1. 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

2. 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.

3. 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

4. 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

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

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

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

8. 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

9. 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

15. 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.

17. Take a Break!