distress (it is getting harder and harder for your casualty to breathe. You should be asking your self why this is happening. The reason is the casualty is developing a tension pneumothorax and the increased pressure in the injured side of the chest is making it more and more difficult to breathe. You can relieve this pressure by inserting a needle catheter in his chest on the injured side. You will need to constantly monitor this casualty’s respiration until they are evacuated.
Slide # 13
Note: Most battlefield shock is hypovolemic shock secondary to blood loss. The primary goal is to stop the bleeding. Try to keep the casualty comfortable as much as possible.
Slide # 14
Note: If casualty exhibits signs of shock (pale cool clammy skin, rapid pulse):
- Place on back
- Wrap in blanket to keep warm (Blizzard Blanket ready Heat Blanket)
- Elevate legs (if not contraindicated)
- Send someone for the medic
Slide # 15
Note: Reassurance is very important. When Soldiers are scared it raises their blood pressure and heart rate which can cause them to bleed more. Talk to them and reassure them they will be OK.
Slide # 16
1. How do you relieve a tension pnumothorax? Where is the landmark?
2. Number one way to stop shock?
Slide # 17
SECTION IV: SUMMARY
Method of Instruction: Conference
Instructor to student ratio is: 1: 5
Time of instruction (minutes): 3
Media: Power point
Determine if students have learned the material presented by---
Check on Learning
a. Soliciting student questions and explanations
b. Asking questions and getting answers from the students.
1. What is the shock position for chest wound? 2. Do we do CPR on the battlefield?
c. Providing immediate feedback in context to the material presented and correction student misunderstandings.
RESTATE ACTION: Discuss Tactical Field Care
Recap teaching points: Identify Tactical Field Care, medical treatments required
Closing Statement:
Disposition of students