Combat Life Saver 9-13 July 01 Primary Instructor SFC Brady.

Combat Life Saver

9-13 July 01

Primary Instructor

SFC Brady

Buddy Aid Tasks IS0824

REFERENCES

FM 8-230 Medical specialist

FM 21-10 Field Hygiene and Sanitation

FM 21-11 First Aid for Soldiers

Introduction

Part of your function as a combat lifesaver is to take preventative measures to keep you and your soldiers from becoming casualties due to disease or environmental injuries.

Objective

Task- Identify preventive measures against insects and insect borne diseases, diarrhea and dysentery, respiratory diseases, sexually transmitted diseases, AIDS, heat injuries, and cold weather injuries.

Objectives contd.

Conditions- Given multiple choice items pertaining to preventive measures.

Take preventive measures against biting insects

Apply insect repellent

Wear uniform properly (command directed)

Keep the body clean

Keep the uniform clean

As applicable “ Take malaria pills”

Take preventive measures against diarrhea and

dysenteryDiarrhea and dysentery are often caused by a disease organism found in human and animal feces. These organisms enter the body when water or food that has been contaminated with feces are consumed. Water can be contaminated by untreated sewage. Food can be contaminated by fecal material on a persons hands or under the fingernails.

Disinfect Drinking Water

Disinfect using iodine tablets

Discard any tablet that is not gray

Use 2 tablets for the 1 quart canteen, and 4 tablets for the 2 quart canteen.

NOTE: This is a change from previous doctrine in which one tablet was added if the water was clear and not cold.

Disinfect water by boiling

Bring the water to a boil for 5-10 minutes.

Do not drink until water cools.

Disinfect water by adding bleach

Add two drops of 5% sodium hypo chloride, household bleach to one quart of water shake, disinfect threads, and wait 30 minutes before drinking.

Obtain food from an approved source

Obtain food, drinks, and ice from an approved military medical

authority.

Wash them nasty Hands!

With soap and water at least 30 seconds after using the latrine and

before eating.

Take preventive measures against respiratory

disease

Respiratory diseases are usually transmitted by droplets spread through the respiratory tract: the nose, mouth, throat, or lungs of an infected person.

Avoid close contact with soldiers that have respiratory diseases whenever possible.

Take preventive measures against respiratory

disease contd.

Encourage sick soldiers to go to sick call.

Common use of towels, eating and drinking utensils, and personal items should be discouraged.

Allow fresh air into fighting positions.

Take preventive measures against STD’s and AIDS

ABSTINENCEnot having sex at all,or

Having sex with only one partner who only has sex with you, or wearing a condom is the only

reasonable protection.

BUDDY AID

IS0824

Clear an object from a conscious casualty

An upper airway blockage can occur when food, dentures, vomitus, or other object enters a person’s trachea and obstructs air flow. If the blockage is not expelled or removed and breathing restored, the casualty may become unconsciousness and die.

Recognize a person with an airway obstruction

Clutching the throat is the Universal sign of Choking

Evaluate the blockage

Partial blockage with good air exchange.

Person can speak or cough forcefully. He may make a high-pitched sound between coughs.

Partial blockage with poor air exchange.

Person has a weak cough, makes high-pitched noises like crowing while inhaling, or has a bluish tint around his lips and fingernail beds.

Evaluate the blockage contd.

Complete blockage

Person can neither inhale or exhale.

Determine what actions are needed

Partial blockage with good air exchange.

Encourage the person to keep coughing until the obstruction is coughed up. Do not interfere with his efforts. Do not leave the person since the blockage could easily become more severe.

Determine what actions are needed contd.

Partial blockage with poor air exchange or complete blockage.

Call for help or send someone to seek medical help and begin administering manual thrusts.

Determine what actions are needed contd.

If the casualty has abdominal injuries, is noticeable pregnant, or is too large for you to reach around, administer chest thrusts. Otherwise, administer abdominal thrusts.

Administer abdominal thrusts

Stand behind the casualty, insert your arms under his arms, warp your arms around his waist.

