Trauma- Focused Individual Training

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Trauma- Focused Individual Training

• Revised and Updated
• January 2005

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Infantry Unit of Action Design
X
Approved Infantry BCT
3,385
IN BCT
10/0/9/19
I I
I I
122
491
405
1,598 (799 X2)
298
471
RSTA
BTB

• HHC
• C2 Enhancements
• Increased staff
• Surg Sec 2/0/1/3
• Deputy Cdr
• MP PLT
• JFIRES (ECOORD, NLEC, JTACP)
• SUAV
• HQ TX TM 1/0/4/5
• SIG Co
• TOC NODAL Plt
• SIG SPT Plt
• NET OPS Tm
• MI Co
• ISR Analysis Plt 0/0/1/1
• ISR Integration Plt
• HUMINT Sec
• 1 Common Ground Station
• EN Co

2/0/15/17

• HHB
• TA PLT (1 Q36)
• TUAV
• Firing Btry x 2
• (2x8) 105mm (T)
• Forward Support Co

3/0/34/37
CDR Dep CDR CP1 CP2 Chaplain PAO
2/0/2/4
HHT Motorized Recon Trp (2) Dismounted Recon
Trp Forward Support Co

• HHC
• Enhanced Staff
• Disto CO
• Add drivers
• Trans Plt
• Maint CO
• Med CO

3/0/47/50

• HHC
• 3 x Rifle Co
• 3 x Rifle Plt
• Weapons Co
• 4 x Plt
• Forward Support Co

11/0/69/80

• Two Inf Bns used as start point
• Provides LRAS3-equipped Recon Capability
• Applied current systems to enable Quality of
  Firsts
• ISR teams Brigade TUAV, PROPHET, Ground
  Surveillance Radar, SUAV, Bde Recon Squadron w/2
  Mounted Recce Trp, 1 Dismounted, 1 Surveillance
  Trp
• Infantry Squads 72 (54 Rifle, 18 Weapons)
  Sniper 3 (10man Tms)
• Infantry 744 (72 squads x 9 12 wheeled assault
  squads x 8)
• Recon Tms 30 ITAS/TOW 12 Javelin 60
  MK1960
• 105MM(T) 16 120MM Mortars 12 81mm 8

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INF Brigade Combat TeamRSTA Squadron Medical
Platoon
HHT
MED PLT HQ
1/0/1/2
EVAC SECTION
TREATMENT SQUAD
CBT MEDIC SECTION
2/0/6/8
0/0/9/9
0/0/18/18
3/0/34/37
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INF Brigade Combat Team RSTA Squadron Medical
Platoon HQs
MED PLT HQ
2
1/0/1/2
MC4 AN/TYQ-105 (V) 1 1 AN/TYQ-108 (V) 3 1
PERSONNEL 70BO2 - FLD MED ASST 1 68W4O - PLATOON
SGT 1
VRC-89F 1 FBCB2 1 BCIS 0 EPLRS 1 GPS 1
D41659 1
MAJOR EQUIPMENT HMMWV, CARGO 1
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INF Brigade Combat Team RSTA Squadron Medical
Platoon Treatment Squad
2/0/6/8
PERSONNEL 62BO3 PLT LDR (SURGEON) 1 65DO3 -
PHYSICIANS ASST 1 68W3O- TMT SQD LDR
1 68W2O- EMER TMT NCO 2 68W1O - MEDICAL SPC
(E4) 1 68W1O - MEDICAL SPC (E3) 2
TREATMENT TEAM
TREATMENT TEAM
MAJOR EQUIPMENT CBPS 2 MTV 1 TRL, 3/4T 2 TRL,
MTV DROPSIDE 1
MC4 AN/TYQ-105 (V) 1 8 AN/TYQ-106 (V) 1 2
C4 VRC-92F 2 GPS 3 FBCB2 3 D41659
3 VRC-90F 1 EPLRS 3 BCIS 3
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INF Brigade Combat Team RSTA Squadron Evacuation
Section
Two Evac Teams (Area Support)
0/0/18/18
DSMT RECON TROOP
HHT
EVAC TEAM
MAJOR EQUIPMENT M997 6
C4 VRC-90F 6 EPLRS 6 BCIS 6 GPS 6 FBCB2
6 D41659 6
MC4 AN/TYQ-105 (V) 1 18
PERSONNEL 68W2O- AIDE/EVAC NCO 5 68W1O - AMB
AIDE/DRIVER (E3) 7 68W1O MED SPC
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INF Brigade Combat Team RSTA SquadronCombat
Medic Section
PERSONNEL 68W30 - EMER CARE SGT 3 68W1O
- COMBAT MEDIC(E4) 6
MC4 AN/TYQ-105 (V) 1 9
0/0/9/9
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Medical Task Organization as of 20041117
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Trauma Focused Individual TrainingT-FIT

• Instructor Name
• Title
• Unit

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Why Do We Give a Crap About This?

