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If the lesson exercises contain a performance exercise, practice performing the task (if possible) and have someone check your actions against the performance checklist. (1 ) Continue to monitor the casualty during transport. Only after you have performed a full examination of the casualty. Only after you have completed your treatment of the casualty. When you take the actual performance examinations, an instructor will grade your performance using checklists similar to those contained in this subcourse. Perform additional care (open the airway, insert a nasopharyngeal airway, perform needle chest decompression, and so forth) as needed. IS0871 COMBAT LIFESAVER COURSE: STUDENT SELF-STUDY INTERSCHOOL SUBCOURSE 0871 U. Army Medical Department Center and School Fort Sam Houston, Texas GENERAL Interschool Subcourse 0871 , Combat Lifesaver Course: Student Self-Study, contains information needed to pass the written, written performance, and performance examinations for combat lifesaver certification and recertification. (2) Request a medical evacuation (MEDEVAC), if appropriate (Lesson 8). (b) A casualty with a suspected spinal fracture or serious head wound should be on his back (feet not elevated). (c) A casualty with an open abdominal wound should be positioned on his back with his knees flexed to reduce stress to the abdomen and reduce the pain. You are going to turn a casualty from a prone position to a supine position. With your free hand, grasp the casualty's clothing under the near arm. All of the tasks contain important, lifesaving information. (3) Evacuate a casualty using nonmedical means (CASEVAC), if needed (Lesson 9 and Lesson 10). (d) A casualty with an open chest wound should be sitting up with his back to a wall, tree, or other support or in the recovery position with his injured side to the ground. Then push steadily and roll away from you and onto his back. Use one hand to support the casualty's head and neck. When you take the performance (hands- on) examinations, the evaluator will use checklists similar to those contained in this subcourse. (7) Small sips of water are permitted if the casualty is conscious. Each written performance examination will require you to complete a form. (8) Evacuate the casualty if medical help is not available. MONITOR THE CASUALTY Monitor the casualty's level of consciousness and breathing rate. Check the casualty's level of consciousness every 15 minutes. If the casualty has suffered thoracic trauma, progressive severe respiratory distress (breathing that becomes more labored and faster) may indicate tension pneumothorax.
IS0871 TABLE OF CONTENTS Page GENERAL ii ADMINISTRATIVE INSTRUCTIONS v GRADING AND CERTIFICATION vi Lesson 1 INTRODUCTION TO THE COMBAT LIFESAVER AND TACTICAL COMBAT CASUALTY CARE 1-1 Section I. Tactical Combat Casualty Care 1-2 Exercises 1-9 Lesson 2 CARE UNDER FIRE 2-1 Exercises 2-9 Lesson 3 TACTICAL FIELD CARE 3-1 Exercises 3-17 Lesson 4 CONTROLLING BLEEDING 4-1 Section I. Tactical Combat Casualty Care Card 7-14 Exercises 7-19 Lesson 8 REQUESTING MEDICAL EVACUATION 8-1 Exercises 8-15 Lesson 9 TACTICAL CASUALTY MOVEMENT 9-1 Exercises 9-12 Lesson 10 EVACUATING A CASUALTY USING A LITTER 10-1 Exercises 10-12 Appendix A COMBAT LIFESAVER MEDICAL EQUIPMENT SET A-1 Appendix B HAWES CARRY B-1 IS0871 IV ADMINISTRATIVE INSTRUCTIONS SUBCOURSE CONTENT This subcourse contains ten lessons. NOTE : Blood loss can cause a significant drop in body temperature, even in hot weather. If you must leave the casualty alone in order to seek help, tell him you are going to get medical help and will return.
IS0871 VI LESSON 1 INTRODUCTION TO THE COMBAT LIFESAVER AND TACTICAL COMBAT CASUALTY CARE TASK Tactically manage a simulated casualty. For each exercise answered incorrectly, reread the lesson material referenced. Of the deaths that occur during ground combat, about what percent die before reaching a medical treatment facility?
CONDITIONS Given a written situation concerning tactical combat casualty care and possible responses. ARMY BATTLE DOCTRINE The Army battle doctrine was developed for a mobile and widely dispersed battlefield. The combat lifesaver is a bridge between the self-aid/buddy-aid (first aid) training given all soldiers during basic training and the medical training given to the combat medic. The Improved First Aid Kit (IFAK) is the first aid kit carried by individual soldiers. The combat lifesaver medical equipment set (MES) is also called the combat lifesaver aid bag.
Keep practicing until you can score a GO on all steps. Monitor wounds and take measures to control additional bleeding. Do not place the amputated part so that it is in view of the casualty. When should you notify your unit leader of the soldier's injury?
The use of scenario training that allows the Combat Lifesaver student to perform in his full battle gear for performance testing is encouraged. Reinforce existing dressings with additional dressings and bandages as needed. (3) If the casualty has been treated for an open chest wound, transport the casualty with the affected (injured) side down, if possible. If you are to be the leader of a litter team, position yourself at the casualty's left shoulder.