Make a fist with one hand and place the thumb side of your fist on the midline of the casualty’s abdomen slightly above his navel (belt buckle) and well below the bottom tip of his breastbone.

Administer abdominal thrusts contd.

Grasp your fist with your other hand.

Press your fist into the casualty’s abdomen using quick inward and upward motion, then relax the hold.

Administer abdominal thrust contd.

Administer an abdominal thrust every 4 to 5 seconds until the obstruction is expelled or the casualty becomes unconscious.


If the casualty looses consciousness, move backward, lower the casualty to the ground, and try to open his airway by lifting the tongue and performing a finger sweep. (see lesson 3)

Then, if necessary, begin administering mouth-to-mouth resuscitation.


The sequence of abdominal thrusts, a finger sweep, and attempts at ventilation should be repeated as long as necessary

Administer chest thrusts

Stand behind the casualty, place your arms under his armpits, and encircle his chest.

Make a fist with one hand and place the thumb side of your fist on the center of the casualty’s breastbone (sternum).

Grasp your fist with your other hand

Administer chest thrust contd.

Thrust inward so that the sternum is depressed about 1 ½ to 2 inches; then relax the hold.

Do not deliver a thrust directly to the ribs or to the bottom of the sternum.


Administer a chest thrust every 4 to 5 seconds until the obstruction is expelled or the casualty becomes unconscious.


If the casualty becomes unconsciousness, move backward, lower the casualty to the ground, and try to open his airway by lifting the tongue and performing a finger sweep. (see lesson 3).

Then if necessary, begin administering month-to-month resuscitation.


The sequence of chest thrusts, a finger sweep, and attempts at ventilation should be repeated as long as necessary.

Closing

Quick action can result in saving a person’s life. Even if the obstruction is expelled, he should still be examined by medical personnel since the object may have damaged his throat.

Classifications of Burns Types of burns

1ST DEGREE- (PARTIAL THICKNESS) Skin red and painful (SUNBURN)

