US-Army-IS-0825-medical-course-Combat-Lifesaver-Course-0825CC1

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Section TABLE OF CONTENTS Page TITLE PAGE...................................................................................................................................ii TABLE OF CONTENTS ..............................................................................................................iv ADMINISTRATIVE INSTRUCTIONS............................................................................................v GRADING AND CERTIFICATION...............................................................................................vi Lesson 16: OVERVIEW .......................................................................................................16-1 Practice Exercises............................................................................................16-6 Lesson 17: INITIATE AN INTRAVENOUS INFUSION FOR HYPOVOLEMIC SHOCK ..............................................................................................................17-1 Practice Exercises............................................................................................17-14 Lesson 18: MEASURE AND MONITOR A CASUALTY'S PULSE...................................18-1 Practice Exercises..............................................................................................18-6 Lesson 19: MEASURE AND MONITOR A CASUALTY'S RESPIRATIONS ...................19-1 Practice Exercises............................................................................................19-4 Lesson 20: APPLY A SAM SPLINT TO A FRACTURED LIMB........................................20-1 Practice Exercises............................................................................................20-6 Lesson 21: INSERT AN OROPHARYNGEAL AIRWAY IN AN UNCONSCIOUS CASUALTY........................................................................................................21-1 Practice Exercises............................................................................................21-5 Lesson 22: ADMINISTER FIRST AID TO CHEMICAL AGENT CASUALTIES...............22-1 Practice Exercises..........................................................................................22-11 Lesson 23: IDENTIFY A CASUALTY WIITH COMBAT STRESS .....................................23-1 Practice Exercises..............................................................................................23-6 Lesson 24: TRANSPORT A CASUALTY USING A MILITARY VEHICLE........................24-1 Practice Exercises..........................................................................................24-15 Lesson 25: EVALUATE THE CASUALTY...........................................................................25-1 Practice Exercises............................................................................................25-9 IS0825 iv
ADMINISTRATIVE INSTRUCTIONS SUBCOURSE CONTENT NOTE: The 91W Health Care Specialist is currently the 91B Medical Specialist. The 91B becomes 91W on 1 Oct 2001. This subcourse contains 10 lessons (lessons 16-25). Each lesson presents information needed to successfully perform the medical tasks which a combat lifesaver must know. SUPPLEMENTARY REQUIREMENTS Materials Needed. You will be furnished with needed materials at the time you take the performance (hands-on) examinations. You may be required to furnish a pencil for the written examination. Supervisory Assistance. You may study the information contained in this subcourse on your own before attending classroom instruction. When you take the performance (hands-on) examinations, the evaluator will use checklists similar to those contained in this subcourse. The written examination consists of multiple-choice items and will be closed-book and proctored. References. No supplementary references are needed for this subcourse. SUGGESTED STUDY PROCEDURES After reading and studying the text assignment of a lesson, complete the lesson exercises at the end of the lesson. If possible, answer the exercises without referring back to the lesson text. After completing the exercises, check your answers against the solutions located at the end of the lesson. For each exercise answered incorrectly, reread the material referenced for that exercise. If the lesson exercises contain a performance exercise, study the steps until you know what you must do and the sequence in which the steps are performed. Some tasks, such as taking pulse and respiration, can be practiced. Your instructor may allow you to practice starting an IV on an artificial arm, but do not attempt to start an IV on a person unless you are under direct medical supervision. Complete each lesson before proceeding to the next. As you study this subcourse, write down comments on the student comment sheet located at the end of this subcourse. Remove, fold, tape, and mail the comment sheet after you complete the examinations. IS0825 v
Page 1 and 2: ADMINISTRATIVE PROBLEMS Questions o
Page 3: TASK: Transport a casualty. CONDITI
Page 7 and 8: LESSON 16 OVERVIEW TASK Identify th
Page 9 and 10: Self-Aid/Buddy-Aid (SABA) Tasks (co
Page 11 and 12: NSN NOMENCLATURE QTY 6510009268882
Page 13 and 14: 5. A combat lifesaver should be pro
Page 15 and 16: LESSON 17 INITIATE AN INTRAVENOUS I
Page 17 and 18: If you suspect the casualty has a f
Page 19 and 20: CAUTION: If there is any doubt abou
Page 21 and 22: Release or loosen the tubing clamp.
Page 23 and 24: Palpate the vein with your fingerti
Page 25 and 26: With your dominant hand, remove the
Page 27 and 28: Remove the catheter from the vein b
Page 29 and 30: 11. The clamp on the tubing should
Page 31 and 32: LESSON 17 PRACTICE EXERCISE SOLUTIO
Page 33 and 34: PERFORMANCE CHECKLIST INITIATE AN I
Page 35 and 36: Checks for infiltration by asking c
Page 37 and 38: FIGURE 18-1. CAROTID PULSE SITE b.
Page 39 and 40: FIGURE 18-4. PALPATING THE RADIAL P
Page 41 and 42: PRACTICE EXERCISES: LESSON 18 INSTR
Page 43 and 44: PERFORMANCE CHECKLIST TAKE A CASUAL
Page 45 and 46: Respiration is also affected by the
Page 47 and 48: PRACTICE EXERCISES: LESSON 19 INSTR
Page 49 and 50: PERFORMANCE CHECKLIST TAKE A CASUAL
Page 51 and 52: FIGURE 20-1. SAM SPLINT ROLLED UP 2
Page 53 and 54: 20-4. APPLY THE SAM SPLINT TO A FRA
Page 55 and 56:
6. When splinting a fractured limb,
Page 57 and 58:
PERFORMANCE CHECKLIST APPLY A SAM S
Page 59 and 60:
FIGURE 21-1. OROPHARYNGEAL AIRWAY (
Page 61 and 62:
Advance the airway until the flange
Page 63 and 64:
5. A casualty may have a fractured
Page 65 and 66:
LESSON 22 ADMINISTER FIRST AID TO C
Page 67 and 68:
d. Evacuate the Casualty Evacuate t
Page 69 and 70:
ealizing his danger. Exposure to hi
Page 71 and 72:
d. Evacuate the Casualty Evacuate t
Page 73 and 74:
Convulsions. Respiratory arrest. Ca
Page 75 and 76:
4. When administering the atropine
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12. A soldier is showing signs and
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LESSON 23 IDENTIFY A CASUALTY WITH
Page 81 and 82:
Anger, resentment, or feeling let d
Page 83 and 84:
Rapid emotional swings, crying spel
Page 85 and 86:
5. Encouraging a soldier to drink w
Page 87 and 88:
LESSON 24 TRANSPORT A CASUALTY USIN
Page 89 and 90:
c. Preparing the Four-Man Litter Sq
Page 91 and 92:
Ambulances have a medical specialis
Page 93 and 94:
Ambulatory casualties (on left side
Page 95 and 96:
When six litter casualties are evac
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24-6. LOAD CASUALTIES ON GROUND MIL
Page 99 and 100:
Load the fifth litter head first on
Page 101 and 102:
PRACTICE EXERCISES: LESSON 24 INSTR
Page 103 and 104:
14. When using a nonmedical vehicle
Page 105 and 106:
LESSON 25 EVALUATE THE CASUALTY TAS
Page 107 and 108:
evaluation, but continue to evaluat
Page 109 and 110:
25-5. PERFORM A SECONDARY SURVEY OF
Page 111 and 112:
f. Check the Casualty for Combat St
Page 113 and 114:
PRACTICE EXERCISES: LESSON 25 INSTR
Page 115:
LESSON 25 PRACTICE EXERCISE SOLUTIO
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