PRIMARY SURVEY

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PRIMARY SURVEY
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CARE UNDER FIRE

• 1. Scene Assessment
• Return fire as directed or required
• Casualty should return fire if able
• Keep yourself from getting shot
• Prevent additional wounds to casualty
• Maintain situational awareness!
• 2. Quickly Identify and Control Severe Bleeding
• With a Tourniquet
• 3. Move the Casualty to Cover

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TACTICAL FIELD CARE

• 1. Primary Survey
• A - Airway
• B - Breathing
• C - Circulation
• D - Disability
• E - Expose/Environment

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TACTICAL FIELD CARE

• A - Airway
• Check for patent airway
• Open with manual methods as needed
• Insert simple airway adjunct if needed

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TACTICAL FIELD CARE

• B - Breathing
• Check for breathing, respiratory rate/depth
• Check for tension pneumothorax and perform
  needle decompression if needed
• Inspect/palpate entire thorax and seal open
  chest wound (Asherman Chest Seal) if needed

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TACTICAL FIELD CARE

• C - Circulation
• Check for pulse presence, quality, rate, and
  rhythm skin capillary refill time, color,
  temperature, and moisture
• Check for and control remaining external
  hemorrhage using necessary means
• 1) Pressure Bandage (Kerlex/Trauma Dressing)
• 2) Tourniquet

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TACTICAL FIELD CARE

• C - Circulation (Contd)
• Initiate fluid resuscitation as per
• 1 - Controlled bleed/no shocksaline lock only
• 2 - Controlled bleed/shocksaline lock IV
  fluids
• 3 - Uncontrolled bleedsaline lock

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TACTICAL FIELD CARE

• D - Disability
• Check level of consciousness
• A - Alert
• V - responds to Verbal stimulus
• P - responds to Painful stimulus
• U - Unresponsive

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TACTICAL FIELD CARE

• E - Expose/Environment
• Expose only as needed for survey
• Protect from the environment and prevent
  hypothermia

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TACTICAL FIELD CARE

• 2. Secondary Survey
• Head-to-toe evaluation
• Where my hands go, my eyes follow
• Reassess ABCs
• Look, listen, and feel
• See, dont just look!
• Hear, dont just listen!
• Feel, dont just touch!

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CASEVAC

• 1. Package and prepare for casualty evacuation
• Non-ambulatory via SKEDCO litter or field
  expedient means
• Ambulatory
• 2. Aid and litter teams
• 3. Security teams

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Questions?