Introduction to Tactical Combat Medical Care CPT James R Introduction to Tactical Combat Medical Care CPT James R. Rice PA-C Emergency Medicine Interservice Physician Assistant Program

Goals Provide the student with a realistic approach to the combat casualty. Provide the student with ideas on how to prepare for a combat deployment. Reinforce minor surgical skills critical to the combat casualty. Provide the student Continuing Medical Education. Provide the student with a starting point in the development of their own training program.

Our Expectations Be professional There is no final exam Attendance and participation is key Motivation Discussion-please share your experiences! Uniform-BDUs Army PT uniform for the surgical skills lab AAFES Clothing Sales is down the street

Resources Student Booklet Lecture Library CD Surgical Skills DVD NOT in order Lecture Library CD Surgical Skills DVD TCMC Reference Cards CD packet Emergency War Surgery MEDIC Deployment Medicine Resources

Admin Schedule Strip map Critique POV Pass Roster confirmation No critique…Sorry, no CME POV Pass Roster confirmation

This Week Schedule Didactic lecture Skills stations Surgical skills lab Simulation lab

This Week This program is developing based on AARs and Lessons Learned Very fluid and dynamic Please share your experiences Instructors are combat experienced

This Week Lectures Geared toward the combat environment Primarily Levels I/II Not a lot of doctrine Realistic ideas with an emphasis on contingency plans Hands-on practice Skill stations Primary/Secondary Survey Extremity wounds Chest Trauma Airway Management Surgical Skills lab Combat Simulation Lab/Trauma Lanes

The Combat Casualty Pre-deployment preparation What will you see? Injury Pattern Penetrating trauma Blast Injury IED MVA Patient Population Indigenous personnel Civilians Local security forces Insurgents Allied forces

How Do We Prepare? Evaluate your Assets: Equipment? Will need some work Don’t expect class VIII resupply This system has improved Medics? Motorpool medics CASEVAC Plan on significant delays This system has also improved Yourself? Develop your approach and skills and then train your medics to that standard! Get comfortable with your approach.

Take a Break!