2ND DEGREE- (PARTIAL THICKNESS) SKIN RED AND PAINFUL WITH BLISTERS

3RD DEGREE- (FULL THICKNESS) SKIN LAYERS DESTROYED, UNDERLYING FAT

MUSCLE AND BONE MAY BE DAMAGED THE CENTR AL PORTION OF THE BURN MAY NOT BE PAINFUL BECAUSE THE NERVES HAVE

BEEN DESTROYED . SURROUNDED BY1ST & 2 ND DEGREE BURNS

CAUSES OF BURNS

THERMAL- CAUSED BY HEAT

ELECTRICAL- CAUSED BY THE CURRENT PASSING

THREW THE BODY CHEMICAL-

CAUSED BY LIQUID OR DRY CHEMICALS RADIANT ENERGY-

LASERS,MICROWAVES,ULTRAVIOLETLIGHT

THE MOST DANGER IS TO THE EYES

JUST HANGIN AROUND

ELECTRICAL BURN

STOP THE BURNING PROCESS !!! THERMAL BURNS

PUT OUT THE FIRE ENSURE THERE ARE NO CINDERS , COALS, OR

SMOLDERING CLOTHS ELECTRICAL BURNS

ALWAYS ASSUME WIRES ARE LIVE STOP THE CURRENT IF POSSIBLE USE DRY ROPE,CLOTHING OR OTHER NON

CONDUCTIVE MATERIAL TO MOVE THECASUALTY OUT OF HARM DO NOT TOUCH THE CASUALTY

MAY USE LONG NON CONDUCTIVE POLE(WOOD) TO MOVE WIRE FROM CASUALTY

CHECK FOR BREATHING

LIQUID CHEMICALS SMOTHER BURN WITH COPIOUS WATER

DRY CHEMICALS BRUSH AWAY WITH DRY CLOTH FLUSH SKIN WITH COPIOUS WATER IF AVAILABLE

WHITE PHOSPHEROUS SMOTHER FLAMES WITH WATER COVER WITH MUD OR WET MATERIAL

FALLOUT BRUSH OFF LOOSE PARTICLES FLUSH SKIN WITH COPIOUS WATER

THE EYES

CHEMICALS IN THE EYE(S) FLUSH WITH WATER KEEP AFFECTED EYE LOWER THEN THE

UNAFFECTED EYE RADIANT ENERGY

PROTECT CASUALTY FROM ADDITIONALEXPOSURE

KEEP OUT OF BRIGHT SUN LIGHT BANDAGE EYES IF IT MAKES CASUALTY

MORE COMFORTABLE

TREAT SKIN BURNS EXPOSE ALL BURNED AREAS

LEAVE CLOTHING STUCK TO THE WOUND REMOVE JEWELRY DRESS BURN

USE FIELD DRESSING DO NOT CLEAN, APPLY GREASE, OR

BREAK ANY BLISTERS DO NOT COVER FACE OR GENITALIA

ELECTRICAL BURNS CHECK FOR EXIT BURN WOUND (FOOT) CHECK FOR SHOCK

EVAC

ASSESSING THE BURN CASUALTY

USING THE RULE OF 9’s ASSESSTHE PERCENT OF THECASUALTIES BODY THAT HASBEEN BURNED

IF 20% OR MORE HAS BEENBURNED WITH 3RD DEGREEBURNS THEN INTRAVENOUSFLUID MUST BE ADMINISTEREDIMMEADIATELY

FRACTURES

FRACTURES

SIGNS AND SYMPTOMS

BONE PROTRUDING THROUGH THE SKIN

ARM OR LEG IN ABNORMAL POSITION

DIFFICULTY MOVING A LIMB

MASSIVE INJURY TO A LIMB

SNAPPING SOUND HEARD BYCASUALTY

PREPARE THE CASUALTY REASSURE THE CASUALTY LOCATE FRACTURE SITE

OPEN- BONE HAS BROKEN THE SKIN CLOSED- WHERE THE PAIN TENDERNESS

BRUISE OR ANGULATION IS LOCATED CHECK FOR DISTAL CIRCULATION

IF POOR CIRCULATION EVAC SOON LOOSEN CLOTHING REMOVE JEWELRY DRESS ANY OPEN WOUNDS

DRESS EXPOSED BONE AND PENETRATINGOBJECTS

DO NOT ATTEMPT TO REALIGN LIMB

GATHER MATERIALS RIGID OBJECTS

BOARDS, BRANCHES ECT. SHOULD EXTEND BEYOND THE JOINTS

ABOVE AND BELOW THE FRACTURE

PADDING USE TO PAD RIGID OBJECTS

SECURING MATERIALS (CRAVATS) DO NOT USE ROPE CORD OR WIRE

SPLINTING A LIMB POSITION SECURING MATERIALS POSITION RIGID OBJECTS APPLY PADDING IF NOT ALREADY DONE REASSESS CIRCULATION SECURE RIGID OBJECTS

