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Trauma- Focused Individual Training

Trauma- Focused Individual Training. Revised and Updated January 2005. Numbers are adjusted as documentation is refined. I I. I I. I I. I I. SPT. BCT HHC. FIRES. Infantry Unit of Action Design. X. Approved Infantry BCT. 3,385. IN BCT. 10/0/9/19. I I. I I. 122. 298. 1,598

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Trauma- Focused Individual Training

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

  2. Numbers are adjusted as documentation is refined I I I I I I I I SPT BCT HHC FIRES Infantry Unit of Action Design X Approved Infantry BCT 3,385 IN BCT 10/0/9/19 I I I I 122 298 1,598 (799 X2) 471 405 491 RSTA BTB • HHC • C2 Enhancements • Increased staff • Surg Sec 2/0/1/3 • Deputy Cdr • MP PLT • JFIRES (ECOORD, NLEC, JTACP) • SUAV • HQ TX TM 1/0/4/5 • SIG Co • TOC NODAL Plt • SIG SPT Plt • NET OPS Tm • MI Co • ISR Analysis Plt 0/0/1/1 • ISR Integration Plt • HUMINT Sec • 1 Common Ground Station • EN Co • EN Plt x 2 • Equip Section • Surveillance Trp 0/0/4/4 • TUAV Plt • Ground Support Radar Plt • Multi Sensor Plt (PROPHET, GSR) 2/0/15/17 • HHB • TA PLT (1 Q36) • TUAV • Firing Btry x 2 • (2x8) 105mm (T) • Forward Support Co 3/0/34/37 2/0/2/4 CDR Dep CDR CP1 CP2 Chaplain PAO HHT Motorized Recon Trp (2) Dismounted Recon Trp Forward Support Co • HHC • Enhanced Staff • Disto CO • Add drivers • Trans Plt • Maint CO • Med CO 3/0/47/50 • HHC • 3 x Rifle Co • 3 x Rifle Plt • Weapons Co • 4 x Plt • Forward Support Co 11/0/69/80 • Two Inf Bns used as start point • Provides LRAS3-equipped Recon Capability • Applied current systems to enable “Quality of Firsts” • ISR teams: Brigade TUAV, PROPHET, Ground Surveillance Radar, SUAV, Bde Recon Squadron w/2 Mounted Recce Trp, 1 Dismounted, 1 Surveillance Trp • Infantry Squads: 72 (54 Rifle, 18 Weapons) Sniper: 3 (10man Tms) • Infantry: 744 (72 squads x 9 + 12 wheeled assault squads x 8) • Recon Tms: 30 ITAS/TOW: 12 Javelin: 60 MK19:60 • 105MM(T): 16 120MM Mortars: 12 81mm: 8

  3. INF Brigade Combat TeamRSTA Squadron Medical Platoon HHT MED PLT HQ 1/0/1/2 EVAC SECTION TREATMENT SQUAD CBT MEDIC SECTION 0/0/9/9 0/0/18/18 2/0/6/8 3/0/34/37

  4. Fld Med Asst PLT SGT INF Brigade Combat TeamRSTASquadron Medical Platoon HQs MED PLT HQ 2 1/0/1/2 MC4 AN/TYQ-105 (V) 1 1 AN/TYQ-108 (V) 3 1 PERSONNEL 70BO2 - FLD MED ASST 1 68W4O - PLATOON SGT 1 VRC-89F 1 FBCB2 1 BCIS 0 EPLRS 1 GPS 1 D41659 1 MAJOR EQUIPMENT HMMWV, CARGO 1

  5. TREATMENT SQUAD 2x4=8 Surgeon Med NCO Med NCO Med NCO Med SPC Med SPC Med SPC PA CBPS CBPS INF Brigade Combat TeamRSTA Squadron Medical Platoon Treatment Squad 2/0/6/8 PERSONNEL 62BO3 – PLT LDR (SURGEON) 1 65DO3 - PHYSICIANS ASST 1 68W3O- TMT SQD LDR 1 68W2O- EMER TMT NCO 2 68W1O - MEDICAL SPC (E4) 1 68W1O - MEDICAL SPC (E3) 2 TREATMENT TEAM TREATMENT TEAM MAJOR EQUIPMENT CBPS 2 MTV 1 TRL, 3/4T 2 TRL, MTV DROPSIDE 1 MC4 AN/TYQ-105 (V) 1 8 AN/TYQ-106 (V) 1 2 C4 VRC-92F 2 GPS 3 FBCB2 3 D41659 3 VRC-90F 1 EPLRS 3 BCIS 3

  6. EVAC SECTION 18 Amb Driver Amb Driver Amb Driver Amb Driver Evac NCO Evac NCO Evac NCO Evac NCO MED SPC MED SPC MED SPC MED SPC MED SPC MED SPC Amb Driver Amb Driver Evac SPC Evac NCO RECON TROOP RECON TROOP EVAC TEAM EVAC TEAM EVAC TEAM INF Brigade Combat TeamRSTA Squadron Evacuation Section Two Evac Teams (Area Support) 0/0/18/18 DSMT RECON TROOP HHT EVAC TEAM MAJOR EQUIPMENT M997 6 C4 VRC-90F 6 EPLRS 6 BCIS 6 GPS 6 FBCB2 6 D41659 6 MC4 AN/TYQ-105 (V) 1 18 PERSONNEL 68W2O- AIDE/EVAC NCO 5 68W1O - AMB AIDE/DRIVER (E3) 7 68W1O – MED SPC 6

