So, we went thru a CLS (Combat Lifesaver Class) which is your normal deployment first aid class. The difference with ours, is we get an upgraded version done by former SF medics versus the run of the mill one done by Active Army. They opened up the class showing this video, and asked, what went right, what went wrong?
Take a look, and give me your diagnosis.
WARNING, this aint pretty in no way/shape/form.
https://www.funker530.com/graphic-vi...-steps-on-ied/
RELIGION IS LIKE A PENIS
Its fine to have one,
Its fine to be proud of it,
But please dont whip it out in public and start waving it around,
And PLEASE dont try to force it down my children's throats.
An armed society is a polite society. Manners are good when one may have to back up his acts with his life.
31 views, no replies.......OK, here we go. So they are checking for wires, looks like they just got to that area and are doing a sweep. Comment "Looks like they were pre-staging" the ANA guy walks up says a few words and no one stops him as he walks through. They were obviously getting ready to move forward once they were SURE it was clear, not just there, but out in the distance as well. I'll just call this the unknown factor at this point and straight to the shit. All I kept thinking was AIRWAY!. The guy's helmet cam prevented most of my initial assessment of his head injuries so my head is ducking around my laptop trying to get a better view. Tourniquet, everything gets a "T" nowadays, they hit they limbs immediately. Initial assessment was L leg and arm, Head injury was jaw, teeth blown out, needed to do a sweep, took like what seemed an eternity till I heard the words. I was wondering why they didn't tube him to prevent aspirating on any frags or blood. He was all set to do a "trache", changed his mind when the other medic got there. They did a secondary(clothes off) once they got him somewhat tuned up, bandaged up left arm (almost looked as though the "T" wasn't needed) I wasn't there, can't say for sure. You might as well skip the dirt thing, we ain't in Kansas any more Toto. Shit dude all I can tell you I was white knuckling it like there was no tomorrow trying to get my hands in there. Fuckin shit sucks! All I can say is when shit like this goes down it's a flailex, you pray you did all the right things. Even though you did you'll always second guess yourself, the day you stop is the day you fuck it up.
Now having said that and watching this twice (thanks for the memories Stormy!) I know I missed shit, I watched it without stopping it because that's how it happened, then made my critique as best I could from the chaos. Now you (Stormy) being the "graduate" can fire away.
Did you go to Ft. Carson or Polk?
Be safe.............the night is your friend.
He was still to with it to do any invasive airway management without a crap load of ketamine. They are truly limited in the field with what they can do. Hell, I don't even know if they have suction in those kits that's worth anything...Originally Posted by Brownwater Riverrat 13
It is, of course, obvious that speed, or height of fall, is not in itself injurious ... but a high rate of change of velocity, such as occurs after a 10 story fall onto concrete, is another matter.
Seriously if this happens to me, please just put me out. I truly don't want to come back from that.
"When injustice becomes law, resistance becomes DUTY!" - Thomas Jefferson
OK, so here was my assessment...
Primary- tourny the arm and leg. (Stop the bleeding)
Clear the mouth (Start the breathing)
Now heres where it gets hinky...
1- Chest is showing Torsion Pneumothorax on right side, coloration and difficulty breathing tells me collapsed lung. So yes, get ready to hit below the 2nd rib down from the clavicle with the angiocath.. then the dude sits up and can breathe fine... So, do you hit him with the needle or let him sit up and breathe? Does it do more harm or good to hit him with the angiocath? Had to make a call, and I was right, let him sit up and breathe on his own versus adding another hole in the guy.
2- Now.. as BWRR said, I would have also gave him a nasal pharyngeal him since he had all the broken teeth and facial damage, which they didnt do. Not my call, but an additional step to ensure airway was open.
3- Treat for shock, send out the 9-line, and wait for the bird.
I was down at Bragg.
Now, the interesting part, this guy survived, with only the loss of his foot. So Helomech, while it looks harsh, its survivable.
RELIGION IS LIKE A PENIS
Its fine to have one,
Its fine to be proud of it,
But please dont whip it out in public and start waving it around,
And PLEASE dont try to force it down my children's throats.
An armed society is a polite society. Manners are good when one may have to back up his acts with his life.
Wow, only his one foot? Amazing.
"When injustice becomes law, resistance becomes DUTY!" - Thomas Jefferson
My initial knee jerk when I started watching was to check for pulse, then the classic start the breathing, stop the bleeding, check for wounds, treat for shock. He obviously started breathing again after a moment. Tourniquets would've been a given. Any discoloration would've been a red flag for internal bleeding. Thats my extent of interpretation and abilities. Collapsed lungs etc are beyond my abilities. However I am confident I could perform a field expedient tracheotomy.
By knowing what to look for, you can bypass the field expedient trach sometimes. But the smart money is to put a nasal pharyngeal in, it doesnt hurt the situation any, and can only help either way. Collapsed lungs are easy to deal with, thats where you use the 2nd rib down from the clavicle and punch him with a hypo/angiocath. Allows the lung to fill back up with air, which air in the body = 99% good stuff.
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Of course you can, its open source material. I would like to see other peoples opinions, so when ya post it, can ya link it back to us here?
RELIGION IS LIKE A PENIS
Its fine to have one,
Its fine to be proud of it,
But please dont whip it out in public and start waving it around,
And PLEASE dont try to force it down my children's throats.
An armed society is a polite society. Manners are good when one may have to back up his acts with his life.
So far awkward silence. Guess you need to have been in that type of situation to comprehend it. Will keep you posted Stormfeather.
The tallest oak in the forest was once just a nut who held its ground.
Be decisive. Right or Wrong, make a decision. The road of life is paved with flat squirrels who could not make a decision.
Overall, Im impressed. Field emergency room shit sucks ass. They did what they could with what they had. Most impressive was from boom to dust off in less than 10 minutes, maybe 20 to the MASH (Im old skool) so the golden hour was still salvaged.
That poor fucker, man he took a hell of a hit!
My CLS was not by SF. But I was on the rescue squad 6 years, ran hundreds of calls, some looked almost like that but were MVA.
EB
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