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Introduction to Tactical Combat Medical Care CPT James R. Rice PA-C Emergency Medicine Interservice Physician Assistant Program. Goals. Provide the student with a realistic approach to the combat casualty. Provide the student with ideas on how to prepare for a combat deployment.
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Introduction to Tactical Combat Medical Care CPT James R. Rice PA-CEmergency MedicineInterservice Physician Assistant Program
Goals • Provide 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 professional • There 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
Resources • Student Booklet • NOT in order • Lecture Library CD • Surgical Skills DVD • TCMC Reference Cards • CD packet • Emergency War Surgery • MEDIC • Deployment Medicine Resources
Admin • Schedule • Strip map • Critique • No critique…Sorry, no CME • POV Pass • Roster confirmation
This Week • Schedule • Didactic 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 Week • Lectures • 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 • 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? Evaluate your Assets: Equipment? Will need some work Don’t expect class VIII resupply This system has improved Medics? Motorpool medics CASEVAC Plan on significant delays This system has also improved Yourself? Develop yourapproach and skills and then train your medics to that standard! Get comfortable with yourapproach.