I was wondering which primary survey sequence we should follow in a combat zone for trauma and which one should we teach to our corpsmen (ABCDE's per ATLS vs. CABDE's per CLS).
Thank you
Thank you
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ATLS vs. CLS
- Thread starter br99
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Definitely CLS
Stop the bleeding.
As an interesting side note...Washington D.C. had the lowest number of homicides last year than it has had in decades. But, they had rougly an equal number of shootings. As a result of lessons learned in Iraq and Afghanistan the EMS guys are getting better and keeping them alive.
As an interesting side note...Washington D.C. had the lowest number of homicides last year than it has had in decades. But, they had rougly an equal number of shootings. As a result of lessons learned in Iraq and Afghanistan the EMS guys are getting better and keeping them alive.
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CLS with IV placement/fluid emphasized as not being the be all end all of trauma care.
they started changing that when i was in iraq but the line unit perception of the value of an IV (at the expense of ABC's) was mind boggling.
--your friendly neighborhood tourniquetting caveman
they started changing that when i was in iraq but the line unit perception of the value of an IV (at the expense of ABC's) was mind boggling.
--your friendly neighborhood tourniquetting caveman
All 8404s need to be taught TCCC. They *should* be getting this at FMTB. However, the way TCCC is taught at FMTB is not always that great, so it's up to you to make sure they have these skills down almost perfectly. Make sure they are recertifying in TCCC in accordance with the 8404 T and R manual--every 24 months I think.
It is also important that GMOs at least are familiar with TCCC principles so that you understand what the HMs are supposed to be doing.
Go here for all the training material: http://www.health.mil/Education_And_Training/TCCC.aspx
In my opinion, Corpsmen don't need to know ATLS in great detail unless they might be helping you out at your BAS. Better to teach them TCCC.
It is also important that GMOs at least are familiar with TCCC principles so that you understand what the HMs are supposed to be doing.
Go here for all the training material: http://www.health.mil/Education_And_Training/TCCC.aspx
In my opinion, Corpsmen don't need to know ATLS in great detail unless they might be helping you out at your BAS. Better to teach them TCCC.
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TCCC guidelines and most of the ACLS/PALS/ATLS are moving toward a CAB(de) algorithm. Win the firefight...stop the arterial bleeding...re-establish airway/ventilation...call the 9 line...perform secondary survey...repeat until Pedro/Dustoff arrives...
