Medical Resources and Documents Thread

Not A PJ

Cool Ethan
Hey guys,

This thread is for anyone to upload relevant, medical related resources to be used as reference material and for the sake of information sharing.

Please upload the document itself (I believe it has to be in PDF format) if possible and include the document's source. Also be sure to include an explanation/summary of the document.

For starters, here is the current 2014 Tactical Combat Casualty Care Guidelines as published by the Committee on Tactical Combat Casualty Care (http://www.naemt.org/education/TCCC/tccc.aspx)
This is the latest information and recommendations in regards to Care Under Fire, Tactical Field Care, and Casevac Care.

Expect to see more in the future once I get my external hard drive hooked up!
 

Max D

Corvus Training Group
This went up a while back in the Combat Medic group on Facebook, but it applies here as well. If you are looking for research, especially medical research, use these Google tricks first. More often than not you will find something of value. If that fails, move on to Google Scholar, then on to something like EbscoHost (available at your local public library). If you have a question, or you are having difficulty finding a particular article, post it up and the community will do its best to help you out.

GooSearch.jpg
 

Max D

Corvus Training Group
Special Operations Forces Medical Handbook
Second edition. A comprehensive reference designed for medics in the field, it is also a must-have reference for any military or emergency response medical personnel, particularly in hostile environments. Developed as a primary medical information resource and field guide for the Special Operations Command (SOCOM).

Defines the standard of health care delivery under adverse and general field conditions. Organized according to symptoms, organ systems, specialty areas, operational environments and procedures. Emphasizes acute care in all its forms (including gynecology, general medicine, dentistry, poisonings, infestations, parasitic infections, acute infections, hyper and hypothermia, high altitude, aerospace, dive medicine, and sanitation.)


Preview: https://play.google.com/books/reade...=frontcover&output=reader&hl=en_GB&pg=GBS.PP1
E-book (Google Play): https://play.google.com/store/books...ited_States_Special_Operation?id=F-DDtnpCccQC
Hardcover (Spiral Bound through GPO): http://bookstore.gpo.gov/products/sku/008-070-00810-6
F-DDtnpCccQC.jpg
 

Max D

Corvus Training Group
Firebase medicine: extending the Role I aid station
Wilson RL, Truesdell AG. (2013) Journal of the Royal Army Medical Corps. 2013;0:1–4. doi:10.1136/jramc-2013-000126

ABSTRACT

The unique nature of counterinsurgency warfare in Afghanistan highlights the tactical and technical challenges of the non-contiguous battlefield. Although remote military outposts distant from their support hubs help project NATO power, they also operate without the advantages of a secure rear area or interior lines of communication. Commonly referred to as ‘firebases’, these outposts typically house a platoon or company-sized element and present numerous challenges to the delivery of medical care and support. Medical planners and providers can mitigate many of these inherent risks through targeted interventions designed to increase the capabilities of these remote outposts. These interventions include focused higher-level trauma and non-trauma medical training for both medical and nonmedical personnel, expanded equipment lists,
ongoing medical education, training and rehearsals, and a proven and redundant communications plan.
 

Attachments

  • Firebase_medicine-extending_the_Role_I_aid_station.pdf
    65.9 KB · Views: 13

Max D

Corvus Training Group
Challenges to Improving Combat Casualty Survival on the Battlefield
LTC Robert L. Mabry, MC USA; COL Robert DeLorenzo, MC USA; MILITARY MEDICINE, 179, 5:477, 2014

The United States has achieved unprecedented survival rates (as high as 98%) for casualties arriving alive to the combat hospital. Official briefings, informal communications, and even television documentaries such as CNN Presents Combat Hospital highlight the remarkable surgical care taking place overseas. Military physicians, medics, corpsman, and other providers of battlefield medical care are rightly proud of this achievement. Commanders and their troops can be confident that once a wounded service member reaches the combat hospital, their care will be the best in the world.

Combat casualty care, however, does not begin at the hospital. It begins in the field at the point of injury and continues through evacuation to the combat hospital or forward surgery.This prehospital phase of care is the first link in the chain of survival for those injured in combat and represents the next frontier for making further significant improvements in battlefield trauma care.

