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Author Topic: Medical 101  (Read 1160 times)

Troy

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Medical 101
« on: March 12, 2015, 08:25:00 PM »

While working on my sample post, I  had to do some research on Triage procedures. It was suggested I post them here. Feel free to post any other medical information you find useful.
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Troy

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Re: Medical 101
« Reply #1 on: March 12, 2015, 08:30:57 PM »

What is a Mass Casualty Incident?

ANY event that overwhelms the available resources.By available resources, this could mean that we don’t have enough ambulances, enough personnel or enough hospital beds.

It could be:
 Natural
 Accidental or
 Intentional event.

Is There A Set Number of Casualties To Be Considered A Mass Casualty or Disaster?
 No there is no set number associated with declaring a disaster. At times the number of critical patients
might impact you more than just overall numbers.

Types of Common MCI’s:

  • Highway Accidents
  • Air Crashes
  • Major Fires
  • Train Derailments
  • Building Collapses
  • Explosions
  • Terrorist Attacks
  • Hazardous Materials Releases
  • Earthquakes
  • Tornadoes
  • Hurricanes
  • Floods
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George4

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Re: Medical 101
« Reply #2 on: March 12, 2015, 08:31:20 PM »

I only know some codes

304- involuntarily commitment to a mental ward possiblily dangerous

403-serve burn vitcum

302-danger to self

106- Coma, temporarily

602- serve allgeric reaction
« Last Edit: March 12, 2015, 11:20:46 PM by George4 »
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Troy

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Re: Medical 101
« Reply #3 on: March 12, 2015, 08:37:12 PM »

Triage is the process of prioritizing or sorting of sick or injured people for treatment according to the seriousness of the condition or injury.

You can’t commit to “one-on-one”
care
 You have to be fast – 30 sec or
less per patient
 Very limited treatment is provided
 Manually open airways
 Clear airway with finger sweep
 Control major bleeding

Primary triage:
1st contact, Assign triage category
 Secondary triage:
 ongoing process that takes place after the patient has been moved to a treatment/holding area awaiting transport.

Triage Categories:
 Red (1)= immediate - critical patient
 Yellow (2)= delayed - serious
patient that could wait until all reds
have been transported
 Green(3) = ambulatory / hold –
minor injuries
 Black = deceased (expectant)


Step 1
Respiratory Effort:
 Not breathing – manually open their
airway
 If they start breathing - tag RED
 If they don’t start breathing – tag BLACK
 Breathing >30 or <10 = tag RED
 Breathing normal 10-30 = go to next
step

Step 2 Pulses/Perfusion
 Check for Radial pulse.
 Radial pulse absent = tag RED
 Radial pulse present = go to next step

Step 3:Mental Status
 You are assessing whether or not the
person can follow a simple command.
 “Squeeze my hand”
 Can follow a simple command = tag
YELLOW
 Cannot follow a simple command = tag
RED
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Troy

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Re: Medical 101
« Reply #4 on: March 12, 2015, 08:52:39 PM »

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Mim

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Re: Medical 101
« Reply #5 on: March 12, 2015, 09:28:53 PM »

Excellent information gathering Troy  :sam59:

George, can you expand on those codes for us :)
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Far Dareis Mai
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Re: Medical 101
« Reply #6 on: March 12, 2015, 09:30:43 PM »

Planning Medical Evacuation

Medical evacuation requirements and units available are listed to include their locations, missions, and attachments.

Location of casualty collecting points and ambulance exchange points are placed on overlays.

Identify routes, means and schedules (if any) of evacuation and responsibilities.

Evacuation request procedures and channels.

Medical Treatment Facilities

Medical treatment facilities (aid stations, hospitals).

Locations and missions of appropriate medical treatment facilities.

Transportation of Casualties

When the situation is urgent you may have to transport the casualty. For this reason, you must know how to transport him without increasing the seriousness of his condition.

Transporting a casualty by litter is safer and more comfortable for him than by manual means; it is also easier for you.

Manual transportation, however, may be the only feasible method because of the terrain or the combat situation.

Standard Evacuation Types

Manual Carries
(One Man)

Fireman's Carry

Support Carry

Arms Carry

Pistol-belt Carry and Drag

Neck Drag

Manual Carries (two man)

Two man support carry

Two man arms carry

Two man fore-and-aft carry

Two hand seat carry


LOCATION OF THE

PICKUP SITE


RADIO FREQUENCY/CALL SIGN
AND SUFFIX

NUMBER OF PATIENTS BY PRECEDENCE

SPECIAL EQUIPMENT REQUIRED

BREVITY CODES:

A NONE

B HOIST

C EXTRACTION EQUIPMENT

D VENTILATOR

NUMBER OF PATIENTS BY TYPE

BREVITY CODES:

L + #Patients Litter

A + #Patients Ambulatory

SECURITY OF PICKUP SITE (WARTIME)

BREVITY CODES:

