Combat Life Saver Combat Life Saver Module 2: Evaluating a Module 2: Evaluating a

CasualtyCasualty

Next, we’ll discuss the steps to Next, we’ll discuss the steps to take to effectively “Evaluate a take to effectively “Evaluate a

Combat casualty”Combat casualty”

Evaluating a Casualty [Care Evaluating a Casualty [Care Under Fire] Under Fire] Scene SafetyScene Safety

Scan the area for any dangers, ( example: Scan the area for any dangers, ( example: IED, Sniper fire, “round cook off” in IED, Sniper fire, “round cook off” in armored vehicles, and any NBC Threat)armored vehicles, and any NBC Threat)

Determine best route to approach Determine best route to approach casualty if able to. Don’t become another casualty if able to. Don’t become another target for the enemy.target for the enemy.

Anticipate how your actions will affect Anticipate how your actions will affect enemy fire. enemy fire.

SCENE SAFETY!!!SCENE SAFETY!!!

Assess SituationAssess Situation Determine safety Determine safety

of scene of scene Determine Determine

mechanism of mechanism of injuryinjury

Determine Determine number of number of casualtiescasualties

Request additional Request additional help if necessaryhelp if necessary

Evaluating a Casualty [Care Evaluating a Casualty [Care Under Fire]Under Fire]

( Cont’d)( Cont’d) Approach the CasualtyApproach the Casualty

Suppress enemy fire, Stop any gross Suppress enemy fire, Stop any gross bleeding with a Tourniquet. Both you bleeding with a Tourniquet. Both you and casualty return fire if able to.and casualty return fire if able to.

Form a general impression of patient Form a general impression of patient based on Mechanism of Injury and based on Mechanism of Injury and Casualty’s status. Casualty’s status.

If you move patient, secure sensitive If you move patient, secure sensitive items (ANCD, Weapons, Ammo)items (ANCD, Weapons, Ammo)

Evaluating a Casualty [Tactical Evaluating a Casualty [Tactical Field Care Phase]Field Care Phase]

Check Casualties responsivenessCheck Casualties responsiveness AVPUAVPU

A=Alert, V=Verbal, P=responds to A=Alert, V=Verbal, P=responds to Pain, U=UnresponsivePain, U=Unresponsive

Ask Casualty where they are hurtAsk Casualty where they are hurt

Evaluating a Casualty [Tactical Evaluating a Casualty [Tactical Field Care Phase]( Cont’d)Field Care Phase]( Cont’d)

Position casualty Position casualty Roll casualty onto his back, with Roll casualty onto his back, with

minimal neck movement.minimal neck movement. Rapidly scan the casualty for any life Rapidly scan the casualty for any life

threatening emergenciesthreatening emergencies CBA: Circulation ( gross bleeding), CBA: Circulation ( gross bleeding),

Breathing (troubled, difficulty noted?), Breathing (troubled, difficulty noted?), Airway ( open or obstructed)-Airway ( open or obstructed)-

ALL CBA’s must be fixed before moving ALL CBA’s must be fixed before moving on to other evaluation or treatment.on to other evaluation or treatment.

Evaluating a Casualty [Tactical Evaluating a Casualty [Tactical Field Care Phase]( Cont’d)Field Care Phase]( Cont’d)

BLEEDINGBLEEDING(Circulation)(Circulation)

Consider placing a Pressure bandage (and/or Consider placing a Pressure bandage (and/or a Hemostatic dressing) on site of wound, and a Hemostatic dressing) on site of wound, and then slowly loosen the Tourniquet [ which then slowly loosen the Tourniquet [ which was placed on casualty during Care Under was placed on casualty during Care Under Fire]Fire]

If Bleeding resumes, then re-tighten If Bleeding resumes, then re-tighten tourniquet immediately. If it is under tourniquet immediately. If it is under control, leave tourniquet in place in case you control, leave tourniquet in place in case you need it again.need it again.

Evaluating a Casualty [Tactical Evaluating a Casualty [Tactical Field Care Phase]( Cont’d)Field Care Phase]( Cont’d)

BREATHINGBREATHING

Look , Listen, Feel Look , Listen, Feel ( Decompress ( Decompress Tension Pneumothorax if found—See Tension Pneumothorax if found—See Module #4)Module #4)

Check casualty for Open Chest wounds, Check casualty for Open Chest wounds, don’t forget to look for exit woundsdon’t forget to look for exit wounds

Seal all wounds in the thoracic cavity Seal all wounds in the thoracic cavity with an occlusive dressingwith an occlusive dressing

Evaluating a Casualty [Tactical Evaluating a Casualty [Tactical Field Care Phase]( Cont’d)Field Care Phase]( Cont’d)

AIRWAYAIRWAY

Remember your General Impression. If a Remember your General Impression. If a casualty is speaking, his airway is casualty is speaking, his airway is secure.secure.

If necessary, open airway manually:If necessary, open airway manually: - Head-Tilt/Chin-Lift- Head-Tilt/Chin-Lift If you have any doubts, secure the If you have any doubts, secure the

airway mechanicallyairway mechanically..

Evaluating a Casualty [Tactical Evaluating a Casualty [Tactical Field Care Phase]( Cont’d)Field Care Phase]( Cont’d)

If casualty has a If casualty has a penetratingpenetrating chest injury chest injury and and is notis not breathing, or attempting to breathing, or attempting to

make any effort to breathe, then make any effort to breathe, then DO NOT DO NOT ATTEMPTATTEMPT TO TREAT THE INJURY TO TREAT THE INJURY

If you find a casualty who has no signs of If you find a casualty who has no signs of life (life ( no breathing, or attempt to no breathing, or attempt to

breathe, and no pulse)breathe, and no pulse) , then , then DO NOT DO NOT CONTINUE FIRST AIDCONTINUE FIRST AID

Evaluating a Casualty [Tactical Evaluating a Casualty [Tactical Field Care Phase]( Cont’d)Field Care Phase]( Cont’d)

ADDITIONAL CARE AND EVALUATIONADDITIONAL CARE AND EVALUATION

Treat other wounds, do a head to toe Treat other wounds, do a head to toe checkcheck

Administer Casualty’s Pill pack from his Administer Casualty’s Pill pack from his IFAK Pack. (All 4 Pills : 2 Tylenol, 1 IFAK Pack. (All 4 Pills : 2 Tylenol, 1 Mobic, 1 Guatofolaxcin)—If conscious. Mobic, 1 Guatofolaxcin)—If conscious. If casualty unconscious, do not If casualty unconscious, do not administer. administer.

Evaluating a Casualty Evaluating a Casualty (Practical)(Practical)

At this time we will practice how to At this time we will practice how to “Evaluate a casualty”“Evaluate a casualty”

First we will watch a demonstrationFirst we will watch a demonstration

Next Buddy up, and practice on each Next Buddy up, and practice on each other. Instructor will move about and other. Instructor will move about and

watch you. watch you.