Frag Out! Magazine
Issue link: https://fragout.uberflip.com/i/642978
P robably the best answer to such question may be the program of elite 18-Delta Special Operations Combat Medic course organized in Fort Bragg, where one of the main elements is a two-month Combat Trauma Management training. It covers advanced proceedings with a wounded in the case of a delayed evacuation, even up to 72 hours. Practically, it means a reliant preparation of the combat medic to monitor the wounded and to execute more advanced lifesaving procedures. The CTM courses for special forces paramedics are now also conducted in Poland. So far, about 100 combat medics from military and law enforcement attend- ed them. A course lasts for five days and covers 50 hours of a very intensive training, including night- time and restricted visibility conditions. T he Combat Trauma Management course stu- dents learn how to provide medical aid in the four zones The first is an Initial Assessment. First of all, these activities are performed in order to prevent the ba- sic causes of death in the battlefield. The procedures are provided according to the MARCHE which is compliant with the applicable TCCC guidelines: Ä controlling massive haemorrhages from extremities using the CAT® and SOF®TT-W tour- niquets recommended by the CoTCCC. These tour- niquets are put for 100%, i.e. to a total absence of pulse in radial artery; Ä controlling junctional haemorrhages, that is places in which an extremity connects with a body, and where using a tourniquet is impossible (groin, armpit). The first technique is wound packing using hemostatic agenets (Celox Gauze, Quicklot Combat Gauze, Chito Gauze). After performing correctly a procedure of wound packing you should make a pressure dressing to protect the unpacked wound and maintain effectively a pressure in this place. The next method consists in using a specialist equipment to control haemorrhages in the hard- ly accessible places, such as Combat Ready Clamp (CRoCTM), Abdominal Aortic Junctional Tourniquet (AAJT™), Junctional Emergency Treatment Tool (JETT™) and SAM® Junctional Tourniquet. It is