TIE KNOTS OVER RIGID OBJECT REASSESS CIRCULATION AFTER EACH

KNOT FOR ARMS

APPLY SLING AND SWATHE

PRACTICE

SPLINTING

ARM AND LEG

FRACTURES

SPINAL INJURIES

SPINAL IMMOBILIZATION

SPINAL FRACTURE OR INJURY PAIN OR TENDERNESS TO NECK OR BACK

CUT OR BRUISE ON NECK OR BACK

PARTIAL PARALYSIS

LOSS OF SENSATION

LOSS OF BLADDER OR BOWEL CONTROL

UNUSUAL HEAD OR BACK POSITION

MOVING A SPINAL INJURY DO NOT MOVE A SUSPECTED SPINAL

INJURY EXCEPT TO SAVE THE CASUALTIESLIFE IF YOU MUST MOVE USE 4 MAN ARMS

CARRY IMPROVISE A SPINE BOARD IF POSSIBLE

FLAT PIECE OF WOOD DOOR

ENSURE CASUALTY’S NECK REMAINSUNDER YOUR CONTROL AND IN LINEWITH THE SPINE

IMMOBILIZE A SPINAL INJURY

TELL CASUALTY TO REMAIN STILL DO NOT ATTEMPT TO STRAIGHTEN

NECK OR BACK END FOR MEDICAL HELP

GENTLY PAD BEHIND CASUALTY’S NECKAND BACK

SECURE CASUALTY’S HEAD AND NECKUSING BOOTS FILLED WITH ROCKS OTHER BULKY OBJECTS

PRACTICEALL

HANDS ON SKILLS

ENVIROMENTAL

HEAT INJURIES

HEAT INJURIES

THREE TYPES HEAT CRAMPS HEAT EXHAUSTION HEAT STROKE

HEAT CRAMPS

SIGNS AND SYMPTOMS GRASPING OR MASSAGING OF A LIMB SKIN WET WITH PERSPIRATION UNUSUAL THIRST

TREATMENT MOVE TO OR MAKE SHADE LOOSEN CASUALTIES CLOTHING HAVE CASUALTY SLOWLY DRINK ONE

CANTEEN OF COOL WATER SEEK MEDICAL HELP IF CRAMPS

CONTINUE

HEAT EXHAUSTION

SIGNS AND SYMPTOMS PROFUSE SWEATING AND PALE COOL SKIN WEAKNESS OR FAINTNESS DIZZINESS HEADACHE LOSS OF APPETITE HEAT CRAMPS NAUSEA CHILLS RAPID BREATHING URGE TO DEFICATE TINGLING IN HANDS OR FEET MENTAL CONFUSION

HEAT EXHAUSTION

TREATMENT OF HEAT EXHAUSTION MOVE TO OR MAKE SHADE LAY CASUALTY IN THE SHOCK POSITION LOOSEN CLOTHING POUR WATER OVER CASUALTY AND FAN

HIM HAVE CASUALTY SLOWLY DRINK ONE

CANTEEN OF COOL WATER IF CASUALTY CANNOT DRINK EVAC

IF THE CASUALTY RECOVERS HAVE HIMPERFORM LIGHT DUTY FOR THEREMAINDER OF THE DAY

HEAT STROKE SIGNS AND SYMPTOMS

STOPS SWEATING RED HOT SKIN HEADACHE WEAKNESS DIZZINESS MENTAL CONFUSION NAUSEA OR STOMACH PAINS SEIZURES WEAK RAPID PULSE AND RESPIRATIONS SUDDEN LOSS OF CONSIOUSNESS

HEAT STROKE TREATMENT FOR HEAT STROKE

THIS IS A MEDICAL EMERGENCY SEND SOMEONE FOR HELP MOVE TO OR MAKE SHADE LOOSEN OR REMOVE OUTER GARMENTS IMMERSE CASUALTY’S TRUNK IN COOL WATER

OR PLACE IN SHOCK POSITION WHILE POURINGCOOL WATER ON CASUALTY

MASSAGE ARMS AND LEGS IF POSSIBLE HAVE CASUALTY DRINK ONE

CANTEEN OF COOL WATER BE PREPARED TO PERFORM MOUTH TO MOUTH EVAC AS SOON AS POSSIBLE

DO NOT DELAY EVAC TO START COOLING

COLD INJURIES

FIVE TYPES OF COLD INJURIES CHILBLAIN IMMERSION SYNDROME FROSTBITE HYPOTHERMIA SNOW BLINDNESS

CHILBLAIN

SIGNS AND SYMPTOMS SKIN EXPOSED TO 50° F ACUTELY RED, SWOLLEN, HOT, TENDER,

AND OR ITCHING SKIN OPEN SORES OR BLEEDING LESIONS FROM

PROLONGED EXPOSURE TREATMENT

APPLY LOCAL WARMING (HANDS INARMPITS)