• Who is the biggest life-saver on the battlefield?

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Him?
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YOU!
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Why Do We Give a Crap About This?

• What is the best medicine on the battlefield?

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The Best Medicine is Superior Firepower!
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Is this squad combat effective?
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What this course IS about

• Teaching basic, practical life-saving techniques
  that 11B infantrymen can use on the battlefield
• Teaching not only the what but the why
• Breaking some bad habits that we (the medical
  world) and the Army (i.e. JRTC) have taught you
• Keeping you doing what infantrymen do best (i.e.
  killing people and breaking things)

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What this course is NOT about

• Making you an EMT
• Making you a 91W
• Making you comfortable starting IVs

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What do we want to do in the next 30 minutes?

• At the end of this block of instruction, the
  student will be able to
• Identify the major sources and locations of
  combat injuries and the soldiers most affected.
• Explain the value of training infantry soldiers
  to accomplish basic medical tasks.
• List some examples of bad habits to avoid in
  combat casualty care.

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Who gets wounded in war?
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Distribution of Wounding in Vietnam by Occupation

• Infantry - 71.8 of those wounded
• Artillery - 2.2 of those wounded
• Direct Correlation between a Lack of Combat
  Experience and Increased Wounding

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Vietnam - Marine Corps Wounded

• Mean Age - 20.7 years old
• Distribution by Pay Grade
• E1 - E3 - 71.2 of those wounded
• E4 - E6 - 25.6 of those wounded
• Officers - 2.7 of those wounded

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YOU are the most important person when it comes
to treating wounded soldiers!
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Why?
Because nobody else is there in enough time to
make a difference!
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Time to death after initial wounding
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What are the major sources of wounds in combat?
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Fragments from exploding anti-tank weapon
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M-16 assault rifle 5.56mm GSW (exit)
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Causes of Combat Wounds
(WWI, WWII, Korea, Vietnam, Middle East)
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Where do soldiers get hit?
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(No Transcript)
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War Wound Distribution
Upper Extremities
Lower Extremities
Abdomen
Head Neck
Chest
Other
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Bottom Line on Wound LocationExtremities

• Extremity wounds (arms and legs) are the most
  common.
• Range from minor to life-threatening.
• Are a place where you (the 11B) can have a
  significant impact.

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Bottom Line on Wound LocationHead Wounds

• Head wounds are the second most common combat
  wound.
• They are a major source of combat deaths.
• Generally they are either survivable or not (no
  matter what you or your medics - do).

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Bottom Line on Wound LocationTorso Wounds

• Torso wounds are the third most common.
• They are (like head wounds) a major source of
  combat deaths.
• There are certain ones you can impact.

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What can YOU do to keep yourself or your soldiers
alive?
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(No Transcript)
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What to do with a hole in your arm?

1. Sit down, pull out your MILES card and wait for
   the OC to come assess you.
2. Scream medic, medic and wait for your platoon
   medic to arrive.
3. Kiss your ass goodbye, youre going to die.
4. Have a combat lifesaver start an IV.
5. Apply a tourniquet.

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Answer E. And the soldier lived.
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Trans-Abdominal High Velocity GSW (fatal)
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Summary

• The most common sources of combat wounds are
• Fragments
• Bullets
• Blast and burns and all other
• The most common places to get hit are
• Arms and legs
• Head
• Torso

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Summary

• Who primarily gets wounded/killed in combat
• Young men ages 18 24
• Predominantly infantrymen
• Almost entirely enlisted men with 2nd Lieutenants
  being at highest risk of death among officers
• Which wounds most commonly cause death?
• Head and Chest Wounds
• Where do most deaths occur?
• On the battlefield (mostly at the point of
  wounding and within lt5 minutes of wounding)
• Relatively few die once reaching a hospital

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Summary

• Simple things that you can do to keep yourself or
  your buddies alive.
• Stop bleeding quickly.
• Keep shooting (the best medicine)
• We need to train and fight smarter
• Combat is not MILES play
• IVs are NOT the bottom line

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QUESTIONS?