N NO ENEMY

P POSSIBLE ENEMY TROOPS IN AREA (APPROACH WITH CAUTION)

E ENEMY TROOPS IN AREA (APPROACH WITH CAUTION)

X ENEMY TROOPS IN AREA

(ARMED ESCORT REQUIRED)


NUMBER AND TYPE OF WOUND, INJURY, OR ILLNESS (PEACETIME)

GIVE SPECIFIC INFORMATION, GUNSHOT WOUND, BLEEDING AND BLOOD TYPE IF KNOWN

LINE 7

METHOD OF MARKING PICKUP SITE

BREVITY CODE:

A PANELS

B PYROTECHNIC SIGNAL

C SMOKE SIGNAL

D NONE

E OTHER

LINE 8

PATIENT NATIONALITY AND STATUS

LINE 9

NBC CONTAMINATION
(Wartime)

ENCRYPT BREVITY CODE:

N NUCLEAR

B BIOLOGICAL

C CHEMICAL

LINE 9


TERRAIN DESCRIPTION
(PEACETIME)

INCLUDE DETAILS OF TERRAIN FEATURES IN AND AROUND PROPOSED LANDING SITE

Example

SUMMARY

REDUCING COMBAT DEATHS

CHS LIFESAVING MEASURES

IMPORTANCE OF THE CLS

PLANNING CONSIDERATIONS

MEDICAL TREATMENT FACILITIES

TRANSPORTATION OF CASUALTIES

CATEGORIES OF PRECEDENCE

THE MEDEVAC REQUEST
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Far Dareis Mai
Life is a dream — that knows no shade.
Life is a dream — of pain and woe.
A dream from which — we pray to wake.
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George4

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Re: Medical 101
« Reply #7 on: March 12, 2015, 09:36:54 PM »

Will do ma'am
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Mim

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Re: Medical 101
« Reply #8 on: March 12, 2015, 09:58:57 PM »

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Far Dareis Mai
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NG

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Re: Medical 101
« Reply #9 on: March 13, 2015, 11:10:42 AM »

Something else to have in mind to when triaging:

When on limited resources, one might actually have to tag a pretty clear "Red"-one in to a "Yellow"-one instead, just because that one will take consume too much of the recourses and capacities you currently have. Harsh, but true.

Meaning that an injure that we might under normal circumstances be able to fix and put a lot of effort in, might be put on hold because it'll just drain the system too much. Got to love triaging...  :-\

One way to get a first hint of how the person is doing in a primary survey situation, might not apply in a combat situation though, is the simple question of, "Can you tell me your name?"
A reply on that question will give you "Airway clear. Obeys commands" which will put you fairly high up on the GCS and it doesn't delay your triaging...
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Ellen_Ripley

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Re: Medical 101
« Reply #10 on: March 15, 2015, 04:45:06 PM »

There are many first response cases where the actual categorization is a grey area, where therefore the team will tag the victim with the next highest level to cover any unknown entities. Suspected internal injuries is a case in point. The patient may not exhibit any noticeable exterior damage, but general abdominal bruising is a prime indicator.
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Robert Laurel

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Re: Medical 101
« Reply #11 on: March 15, 2015, 04:51:00 PM »

I've been medivaced, but I don't remember any of it. Woke up in sick bay on a carrier in the Adriatic going WTF??
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Mim

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Re: Medical 101
« Reply #12 on: March 16, 2015, 08:18:59 PM »

Been taken in an ambulance twice that I remember. Both times broken bones from riding my bike....motor bike that is :D
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Far Dareis Mai
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Troy

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Re: Medical 101
« Reply #13 on: August 20, 2015, 10:23:10 PM »

TACOPS® M5 Field Ready Medical Bag Kit   
Manufacturer: TACOPS®

The M5 Medical Bag was originally produced at the request of the CONTOMS Tactical EMT Program and is the standard medical bag for most federal law enforcement agencies.  This field ready version comes fully loaded and ready for use!

MOLLE attachment points located on the front and side of pack
Both a  grab handle and padded backpack straps with Velcro® hold-downs for easy transport
Two large covered pockets on sides, tunneled for holding oxygen cylinder (holds "D" size cylinder)
Large zipper pocket on flap
Three-sided zipper on flap for total access to interior compartment; zipper covered with rain flap
Two large interior "open-top" pockets
Three 16"x 7" removable mesh pockets for quick equipment ID; glow tape tabs allow for quick paging
8"x 8" mesh pocket attached to top flap
Divided elastic strips on flap to secure small items
Large glow tape panel located on top of bag for quick identification of bag in the dark (faces up when bag is carried as a backpack and attaches with Velcro® for removability)






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Cem1133

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Re: Medical 101
« Reply #14 on: August 21, 2015, 02:32:20 AM »

Troy that is pretty similar to the kit I carry in the car except I have had to add a scalpel kit to it. And its missing the quick clot gauze.
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