DO NOT RUB OR MASSAGE AFFECTED AREA APPLY FIELD DRESSING TO LESIONS HAVE CASUALTY SEE MEDICAL PERSONEL

IMMERSION SYNDROME

SIGNS AND SYMPTOMS HAND OR FOOT IN WATER FOR AN EXTENDED

PERIOD OF TIME MAY HAVE BLISTERS, SWELLING, REDNESS,

AND BLEEDING FIRST PHASE –

HAND OR FOOT IS COLD AND WITHOUT PAIN SECOND PHASE-

AFFECTED LIMB IS BURNING HOT WITHSHOOTING PAINS

THIRD PHASE- PALE SKIN, CYONOSIS OF NAIL BEDS AND

LIPS, AND A WEAK PULSE

IMMERSION SYNDROME

TREATMENT DRY AFFECTED AREA IMMEDIATELY REMOVE WET CLOTHING AND REPLACE

WITH DRY WARM CLOTHING GRADUALLY REWARM AFFECTED AREA

DO NOT RUB OR MASSAGE ELEVATE AFFECTED AREA PROTECT FROM ADDITIONAL INJURY EVAC AS SOON AS IS PRACTICAL

FROSTBITE

USUALLY OCCURES ON CHEEKS NOSE EARS CHIN FOREHEAD FINGERS HANDS WRISTS TOES FEET

FROSTBITE SIGNS AND SYMPTOMS

FLESH EXPOSED TO TEMPERATURES BELOW 32° F SUPERFICIAL

REDDISH (FAIR COMPLEXION) GRAYISH (DARK COMPLEXION) AREA ON EXPOSED SKIN

SUDDEN WHITENING OF AFFECTED AREA TINGLING SENSATION FOLLOWED BY NUMBNESS

DEEP NO FEELING IN THE AFFECTED AREA PALE,YELLOW, WAXY-LOOKING SKIN SOLID FLESH RED-VIOLET

DISCOLORIZATION,BLISTERS,SLOUGHING OF SKIN MAY OCCUR 1-5 DAYS LATER

FROSTBITE TREATMENT OF FROSTBITE

MOVE CASUALTY TO A SHELTERED AREA LOOSEN CONSTRICTIVE CLOTHING REMOVE JEWELRY GRADUALY REWARM WITH WARM AIR DO NOT EXPOSE TO EXTREME HEAT DO NOT RUB, MASSAGE, OR SOAK GIVE CASUALTY A WARM DRINK

NO ALCOHOL OR TABACCO PROTECT FROM ADDITIONAL EXPOSURE OR

REINJURY EVAC AS SOON AS POSSIBLE

HYPOTHERMIA

OCCURS WHEN THE WHOLE BODY IS COOLED TO AN UNUSUALLY LOW TEMPERATURE

RECTAL TEMPERATURE IS LESS THEN 95° F THIS IS A MEDICAL EMERGENCY WHICH

CAN RESULT IN DEATH WITHOUT PROPER MEDICAL TREATMENT

HYPOTHERMIA SIGNS AND SYMPTOMS

MODERATE HYPOTHERMIA APATHETIC, LETHARGIC BEHAVIOR PALE COLD SKIN ACETONE BREATH ODOR SHIVERING WHICH SOON STOPS LOW BODY TEMP (USUALLY 90°-95°F)

SEVERE HYPOTHERMIA ICE COLD SKIN SLOW SHALLOW RESPIRATIONS FAINT IRREGULAR PULSE GLASSY EYES MENTAL CONFUSION UNCONCIOUSNESS VERY LOW BODY TEMP BELOW 85°

