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First Aid

Posted by: IVIaedhros on Thu Jan 4th, 2007 at 11:33 AM
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First Aid
(FM 4-25.11) First Aid
(FM 21-75) Common Skills of the Soldier

The First Thing: Eliminate Danger

Occasionally cadre will give you a hypothetical situation with some source(s) of danger and a victim. Evaluating/treating the casualty, calling in for help, are not the first things you do. The first thing you do is eliminate the danger source, however this may be. If you're in a combat situation, you defeat the enemy first and you are sure to remember that you do not become a casualty as well. Dashing out into a killing field or other danger area without first eliminating the danger source only makes you another casualty. Cadre often like to trip people up with this because you get used to rattling off answers.

The Second Thing: Evaluate a Casualty

These are formal steps you go through when you first find someone who is hurt. Remember as you list them that in real life you will be looking for multiple things simultaneously and you will be going very quickly. Remember also that if you see or are told the specific cause of injury, there's no need to go through the whole list. So if you're buddy is fine one moment then he gets shot in the leg, check for head injuries is not necessary and therefore you do not need to run down the list for your cadre.

When you find a casualty you check for:

Responsiveness: Say their name, tap them, etc. If cause of injury is unknown, be careful with moving their spine.

Breathing: If they don't talk back or make obvious choking signs, get down on your knees and one of your ears very close to their lips. This way you can feel for breathing, listen for it, and look down towards their chest, all at the same time.

Bleeding: Lay the casualty out spread-eagle and then, using both hands, pat down their entire body. Every now and then, check your hands for blood. Keep in mind that exit wounds will be where most of the blood will be so do not forget their back. Once again, keep in mind spinal injuries.

Shock: The body and/or mind is basically overloaded. Common signs include but are not limited to: pale and clammy skin (darker skinned soldiers may exhibit an ashen hue), disorientation, memory failure, lack of balance, no sensation of pain, sweaty, passing out and blotched or bluish skin, especially around the mouth.

Fractures: IE broken bones. While you check for bleeding, you should also be feeling for any unusual bumps, limbs at unusual angles, sharp protrusions, and listening for any grinding noises. Should your victim be conscious, just ask them what hurts.

Burns: Another thing you can check while doing your full body sweep for bleeding. Use your nose to smell for something burning (hair and flesh are very distinctive), check for fabric sticking to the skin (do NOT peel it off), blisters, or blackened areas of skin.

Head Injuries: Lack of balance, different sized pupils (black part of eye), clear fluid running from the ears, fluid from the ears, nose, or mouth, nausea, convulsions/twitching, bruising around and behind the eyes, slurred speech, and memory loss are all signs of a head injury.

9 Line Medevac

First aid is only a temporary fix: eventually the casualties must get better treatment and the 9 Line Medevac is what you use to call in for it. Keep in mind that this is meant to be sped read. So, you might call up and simply say:

"This is Charlie 2-six, request medevac, over".
"Send request over".
"ONE, Uniform-Tango 45319840, break"
"TWO, 39.39,Charlie 2-six, break"
"THREE, 1-Bravo, 1-Charlie, break"
"FOUR, Alpha, break"
"FIVE, Lima-1, Alpha-1, over"

Line 1. Location of the pick-up site Giving your 8 digit grid coordinates is what you most typically be doing in LDAC.
Line 2. Radio frequency, call sign, and suffix.
Line 3. Number of patients by precedence: 99.9% of your time in LDAC and basic, you will be using Urgent.
A Urgent (needed within 2hrs)
B Urgent Surgical (needs surgery as well)
C Priority (within 4 hrs)
D Routine (within 24 hrs)
E Convenience (I just thought I'd like to talk to you)

Line 4. Special equipment required:
A None
B Hoist
C Extraction equipment
D Ventilator

Line 5. Number of patients:
A Litter
B Ambulatory

Line 6. Security at pick-up site:
N No enemy troops in area
P Possible enemy troops in area (approach with caution)
E Enemy troops in area (approach with caution)
X Enemy troops in area (armed escort required)
* In peacetime number and types of wounds, injuries, and illnesses

Line 7. Method of marking pick-up site:
A Panels
B Pyrotechnic signal
C Smoke signal
D None
E Other

Line 8. Patient nationality and status:
A US Military
B US Civilian
C Non-US Military
D Non-US Civilian

Line 9. NBC Contamination:
N Nuclear
B Biological
C Chemical
* In peacetime terrain description of pick-up site

Treating Bleeding

  1. Remove any obstructing clothing or gear. Don't try to dig any stuck clothing out of the wound.

  2. Apply a field dressing. To apply a field dressing, simply remove the dressing from its package, unwrap it, and place the gauzy part on the wound. Wrap it up until you can't see any more white and then tie it off with the knot to the side of the wound. You should be able to fit two fingers under your knot.

  3. Elevate the wound and apply pressure.

  4. If the bleeding does not stop, then you move to a pressure dressing. A pressure dressing simply builds off the field dressing. Take a rag or something similar, wad it up into a ball and place it directly atop the padded portion of the dressing. Next, take another piece of cloth and tie a knot directly on top of that. You should be able to fit one finger under this time.

  5. Elevate and compress for five to ten minutes.

  6. If all else has failed, you move onto a tourniquet. There are two ways to do this:

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