Frag Out! Magazine
Issue link: https://fragout.uberflip.com/i/642978
The next step is to make a detailed trauma exam- ination, very similar to that which was provided according to the ITLS/PHTLS rules, among oth- ers, checking up eyeballs according to the PERRLA (pupils equal, round, reactive to light and accom- modation) procedure, as well as auscultation and percussion of chest. Then the wounded must trauma naked, when he is exposed to the detailed examination. In this phase the medic obtains also an intravenous or intraosseous access. The exer- cises are conducted both on the phantoms, and – for the voluntary and tough students – on the themselves. They start with pharmacotherapy which includes antibiotic therapy, administering analgesics and fluid therapy. The medic may also consider an approximation or a conversion of the tourniquet. The last, fourth zone is called an Evacuation Site – the activities with the wounded in the location from which he is extracted by a helicopter (both during a day or at night), providing a 9-liner by radio, sending the MIST report, monitoring the wounded until he is MEDEVAC-ed helicopter and preparing a correct medical documentation of the patient. All activities must be carried out according to the Combat Trauma Management procedures. During the training, high quality medical simulators are used, which significantly increases a level of real- ism. Each combatmedic prepares his own equip- ment which is taken with him - after leaving the Initial Assessment he cannot come back and re- supply. All of this is aimed at the careful prepara- tion of the students for their tasks and duties and a reliability linked to it. All procedures are performed during a day and at night, so the students knows