Sapper Medical Class Day 1

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    SAPPERSoldiers Actively Practicing Patient

    Emergency Response SSG. C. Sprayberry NCOIC

    SGT. D. Barkley Lead Instructor

    SGT. H. Jones Lead Evaluator

    SPC. M. Parrish Co-instructor/Evaluator

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    References

    FM 8-10-6.

    Google Search

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    Terminal Learning Objectives

    Be able to identify and correctly use all contents of astandard issue CLS bag.

    Correctly establish a 9-line Medevac request.

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    Tasks The instructor team will ensure that the

    students know ALL the contents of an armystandard CLS bag and are fully capable and

    competent of the functions and uses of eachitem. Students will also be proficient andaccurate with a 9-line Medevac while beinghighly motivated and eager to learn.

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    Conditions

    In a classroom environment with a PowerPointpresentation and medical staff to assist withlearning, questions, and hands-on techniques.

    Simulated trauma lanes to provide a realisticsetting and aid in evaluation of competency.

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    Standards Given a fully stocked Army standard CLS bag,

    effectively provide life saving measures tocasualties by precedence while under fire, in a

    tactical field setting, and re-assessing whileawaiting for a Medevac.

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    CLS BAG

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    SAM Splint II

    Wrist/arm Splint

    Ankle/leg Splint

    C-Collar

    V and Modified V-Splint

    NSN: 6515-494-1951

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    ABD Dressing

    Eviscerations

    Inguinal or Axillary wounds

    Stumps/Amputations

    NSN: 6510-00-201-7425

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    Israeli Bandage

    Pressure dressing

    Stump dressing

    Minor stabilization on openfracture

    NSN: 6510-01-460-0849

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    CAT (Combat Action Tourniquet)

    STOPS EXTREMITYBLEEDING

    NSN: 6515-01-521-7976

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    Cravats

    Slings

    Securing splints or otherbandages

    Improvised tourniquet

    Head and Eye Injuries

    NSN: 6510-00-201-1755

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    Penrose Drain

    Constricting band

    Eye Flushing

    NSN: 6515-01-508-8343

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    ACE Wrap

    Light pressure dressing

    Stump dressing

    Ocular Injuries

    Minor Stabilization

    NSN: 6510-00-935-5823

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    Rehydration Salts

    Oral suspension given torehydrate

    NSN: 6505-01-197-8809

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    Transparent Dressing

    Small occlusive bandageon neck or chest

    NSN: 6510-01-372-4493

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    H&H Gauze

    Packing or dressingwounds

    Eye/head injuries

    Penetrating woundStabilization

    Drying a wound site

    NSN: 6510-01-503-2117

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    Nasopharyngeal Airway

    Maintaining an open airway

    NSN: 6515-01-529-1187

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    Trauma Shears

    Cutting adjustments onbandages and tape

    Removal of Clothes/Gear

    NSN: 6515-00-935-7138

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    14g Needle/Cath.

    Needle ChestDecompression

    IV....UNACCEPTABLE!

    NSN: 6515-01-541-0635

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    3 Inch Tape

    Everything (explained inlecture)

    NSN: 6510-01-549-0927

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    Latex/Nitrile Gloves

    Protection from infectiousdiseases

    Protects the Combat Life

    Saver only if USED

    NSN: 6515-01-515-0197

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    9-Line Medevac

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    Location Of Pickup Site

    Encrypt grid coordinates

    (i.e. AB12345, CD67809)

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    Radio Frequency, Call Sign, Suffix

    Include your Call Sign and Frequency.

    (i.e. 17500, Knight 1)

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    No. of Patients by Precedence

    Report only applicable information: A=Urgent,B=Urgent-Surgical, C=Priority, D=Routine,E=Convenience.

    If more than one casualty fits a specificcriteria, include the number of casualtiesbefore the letter. For example, 2A or 4C.

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    Special Equipment

    A=None, B=Hoist, C=Extraction Equipment,D=Ventilator

    Use this line to request any other equipment

    you may need such as a replacement litter orany other supplies.

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    No. of Patients by Type

    Differentiate which patients are capable ofambulating (A) and which patients require alitter (L). Combine the number of patients

    with the letter to which they correspond.

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    Security of Pick-up Site

    Used as line 6 during wartime.

    N=No enemy troops in area

    P=Possible enemy troops in area(use caution) E=Enemy troops in area(use caution)

    X=Enemy troops in area(armed escortrequired)

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    No. and Type of Wound, Illness, and Injury

    Used as line 6 in peacetime.

    Include specific information regarding patientinjuries by type (gunshot wounds, shrapnel,

    etc.) Report serious bleeding along with patient

    blood type if known.

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    Method of Marking Pick-up Site

    A=Panels

    B=Pyrotechnic Signal

    C=Smoke Signal

    D=None

    E=Other

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    Patient Nationality and Status

    Number of patients in each category doesn'tneed to be included.

    A=US Military/ B=US Civilian/ C=Non-US

    Military/ D=Non-US Civilian/ E=EnemyPrisoner of War

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    NBC Contamination

    Used as line 9 during wartime, and onlyincluded if applicable.

    N=Nuclear Contamination

    B=Biological Contamination

    C=Chemical Contamination

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    Terrain Description

    Used as line 9 during peacetime.

    Include details of terrain features in andaround proposed landing site.

    If possible, relate landing site to a prominentterrain feature such as a lake, mountain, ortower.

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    Scenario RTO: Break, break, break. Dustoff this is Knight 1. I have a Medevac request, over.

    Medevac: Knight 1, this is Dustoff. Go ahead with Medevac request, over.

    RTO: Line 1-Alpha Bravo 12345 Charlie Delta 67809. Line 2-17500, Knight 1. Line 3- 1 Alpha Break 3 Bravo. Line 4-Delta. Line 5- 3 Lima Break 1 Alpha. How Copy Over.

    Medevac: Knight 1 this is Dustoff, we read you Lima Charlie and have a bird in the air. ETA approximately 10 mikes.Will call when ready for completion of 9-line. Over.

    RTO: Dustoff this is Knight 1. Read you Lima Charlie. Out.

    Medevac: Knight 1 this is Dustoff. Over.

    RTO: Dustoff this is Knight 1. Go ahead. Over.

    Medevac: Knight 1 this is Dustoff. Send remainder of your 9-line when ready. Over.

    RTO: Dustoff this is Knight 1. Sending remainder of 9-line Medevac request. Line 6- Papa. Line 7- Charlie. Line 8- 3

    Alpha Break 1 Bravo. How Copy Over.

    Medevac: Knight 1 this is Dustoff. Read you Lima Charlie. We see blue smoke. Over.

    RTO: Dustoff this is Knight 1. Roger. We have blue smoke. Over

    Medevac: Knight 1 this is Dustoff. Roger. Preparing to land at LZ. Out.

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    Questions?