HYPOTHERMIA

TREATMENT OF HYPOTHERMIA MODERATE

MOVE CASUALTY TO SHELTEREDENVIRONMENT

REPLACE WET CLOTHING WITH DRY ORSLEEPING BAG

COVER CASUALTY WITH BLANKETS APPLY HEAT TO ARMPITS GROIN AND

ABDOMEN GIVE CASUALTY WARM DRINKS NO ALCOHOL OR TOBACCO EVAC IN RECUMBANT POSITION

HYPOTHERMIA

TREATMENT OF SEVERE HYPOTHERMIA CUT AWAY WET CLOTHING REPLACE WITH

DRY ENSURE AIRWAY REMAINS OPEN

NO J-TUBE MOUTH TO MOUTH IF REPIRATIONS ARE

LESS THAN 5 PER MINUTE APPLY AN ADDITIONAL HEAT SOURCE

ANOTHER SOLDIER WORKS WELL EVAC AS SOON AS POSSIBLE

EVAC EVEN IF NO BREATHING OR PULSE BE GENTLE MOVING THE CASUALTY

SNOW BLINDNESS CAUSED BY ULTRAVIOLET SUNLIGHT REFLECTING

OFF SNOW OR ICE SIGNS AND SYMPTOMS

SCRATCHY FEELING TO SEVERE PAIN DECREASED VISION TEARS DIFFICULTY OPENING EYELIDS HEADACHE PAIN

TREATMENT COVER EYES WITH A DARK CLOTH REASSURE CASUALTY THAT IT IS TEMPORARY EVAC AS SOON AS PRACTICAL

CHEMICAL AGENTS

NERVE BLISTER CHOKING BLOOD

NERVE AGENT SIGNS AND SYMPTOMS

RUNNY NOSE, DROOLING TIGHTNESS IN CHEST CRAMPS, NAUSEA, VOMITING WHEEZING, COUGHING, GURGLING SEVERELY PINPOINTED PUPILS RED TEARING EYES SEVERE MUSCLE TWITCHING LOSS OF BLADDER AND BOWEL CONTROL CONVUSIONS UNCONCIOUSNESS RESPIRATORY FAILURE

NERVE AGENT

TREATMENT MASK CASUALTY ADMINISTER ANTROPINE

UPPER OUTER THIGH ANTROPINE (SMALLER) 2-PAM CHLORIDE (LARGER) SECURE TO POCKET FLAP WAIT 5 MINUETS TAKE PULSE PULSE LESS THEN 90 GIVE SECOND DOSE EVAC

BLISTER AGENT SIGNS AND SYMPTOMS

EYES SENSITIVITY TO LIGHT GRITTY FEELING IN THE EYES INFLAMATION OF THE INNER EYELID SWELLING AND SPASMING OF THE

EYELIDS WATERY EYES PAIN

BLISTER AGENT SKIN

ITCHING SWELLING AND REDNESS BLISTERS PAIN

RESPIRATORY TRACT THROAT IRRITATION HARSH COUGH &HOARSE VOICE FROTHY SPUTUM RUNNY NOSE FREQUENT SNEEZING

OTHER HEADACHE NAUSEA VOMITING DIARRHEA

BLISTER AGENT TREATMENT

FLUSH EYES DECON FACE AND EXPOSED SKIN DO NOT DECON BLISTERS DO NOT BREAK BLISTERS

CHOKING AGENT EARLY SIGNS AND SYMPTOMS

TEARS DRY THROAT TIGHTNESS IN CHEST CHOKING COUGH NAUSEA OR VOMITING HEADACHE

CHOKING AGENT LATE SIGNS AND SYMPTOMS

ANXIETY WHEEZING RAPID, SHALLOW BREATHING WEAK RAPID PULSE SERIOUS ATTACKS OF COUGHING PRODUCING

WHITE OR YELLOW FLUID SOMETIMESFROTHY OR TINTED WITH BLOOD

CYANOSIS SHOCK RESPIRATORY ARREST (DRY LAND

DROWNING)

CHOKING AGENT TREATMENT FOR EARLY SYMPTOMS

MASK SIT QUIETLY UNTIL SYMPTOMS PASS ASSIGNED TO LIGHT DUTY ONLY

TREATMENT FOR LATE SYMPTOMS MASK SIT QUIETLY PROTECT FROM HEAT OR COLD EVAC AS SOON AS POSSIBLE

BLOOD AGENT SIGNS AND SYMPTOMS

DIZZINESS AND HEADACHE CHERRY RED SKIN IRRITATION OF THE EYES NAUSEA AND VOMITING SLOW PULSE RAPID DEEP BREATHS FOLLOWED BY

