Trauma Focused Individual Training

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Trauma- Focused Individual Training

• Revised and Updated
• January 2005

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Trauma Focused Individual TrainingT-FIT
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What is T-FIT?

• Focused medical training for non-medical
  personnel designed to provide critical medical
  intervention at the site of injury.

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Who Developed the Course?

• COL Cliff Cloonan, Assistant Professor Military
  Emergency Medicine Department Developed the
  course based on his operational experience as
  SOCOM Surgeon .

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Command Emphasis

• 1st Brigade (Warrior) Brigade Commander COL
  William Garrett (2003) directed implementation
  and fielding of program within Warrior Brigade.

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10050252 Rule

• 100 of unit strength CLS trained
• 50 of unit strength T-FIT trained
• 25 (approx) Combat Medics assigned
• 2 Advanced Trauma Management (ATM) Providers

Based on Battalion/Squadron sized element
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Course History

• The first formal class was taught to soldiers
  assigned to 1-32 Infantry Battalion, 1st Warrior
  Brigade, 10th Mountain Division in February 2003

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Initial Course Developers

• Major Chadwick- 1st Brigade Surgeon
• CPT Pataky- Battalion Physician Assistant
• Medics of 1-32 Infantry

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Baptism Under Fire

• The courses further development began in
  Operation Iraqi Freedom for Task Force Chosin.
  Training was developed based on requirements as
  identified during combat operations beginning
  October 2002

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Course Improved Development

• MAJ Jack Hurley- 82nd Airborne Division
• CPT Michael Franco- 82nd Airborne Division
• 1LT Edwin Guiterrez- 10th MTN DIV
• 1LT Thomas Moody 10th MTN DIV

• SFC Douglas Mack- 10th MTN DIV
• SSG Conway Halladay- 10th MTN DIV
• SGT Joshua Pierrpont-10th MTN DIV

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Program of Instruction Writers

• 1LT Edwin Gutierrez
• 1LT Thomas Moody

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DEDICATION

• This course is dedicated to all soldiers of Task
  Force Chosin and most importantly to those who
  made the ultimate sacrifice.

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Prerequisites

• Successfully complete the Combat Life-Savers
  course.
• Passing CLS written examination of 90 or better
  on written exam.
• Top 25-50 of CLS course.

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Course Requirement

• Pass all individual practical skills testing
• Pass all group practical skills
• Score 80 or better on written examination

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Individual Practical skills

• Maintain an open airway
• Perform mouth-to mask ventilation
• Insert an oral pharyngeal airway
• Insert a nasal pharyngeal airway
• Apply dressing for sucking chest wound

• Perform trauma patient assessment
• Perform I.V. administration
• Apply tourniquet
• Request MEDEVAC
• Perform patient triage

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Team Practical skills

• Manage trauma patient
• Manage mass casualty

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Lectures

• Introduction to T-FIT
• Combat Casualty care/Tactical Care Under Fire
• Triage/Mass Casualty Management
• Patient Assessment Trauma Patient
• Airway management

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Lectures (Continued)

• Head Trauma
• Chest/Abdominal Trauma
• Extremity Trauma
• Burns
• Altitude Sickness
• MEDEVAC Procedures

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Course Comparison (Lectures)
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Course Comparison (Practical Skills)
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Recommended Course length

• 2- 15 hour/ Day
• 3- 12.5 hour/Day
• 4- 10 hour/Day
• 5- 8 hour/Day

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Recommend Supplies

• IV fluid (NS)-100
• IV Tubing- 100
• Needle Catheter-200
• Alcohol pads-200
• Tourniquets-20
• Gloves- 100
• Band Aid- 100

• Sharp Container- 5
• Chux- 100
• CLS bags- 25
• Asherman Chest seal-25
• Ratchet Tourniquet-5
• Quik Clot- 2(demonstration only)
• Airway Mannequin- 1

Based on class size of 25 soldiers
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Recommend Supplies

• Tape 1 inch- 15
• Field Dressing- 25
• Cravats- 25
• Israeli Dressing- 25
• Kerlix- 50
• FAST-1(demonstration only)

• Litters- 4
• ACE Wrap 3 inch- 5
• Oral Pharyngeal - 10
• Nasal Pharyngeal- 10
• Laptop-1
• Proxima-1

Based on class size of 25 soldiers
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Training Schedule
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Training Schedule
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Training Schedule
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Certificate of Training
presented by
1st Squadron, 71st Cavalry 10th Mountain
Division, Fort Drum New York
To
PV2 John David 111-111-1111
For
Successful completion of 40 hours of Trauma Focus
Individual Training
________________________________ Thomas U. Moody,
MPAS, RPA-C 1LT, SP Physician Assistant
________________________________ Mark
Meadows LTC, IN Commanding
09 Nov. 2003 13 Nov. 2003
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T-FIT Packing List
Adhesive tape, surgical porous woven 1in.x10yrds
1 Airway, pharyngeal
large adult
1 Airway, pharyngeal small
adult
1 Bandage adhesive 3/4inx3in chest
flesh (band-aid)
18 Bandage muslin compressed (cravat) 37x37x52
triangular 4 Case medical
instrument and supply (CLS bag)
1 Catheter needle unit d121 V 18ga

4 Bandage, pressure, Israeli

2 Dressing, first aid, field camouflaged
4x6.25x7.25 lg abs 6 Gloves
patient exam-large (latex)
2 Intravenous inj
set 7compmacrodrip10drops/ml
2 Catheter 14ga 2.5in

2 Asherman chest dressing

2 Pad povidone-iodine impre ster2x1 375brown
(iodine pads) 12 Povidone-iodineointUSP1
0 1/8oz. (3.54 gram) (iodine ointment) 8 Ringers
lactate injection USP 500ml plastic bag
2 Scissors, bandage 1.5 cut
large 7.25
7 Alcohol preps

25 Field dressing, first aid 7x2x8

2 Sam splint

1 Nasopharyngeal airway

4 2x2 gauze sponges

12 Tourniquet Ratchet
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