Summary of Challenges and Recommendations
(1) Ownership
Establish a High-Level Battlefield Care Directorate, Division or Command Responsible for Improving and Synchronizing Battlefield Care Delivery
(2) Metrics and Data
Develop Methods to Collect Comprehensive Combat Casualty Care Data From the Point of Injury and During Evacuation
Develop a Systematic and Ongoing Method to Analyze Potentially Salvageable Combat Deaths and Use That Analysis to Drive Improvements in Equipment, Training, and Doctrine in Near Real Time
(3) Prehospital and Trauma Expertise
Systematically Train and Develop a Cadre of “Combat Medical Specialists”
Leverage Civilian Models of Prehospital Care (Advanced Medics, Flight Paramedics, EMS-Trained Physicians) to Improve Battlefield Care
(4) Research and Development
Focus R&D Efforts on Training, Leadership, and Doctrine, as well as Material Solutions
Use Metrics and Data to Drive R&D Efforts and Priorities
Leverage Prehospital Care Physician Specialists to Set Research Priorities
(5) Hospital Culture
Embrace Wartime Combat Casualty Care as the Core Mission of Military Medicine
Make the Elimination of Potentially Salvageable Combat Deaths an Organizational Goal
More Closely Align the Culture of Military Medicine With the Warfighter
 

Attachments

  • Challenges to Improving Combat Casualty Survival on the Battlefield (1).pdf
    505.9 KB · Views: 13

WhiskeyDeltaGulf

Moderator
Staff member
Moderator
Efficacy of Tourniquets Exposed to the Afghanistan Combat Environment Stored in Individual First Aid Kits Versus on the Exterior of Plate Carriers
Between February and May 2010, 1st Battalion, 6th Marines reported a 10% (10/92) breakage rate for tourniquets. One theory suggested was that tourniquets were weakened by exposure to the Afghan environment. Our study was designed to compare three groups of Afghanistan-exposed tourniquets to unexposed tourniquets. The three experimental arms were: (1) Afghan-exposed tourniquets worn on the plate carrier, (2) Afghan-exposed tourniquets carried in the Individual First Aid Kit (IFAK) and wrapped in manufacturer plastic wrapping, and (3) Afghan-exposed tourniquets carried in the IFAK with the manufacturer plastic wrapping removed. The outcome measures of this study were efficacy, breakage, and number of turns required to successfully stop the distal pulse. Tourniquets worn on the plate carrier had an efficacy of 57%, which was significantly lower than the control efficacy rate of 95.2%. When compared to the control arm, there were no significant differences in efficacy between the tourniquets stored in the IFAK with or without manufacturing packaging. No control tourniquets or tourniquets stored in IFAKs broke; however, 46 (12%) of the plate carrier-exposed tourniquets did break. No statistically significant differences were found between the four groups with regard to the median number of turns required to stop the distal pulse.
 

Attachments

  • Efficacy of Tourniquets Exposed to the Afghanistan Combat Environment.pdf
    206.3 KB · Views: 13
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WhiskeyDeltaGulf

Moderator
Staff member
Moderator
Joint Operational Evaluation of Field Tourniquets (JOEFT) Final Report Phase I
A total of ten different models of tourniquets were submitted for testing and evaluation. Observations of device performance were noted throughout testing highlighting the devices’ ability to perform in a safe, effective, and timely manner. Of the ten, eight devices completed sub phase Ia by meeting or exceeding the set criteria. The TK4 and TK4-L were removed from the study due to mechanical failures and safety concerns. Of the remaining eight tourniquets, two devices did not meet performance standards. The RAMSEY failed to obtain occlusion on 90% of the test performed on mannequin platforms. The SWAT-T tourniquet failed to obtain occlusion on 70% of the test performed on mannequin platforms. Application time with this device averaged 149 seconds compared to 35.5 seconds for the remainder of the tourniquet devices under test.
 

Attachments

  • EVAL-2012-12-Phase_I-m2-.pdf
    2.7 MB · Views: 9
Last edited by a moderator:

WhiskeyDeltaGulf

Moderator
Staff member
Moderator
Joint Operational Evaluation of Field Tourniquets (JOEFT) – Phase II (2014)
Of the seven tourniquets, five (CAT, SOFTT-W, RMT-CBT, RMT-TAC, and EMT) achieved >80% success throughout all four experimental conditions in Phase IIa, achieving proper application in an average time of 58.68 (+22.96) seconds and were, therefore, eligible for Phase IIb. Of the five tourniquets evaluated in Phase IIb, all five tourniquets achieved >80% success throughout all four experimental conditions, achieving proper application in an average time of 52.5 (+28.8) seconds, with no observed breakages or deformities.
 

Attachments

  • JOEFT_Phase_II_FINAL-m2-Report-for-Sponsor-05MAR2014.pdf
    621.4 KB · Views: 10
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