- Reaction score
- 0
- Points
- 410
I developed this protocol in response to the request of my team here in Afghanistan. All 13 other mbrs completed the Cbt First Responder course, and asked for more medical training and specific direction towards exactly when and why each of the skill are to be used. I developed it in coordination with our team SOP and then tailored it towards a completely generic protocol for any nonmedical pers who do not have medical assets with them, or if it is the medical assets which are the casualties. It is also designed so that at the end of the Tactical Fd care stage for all casualties to be handed over to med pers. I hope it will be eventually adopted for the CF wide new tactical casualty course.
I have 12 Cbt arms Snr NCOs and officers on the team, about half of which had input to the final draft which I have below. I have also credited the sources in which I have taken ideas from to complete the protocol.
Feel free to comment below, or pm me with thoughts. Remember, its meant for all deployed army pers who have taken the Tactical Combat Casualty courses less qualified medical pers.
I have 12 Cbt arms Snr NCOs and officers on the team, about half of which had input to the final draft which I have below. I have also credited the sources in which I have taken ideas from to complete the protocol.
Feel free to comment below, or pm me with thoughts. Remember, its meant for all deployed army pers who have taken the Tactical Combat Casualty courses less qualified medical pers.
Tactical Assessment for Nonmedical Personnel
Care Under Fire
1. React to fire
a. seek cover
b. return fire as trained
c. attempt to neutralize threat.
2. Contact casualty
a. direct the casualty to perform self aid
b. direct the casualty to return fire if able
c. if casualty is unable to return fire, tell them to lie still
3. Protect casualty from additional wounds
a. if casualty is able to move direct them to cover
b. if casualty is unable to move, attempt to recover casualty to safe area
4. Once casualty is in safe area, assess LOC / Airway by asking â Å“Where are you hit?â ?
a. if not alert, disarm
5. Stop any life threatening bleeding
a. with tourniquet for extremity
b. with direct pressure on body
6. Reassure casualty
7. Take casualty with you or position casualty when you leave
a. place in a fire position with weapon if able
b. recovery position if decreased LOC
8. Return to fight as required
Tactical Field Care (No longer under threat)
1. Send Reports
a. contact report
b. initial cas evac request â “ 9 line Medevac Request
2. Assess LOC using AVPU scale
3. Airway
a. open, as trained using modified jaw thrust or alternate method
b. clean, using bulb suction as indicated
c. secure with NPA as indicated
4. Breathing
a. assess depth, rate and effectiveness
5. Circulation
a. check pulse at wrist for rate, if no pulse at wrist, check at neck
b. stop all known bleeding
6. Chest
a. open vest and armour and inspect and feel the chest
b. assess need for needle decompression:
- difficulty breathing with
- decreased loc
- no pulse at wrist
- signs of penetrating chest trauma
7. Continue full body survey including back for any other wounds
8. Dress all wounds
9. Evacuate
a. update 9 Line
b. redistribute ammo and mission essential kit
c. prepare to evac cas by avail means
References:
Cpl Kopp
â Å“Tactical Combat Casualty Care: A Proposalâ ? Dispatches The Army Lessons Learned Center Vol 10 No. 2 Nov 04
Various Authors:
â Å“Tactical Combat Casualty Careâ ?
Prehospital Care in the Tactical Environment
The Committee on Tactical Combat Casualty Care
For Chapter 17: Military Medicine, in The Prehospital Trauma Life
Support Manual, Fifth Edition
21 Feb 2003 Draft
LCol Kile
Petawawa Tactical Combat Casualty Care June 03
Maj Storrier
Petawawa Tactical Combat Casualty Care Oct 04
Capt Macdonald
TFK 3 HSS Coy Cbt First Responder course Feb 05
WO Fisher
CANTC Det SOP Mar 05