1. Trauma- Focused Individual Training Revised and Updated January 2005

2. Trauma Focused Individual Training“T-FIT”

3. What is T-FIT? • Focused medical training for non-medical personnel designed to provide critical medical intervention at the site of injury.

4. Who Developed the Course? • COL Cliff Cloonan, Assistant Professor Military & Emergency Medicine Department Developed the course based on his operational experience as SOCOM Surgeon .

5. Command Emphasis • 1st Brigade (Warrior) Brigade Commander COL William Garrett (2003) directed implementation and fielding of program within Warrior Brigade.

6. 100:50:25:2 “Rule” • 100% of unit strength CLS trained • 50% of unit strength T-FIT trained • 25 (approx) Combat Medics assigned • 2 Advanced Trauma Management (ATM) Providers Based on Battalion/Squadron sized element

7. Course History • The first formal class was taught to soldiers assigned to 1-32 Infantry Battalion, 1st Warrior Brigade, 10th Mountain Division in February 2003

8. Initial Course Developers • Major Chadwick- 1st Brigade Surgeon • CPT Pataky- Battalion Physician Assistant • Medics of 1-32 Infantry

9. Baptism Under Fire • The courses further development began in Operation Iraqi Freedom for Task Force Chosin. Training was developed based on requirements as identified during combat operations beginning October 2002

10. MAJ Jack Hurley- 82nd Airborne Division CPT Michael Franco- 82nd Airborne Division 1LT Edwin Guiterrez- 10th MTN DIV 1LT Thomas Moody 10th MTN DIV SFC Douglas Mack- 10th MTN DIV SSG Conway Halladay- 10th MTN DIV SGT Joshua Pierrpont-10th MTN DIV Course Improved Development

11. 1LT Edwin Gutierrez 1LT Thomas Moody Program of Instruction Writers

12. DEDICATION • This course is dedicated to all soldiers of Task Force Chosin and most importantly to those who made the ultimate sacrifice.

13. Prerequisites • Successfully complete the Combat Life-Savers course. • Passing CLS written examination of 90% or better on written exam. • Top 25%-50% of CLS course.

14. Course Requirement • Pass all individual practical skills testing • Pass all group practical skills • Score 80% or better on written examination

15. Maintain an open airway Perform mouth-to mask ventilation Insert an oral pharyngeal airway Insert a nasal pharyngeal airway Apply dressing for sucking chest wound Perform trauma patient assessment Perform I.V. administration Apply tourniquet Request MEDEVAC Perform patient triage Individual Practical skills

16. Team Practical skills • Manage trauma patient • Manage mass casualty

17. Lectures • Introduction to T-FIT • Combat Casualty care/Tactical Care Under Fire • Triage/Mass Casualty Management • Patient Assessment Trauma Patient • Airway management

18. Lectures (Continued) • Head Trauma • Chest/Abdominal Trauma • Extremity Trauma • Burns • Altitude Sickness • MEDEVAC Procedures

19. Course Comparison (Lectures)

20. Course Comparison (Practical Skills)

21. Recommended Course length • 2- 15 hour/ Day • 3- 12.5 hour/Day • 4- 10 hour/Day • 5- 8 hour/Day

22. IV fluid (NS)-100 IV Tubing- 100 Needle Catheter-200 Alcohol pads-200 Tourniquets-20 Gloves- 100 Band Aid- 100 Sharp Container- 5 Chux- 100 CLS bags- 25 Asherman Chest seal-25 Ratchet Tourniquet-5 Quik Clot- 2(demonstration only) Airway Mannequin- 1 Recommend Supplies Based on class size of 25 soldiers

23. Tape 1 inch- 15 Field Dressing- 25 Cravats- 25 Israeli Dressing- 25 Kerlix- 50 FAST-1(demonstration only) Litters- 4 ACE Wrap 3 inch- 5 Oral Pharyngeal - 10 Nasal Pharyngeal- 10 Laptop-1 Proxima-1 Recommend Supplies Based on class size of 25 soldiers

24. Training Schedule

25. Training Schedule

26. Training Schedule

27. Certificate of Training presented by 1st Squadron, 71st Cavalry 10th Mountain Division, Fort Drum New York To PV2 John David 111-111-1111 For Successful completion of 40 hours of Trauma Focus Individual Training ________________________________ Thomas U. Moody, MPAS, RPA-C 1LT, SP Physician Assistant ________________________________ Mark Meadows LTC, IN Commanding 09 Nov. 2003 – 13 Nov. 2003

28. T-FIT Packing List Adhesive tape, surgical porous woven 1in.x10yrds 1 Airway, pharyngeal large adult 1 Airway, pharyngeal small adult 1 Bandage adhesive 3/4inx3in chest flesh (band-aid) 18 Bandage muslin compressed (cravat) 37x37x52 triangular 4 Case medical instrument and supply (CLS bag) 1 Catheter needle unit d121 V 18ga 4 Bandage, pressure, Israeli 2 Dressing, first aid, field camouflaged 4x6.25x7.25 lg abs 6 Gloves patient exam-large (latex) 2 Intravenous inj set 7compmacrodrip10drops/ml 2 Catheter 14ga 2.5in 2 Asherman chest dressing 2 Pad povidone-iodine impre ster2x1 375”brown (iodine pads) 12 Povidone-iodineointUSP10% 1/8oz. (3.54 gram) (iodine ointment) 8 Ringers lactate injection USP 500ml plastic bag 2 Scissors, bandage 1.5” cut large 7.25” 7 Alcohol preps 25 Field dressing, first aid 7x2x8 2 Sam splint 1 Nasopharyngeal airway 4 2x2” gauze sponges 12 Tourniquet Ratchet 1