  7. Med NCO Med NCO Med NCO CBT Med CBT Med CBT Med CBT Med CBT Med CBT Med DSMT RECON RECON RECON Platoon Medics Platoon Medics Platoon Medics INF Brigade Combat TeamRSTA SquadronCombat Medic Section PERSONNEL 68W30 - EMER CARE SGT 3 68W1O - COMBAT MEDIC(E4) 6 MC4 AN/TYQ-105 (V) 1 9 0/0/9/9

  8. Medical Task Organization as of 20041117

  9. Trauma Focused Individual Training“T-FIT” Instructor Name: Title: Unit:

  10. Why Do We Give a Crap About This? • Who is the biggest life-saver on the battlefield?

  11. Him?

  12. YOU!

  13. Why Do We Give a Crap About This? • What is the best medicine on the battlefield?

  14. The Best Medicine is Superior Firepower!

  15. Is this squad combat effective?

  16. What this course IS about • Teaching basic, practical life-saving techniques that 11B infantrymen can use on the battlefield • Teaching not only the “what” but the “why” • Breaking some bad habits that we (the medical world) and the Army (i.e. JRTC) have taught you • Keeping you doing what infantrymen do best (i.e. killing people and breaking things)

  17. What this course is NOT about • Making you an EMT • Making you a 91W • Making you comfortable starting IV’s

  18. What do we want to do in the next 30 minutes? At the end of this block of instruction, the student will be able to: • Identify the major sources and locations of combat injuries and the soldiers most affected. • Explain the value of training infantry soldiers to accomplish basic medical tasks. • List some examples of “bad habits” to avoid in combat casualty care.

  19. Who gets wounded in war?

  20. Distribution of Wounding in Vietnam by Occupation • Infantry - 71.8% of those wounded • Artillery - 2.2% of those wounded Direct Correlation between a Lack of Combat Experience and Increased Wounding

  21. Vietnam - Marine Corps Wounded Mean Age - 20.7 years old Distribution by Pay Grade E1 - E3 - 71.2% of those wounded E4 - E6 - 25.6% of those wounded Officers - 2.7% of those wounded

  22. YOU are the most important person when it comes to treating wounded soldiers!

  23. Why? Because nobody else is there in enough time to make a difference!

  24. Time to death after initial wounding

  25. What are the major sources of wounds in combat?

  26. Fragments from exploding anti-tank weapon

  27. M-16 assault rifle 5.56mm GSW (exit)

  28. Causes of Combat Wounds (WWI, WWII, Korea, Vietnam, Middle East)

  29. Where do soldiers get hit?

  30. Chest Other 13% 9% Head & Neck Upper 17% Extremities Abdomen 21% 5% Lower Extremities 35% War Wound Distribution Upper Extremities Lower Extremities Abdomen Head & Neck Chest Other

  31. Bottom Line on Wound Location:Extremities • Extremity wounds (arms and legs) are the most common. • Range from minor to life-threatening. • Are a place where you (the 11B) can have a significant impact.

  32. Bottom Line on Wound Location:Head Wounds • Head wounds are the second most common combat wound. • They are a major source of combat deaths. • Generally they are either survivable or not (no matter what you – or your medics - do).

  33. Bottom Line on Wound Location:Torso Wounds • Torso wounds are the third most common. • They are (like head wounds) a major source of combat deaths. • There are certain ones you can impact.

  34. What can YOU do to keep yourself or your soldiers alive?

  35. While on patrol, your arm is hit by an RPG

  36. What to do with a hole in your arm? • Sit down, pull out your MILES card and wait for the OC to come assess you. • Scream “medic, medic” and wait for your platoon medic to arrive. • Kiss your ass goodbye, you’re going to die. • Have a combat lifesaver start an IV. • Apply a tourniquet.

  37. Indent from Tourniquet Massive soft tissue injury from RPG Answer: E. And the soldier lived.

  38. Trans-Abdominal High Velocity GSW (fatal)

  39. Summary • The most common sources of combat wounds are: • Fragments • Bullets • Blast and burns and all other • The most common places to get hit are: • Arms and legs • Head • Torso

  40. Summary • Who primarily gets wounded/killed in combat • Young men ages 18 – 24 • Predominantly infantrymen • Almost entirely enlisted men with 2nd Lieutenants being at highest risk of death among officers • Which wounds most commonly cause death? • Head and Chest Wounds • Where do most deaths occur? • On the battlefield (mostly at the point of wounding and within <5 minutes of wounding) • Relatively few die once reaching a hospital

  41. Summary • Simple things that you can do to keep yourself or your buddies alive. • Stop bleeding – quickly. • Keep shooting (the “best medicine”) • We need to train and fight smarter • Combat is not MILES play • IV’s are NOT the bottom line

  42. QUESTIONS?

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