M.O.L.L.E. MEDIC BAG

1. M.O.L.L.E. MEDIC BAG

2. Purpose • The purpose of this tutorial is to familiarize the student with the Modular Light Weight Load Bearing Equipment (MOLLE) Medic Bag and its equipment.

3. Components • The MOLLE Medic Bag consist of: • Eight external pouches. • Two detachable flaps. • One detachable IV bandoleer. • Approx. weight 22 lbs. full load • Physical characteristics: • Length – 22 in. • Width – 16 in. • Height – 12 in.

7. EIGHT EXTERNAL POUCHES

8. DETACHABLE FLAP

9. DRESSING, BURN 4X16 SATURATED WITH WATER/GEL • Purpose- specifically intended for the use in treating white phosphorus burns (WP).

10. DRESSING, CHEST WOUND SEAL • Purpose- treating sucking chest wounds.

11. LARYNGOSCOPE Purpose- for introducing endotrachael tubes. The set contains a handle with fiber optic light and two blades (curved and straight).

12. CHEMICAL COLD PACK, REUSABLE, DUAL ICE • Purpose- for use on sprains and blunt trauma injuries. The packs can be used in the field where ice is not available.

13. BASIC CORPSMAN ENT KIT • Otoscope. • Speculums. • Fiberoptic nose light. • Red light lens. • Cobalt blue light. • Flour-I strips. • Fiberoptic wands. • Vortec Headlamp/red lens.

14. VORTEC HEADLAMP • Purpose- provides no-hands way of lighting the area to examine battle injuries.

15. Packing/Configuration of the M.O.L.L.E. Bag • Type of Mission. • Duration of Mission. • Environment (Urban, Jungle, Desert, Mountain). • Casualty estimation. • CASEVAC time. • Resupply. • Level of training. • Weather (Cold, Hot)

16. The Field Medical Card DD 1380

17. Purpose • Furnishes the attending physician with essential information about the diseases, injuries and treatment provided to the casualty during evacuation through the various echelons of care. • Records disposition of patient, including death. • Utilized by all U.S. and NATO Forces.

18. Disposition of the DD Form 1380 • Transferred Cases • Remains with the patient when transferred from one MTF to another. • It should be attached to the patient or with established health record until the patient reaches hospital, dies, is buried, or returns to duty.

19. Carbon Copies • In the U.S., the Senior Command Surgeon prescribes the use of these through the SOP or the administrative or logistics order. • Overseas commands they are used as the Senior Command Surgeon prescribes.

20. Accuracy • The DD Form 1380 is the first and sometimes the only record of combat casualty treatment. • Accuracy and completion is of utmost importance.

21. Required Information on the DD Form 1380

22. Block #1 • Personal Identification: • Name. • Rank. • SSN. • Sex. • Specialty Code. • Religion.

23. Block #2 • Unit Information: • Unit. • Nationality. • Force.

24. Block #3 • Injury identification: • Mark appropriately on diagram.

25. Block #4 • Level of Consciousness: • Mental status. • AVPU.

26. Block #5 • Pulse: • Record time. • Pulse characteristics and location. Block #6 • Tourniquet: • Indicate with yes or no and time if applied .

27. Block #7 • Morphine: • Record dose and time . Block # 8 • IV: • When. • Where. • What size IV catheter

28. Block #9 • Treatment/Observations/Medications/Allergies/NBC Antidote Block #10 • Disposition of the patient , I.e. SIQ, light duty, MEDEVAC’d Block #11 • Provider Signature.

29. The backside of the DD-1380 is used for reassessment and follow-up.

30. STANDARD ISSUE PHARMACEUTICALS

31. Morphine (MSO4)

32. Accountability • During time of war, HM’s will be issued Morphine injectors under very strict controlled procedures. • Possession is a medical responsibility and must not be taken lightly.

33. Indications include: • Relief of severe pain. Contraindications • Allergy to morphine or any other opiate. • Airway and respiratory related injuries. • Head injuries. • Loss of consciousness, Altered mental status. • Massive hemorrhage. • Evidence of severe or deepening shock.

34. Dosage • Adult dosage: 10mg Q4hrs • Autoinjector is given intramuscularly which may be repeated, if necessary, in no less than 4 hours.

35. NOTE: • In the past, morphine came in the form of a syrette (similar to a small toothpaste tube). • Dosage was 16mg (1/2 grain). • NO LONGER USED !!!

36. AUTOINJECTOR Syrette

37. Procedures • Remove the safety cap and inject into a large muscle, i.e thigh or buttocks. Hold in place 10 seconds. • Massage the area in which the morphine was injected to increase the absorption into the circulatory system. • After the morphine has been administered it is important to attach the spent injector to the pocket flap of the uniform blouse or blouse lapel. This is to show conspicuously that morphine has been given.

38. Procedures (cont’d) • The letter “M” and the Time that the morphine was administered must also be written on the patient’s forehead. • Lastly, it is important to document the administration of morphine on the DD-1380 in Block 7.

39. Morphine Poisoning • Constricted pupils. • Slowed respirations less than 12. • Progressive fall in blood pressure.

40. Treatment: • Oxygen. • Pain stimulants. • Administer Narcan.

41. Narcan: • Drug of choice. • Located in the BAS . • Adult dosage is 0.4 mg, I.V. • repeated every 2 -3 minutes. • Can be given SQ

42. M.O.L.L.E. Medic Bag Standard Issue Drugs

43. Diphenhydramine Hyrdochloride (Benadryl) • Is a antihistamine drug with anti-cholinergic (drying) and sedative effects. • In oral form it is effective in the treatment in the following indications: • Skin allergies. • Anaphylactic reactions. • Food allergies. • Motion sickness.

44. Contraindications • Hypersensitivity to diphenhydramine hydrochloride and other antihistamines of similar chemical structure. Dosage and Administration • A single oral dose of 50mg is quickly absorbed with maximum activity occurring in approximately one hour.

45. Epinephrine Injection, USP 1:1000 (Ana-Guard) • The most valuable drug for the emergency treatment of severe allergic reactions is epinephrine

46. Principle Indications • Allergic reactions. Anaphylactic shock. • Severe reactions due to allergy injections. • Exposure to pollens, dust, molds, foods, drugs or unknown substances. • Severe, life threatening asthma. • Other symptoms: • bronchoconstriction, • wheezing, • sneezing, • erythemia and pruritis

47. Contraindications • Cardiogenic, traumatic, or hemorrhagic shock. • Cardiac dilation. • Cerebral arteriosclerosis. • Organic brain damage.

48. Dosage and Administration • Epinephrine Injection USP 1:1000 • 1 ml syringe, designed to deliver 2 doses of 0.3 ml each • ( 0.3 ml - 0.5 ml recommended dose ) • Intended for SQ or IM.

49. Dosage and Administration • Epinephrine Injection USP 1:1000 also comes in a Auto-Injector, which delivers a 0.3 ml dose. • Also called an EpiPen. • You may see both types of Epinephrine in the Supply system.

50. Atropine • Is the drug of choice for treating nerve agent poisonings. Atropine will dry secretions (including those in the airway), reduce bronchoconstriction, and decreases gastrointestinal motility.