SHALLOW BREATHING CONVULSIONS RESPIRATORY ARREST CARDIACARREST

BLOOD AGENT

TREATMENT

MASK THE CASUALTY

EVAC AS SOON AS POSSIBLE

TRAUMA IN AN NBC ENVVIRONMENT

REMOVE PROTECTIVE GARMENTS GIVE IV‘s ATTEMPT TO PERFORM MOUTH TO MOUTH PUT YOURSELF AT RISK

DECON WOUNDS AND SURROUNDING AREAS TO THE BEST OF YOUR ABILITY

PLACE BANDAGES OVER THE CASUATY’S OVER GARMENT

GET MEDICAL HELP

MASK

PRACTICENBC

HANDS ON SKILLS

BATTLE FATIGUE

BATTLE FATIGUE A PSYCHOLOGICAL INJURY RESULTING FROM THE

CONDITIONS ON THE BATTLE FIELD COMPOUNDED BY PHYSICAL ILLNESS LACK OF SLEEP PHYSICAL EXHAUSTION CONSTANT ALERTNESS TRAMA OF SEEING A FELLOW SOLDIER KILLED OF KILLING,BEING KILLED,OR MAIMED FEAR OF FAILURE OR DISGRACE LACK OF PERSONAL HYGIENE LACK OF FOOD PERSONAL ISSUES THE ENVIRONMENT

CAN AFFECT EVEN SEASONED VETERANS

BATTLE FATIGUE PHYSICAL SIGNS AND SYMPTOMS (MILD )

TENSENESS, JUMPY HEADACHE, BACKACHE, PAIN IN OLD WOUNDS FIDGETING, HANDS TREMBLING, FUMBLING COLD SWEAT, DRY MOUTH, PALE SKIN BLURRED VISION POUNDING HEART, DIZZY, OR LIGHT HEADED OUT OF BREATH TINGLING, CRAMPS OR NUMBNESS IN DIGITS UPSET STOMACH, DRY HEAVES OR VOMITING EMPTYING BOWELS OR BLADDER WHEN DANGER

APPEARS FATIGUE 1000yd STARE

BATTLE FATIGUE MENTAL AND EMOTIONAL SIGNS AND SYMPTOMS

(MILD) ANXIETY, BOTHERED BY LITTLE THINGS IRRITABILITY, COMPLAINING DIFFICULTY PAYING ATTENTION OR

REMEMBERING DETAILS DIFFICULTY THINKING, SPEAKING, AND

COMMUNICATING DIFFICULTY SLEEPING (BAD DREAMS) GRIEVING, CRYING FOR DEAD OR WOUNDED GUILT ANGER OR RESENTMENT FEELING LET DOWN, LOSS OF CONFIDENCE IN

SELF OR OTHERS

BATTLE FATIGUE TREATMENT (MILD)

BE CALM KEEP SOLDIER FOCUSED ON THE MISSION ENCOURAGE EATING, HYGIENE, AND SLEEP KEEP SOLDIER BUSY GIVE SOLDIER SIMPLE WELL LEARNED TASKS HAVE SOLDIER USE RELAXATION

TECHNIQUES ENCOURAGE SOLDIER TO VENT HIS FEELINGS REMIND SOLDIER THAT SOME DEGREE OF

BATTLE FATIGUE IS TO BE EXPECTED

BATTLE FATIGUE PHYSICAL SIGNS AND SYMPTOMS

(MODERATE/SEVERE) CANNOT KEEP STILL ARMS OR WHOLE BODY SHAKES COWERING IN TERROR FLINCHING OR DUCKING AT SUDDEN MOVEMENTS SUDDEN PARALYSIS OF BODY PART(S) WITH NO

INJURY SUDDEN BLINDNESS OR DEAFNESS WITHOUT

INJURY FREEZING UNDER FIRE TOTAL PHYSICAL EXHAUSTION (JUST SITS OR

STANDS) STAGGERING OR SWAYING WHEN STANDING

BATTLE FATIGUE MENTAL AND EMOTIONAL SIGNS AND SYMPTOMS

(MODERATE/SEVERE) RAPID TALKING STARTING FIGHTS, RECKLESS SOCIAL WITHDRAWAL INATTENTIVENESS TO SELF CARE APATHETIC, INDIFFERENT TO DANGER CAN’T REMEMBER ORDERS DUTIES OR WHERE

HE IS INABILITY TO CONCENTRATE OR MAKE

DECISIONS SEVERE SPEECH PROBLEMS, STUTTERING,

INABILITY TO TALK FEAR OF SLEEPING EVEN IN SAFE AREAS SEES THINGS RAPID EMOTIONAL SWINGS PANIC, RUNNING UNDER FIRE

BATTLE FATIGUE TREATMENT (MODERATE/ SEVERE)

APPEAR CALM AND IN CONTROL TALK THE CASUALTY INTO COOPERATING TAKE HIS WEAPON AWAY PHYSICALLY RESTRAIN IF NECESSARY GET MEDICAL ASSISTANCE IF POSSIBLE EVACUATE IF HE IS DANGEROUS OR DOES

NOT IMPROVE MOST SEVERE BATTLE FATIGUE SOLDIERS

RETURN TO THERE UNITS WITHIN THREEDAYS (70-80%)

PHARMACOLOGY ASPRIN

INDICATIONS MUSCLE TENSION HEADACHES MUSCULAR ACHES AND PAINS LOWER BACK PAIN TOOTH ACHES MENSTRUAL DISCOMFORT FEVER COMMON COLD SYMPTOMS

PHARMACOLOGY ASPIRIN

CONTRAINDICATIONS KNOWN ALLERGY TO SALICYLATES CONTINOUS BLEEDING FROM A

WOUND HAS ULCERS ASTHMA PREGNANT TAKING MEDICATION FOR DIABETES

OR ARTHRITIS CHILDREN WITH SYMPTOMS OF

INFLUENZA OR CHICKEN POX


DOSAGE ONE OR TWO TABLETS EVERY 4 TO

SIX HOURS UP TO 12 TABLETS EVERY24 HOURS

SHOULD BE TAKE WITH WATER MILKOR FOOD

DISCONTINUE IF THE CASUALTY HASA RINGING IN HIS EARS OR OTHERSIGNS OF ASPIRIN OVERDOSE


OVER DOSE RINGING IN THE EARS DEEP RAPID RESPIRATIONS WHICH

BECOME SHALLOW AS THE CASUALTYTRIES

FEVER AND SWEATING VOMITING DEHYDRATION CONVULSIONS UNCONSCIOUSNESS


OVERDOSE TREATMENT HAVE CASUALTY VOMIT IF

CONSCIOUS TREAT FOR HYPOVOLEMIC SHOCK IF

NECESSARY EVAC

PHARMACOLOGY ANTIHISTAMINE

INDICATIONS RUNNY NOSE NASAL CONGESTION SNEEZING MINOR RESPIRATORY DISTRESS WATERY EYES

PHARMACOLOGY

ANTIHISTAMINE CONTRAINDICATIONS

IS ALLERGIC TO ANY OF THE INGREDIENTS IN THE TABLET

HAS A HIGH FEVER MUST REMAIN ALERT HAS OR WILL CONSUME ALCOHOL HEART PROBLEMS OR VASCULAR

DISEASE DIABETES ASTHMA HYPERTENSION PREGNANCY CHILDREN UNDER 12 YEARS OLD

PHARMACOLOGY ANTIHISTAMINES

DOSAGE

ONE TABLET EVERY 12 HOURS

NO MORE THAN 2 TABLETS IN ATWENTY-FOUR HOUR PERIOD

PHARMACOLOGY ANTIHISTAMINES

OVERDOSE DIZZINESS NERVOUSNESS SLEEPLESSNESS

TREATMENT EVAC

Combat Life Saver 9-13 July 01 Primary Instructor SFC Brady.

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Transcript of Combat Life Saver 9-13 July 01 Primary Instructor SFC Brady.