c191w1tc cmast - point of wounding care

8/19/2019 C191W1TC CMAST - Point of Wounding Care

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Point of Wounding CarePoint of Wounding Care

COMBAT MEDIC ADVANCED SKILLS TRAINING (CMAST


2/49

CMAST 2


!"# of a$$ %att$efie$d &a'ua$tie' die %efore!"# of a$$ %att$efie$d &a'ua$tie' die %efore

te) rea& definiti*e +edi&a$ &are,te) rea& definiti*e +edi&a$ &are,

Point of -ounding &are i' te re'.on'i%i$it)Point of -ounding &are i' te re'.on'i%i$it)

of teof te indi*idua$ 'o$dier/ teir %att$e %udd)indi*idua$ 'o$dier

/ teir %att$e %udd)//

te Co+%at Life'a*er/ and te So$dierte Co+%at Life'a*er/ and te So$dier

Medi&,Medi&,


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CMAST 3


Cau'e' of deat on te %att$efie$d0Cau'e' of deat on te %att$efie$d0

1 Penetrating ead trau+a 23#Penetrating ead trau+a 23#

1 4n&orre&ta%$e tor'o trau+a 56#4n&orre&ta%$e tor'o trau+a 56#

1 Potentia$$) &orre&ta%$e tor'o trau+a 3"#Potentia$$) &orre&ta%$e tor'o trau+a 3"#

1 77E8'anguination fro+ e8tre+it) -ound' !#E8

'anguination fro+ e8tre+it) -ound' !#

1 Muti$ating %$a't trau+a 9#Muti$ating %$a't trau+a 9#

1 77Ten'ion .neu+otora8 6#Ten'ion

.neu+otora8 6#

1 77 Air-a) .ro%$e+' 3# Air-

a) .ro%$e+' 3#


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CMAST 4

Penetrating :ead Trau+aPenetrating :ead Trau+a


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CMAST 5

Penetrating Tor'o Trau+aPenetrating Tor'o Trau+a


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CMAST 6

E8tre+it) :e+orrageE8tre+it) :e+orrage


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CMAST 7

Muti$ating B$a't Trau+aMuti$ating B$a't Trau+a


8/49

CMAST 8

Ten'ion Pneu+otora8Ten'ion Pneu+otora8

Air pushes over

heart and collapses

lung

Air outside lung

from wound

Heart compressed not able

to pump well


9/49

CMAST 9

Air-a) Trau+a Air-a) Trau+a


10/49

CMAST 10

Cau'e' of Co+%at Wound'Cau'e' of Co+%at Wound'

(WWI, WWII, Korea, Vietnam, Midde !a"t#


11/49

CMAST 11


12/49

CMAST 12


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CMAST 13


Pri+ar) &au'e' of .re*enta%$e deat0Pri+ar) &au'e' of .re*enta%$e deat0

1:e+orrage fro+ e8tre+it) -ound':e+orrage fro+ e8tre+it) -ound'

1 Ten'ion .neu+otora8Ten'ion .neu+otora8

1 Air-a) .ro%$e+' Air-a) .ro%$e+'


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CMAST 14


Tere need' to %e a 'ift in our tin;ing/ te da)' of notTere need' to %e a 'ift in our tin;ing/ te da)' of not

.ro*iding 'e$fui..ed and&a.a%i$it) at te .oint of -ounding/ -o i' e>ui..ed and

trained to de&rea'e .re*enta%$e %att$efie$d deat, Ti'trained to de&rea'e .re*enta%$e %att$efie$d deat, Ti'

'trateg) -i$$ in&rea'e te unit?' &o+%at effe&ti*ene'' and'trateg) -i$$ in&rea'e te unit?' &o+%at effe&ti*ene'' and

it?' 'ur*i*a%i$it), If -e &ou$d +a;e 'o+e +inor &ange' init?' 'ur*i*a%i$it), If -e &ou$d +a;e 'o+e +inor &ange' inour &o++on 'o$dier +edi&a$ ';i$$' training/ -e &anour &o++on 'o$dier +edi&a$ ';i$$' training/ -e &an

i+.ro*e te 'ur*i*a$ rate of 36# of a$$ %att$efie$d deat',i+.ro*e te 'ur*i*a$ rate of 36# of a$$ %att$efie$d deat',


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CMAST 15


Le*e$' of .reo'.ita$ &are on teLe*e$' of .reo'.ita$ &are on te

%att$efie$d0%att$efie$d0

1 Self-Aid/Buddy-Aid (SABA)Self-Aid/Buddy-Aid (SABA)

1 Combat Lifesaver (CLS)Combat Lifesaver (CLS)

1 91W Soldier Medic 91W Soldier Medic


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CMAST 16

Se$f


17/49

CMAST 17

SABA A''e''+ent Ta';'SABA A''e''+ent Ta';'

Perfor+ a ra.id &a'ua$t) initia$ a''e''+ent0Perfor+ a ra.id &a'ua$t) initia$ a''e''+ent0

1 Air-a) Air-a)

1 BreatingBreating 1 Cir&u$ationCir&u$ation


18/49

CMAST 18

SABA Air-a) Ta';'SABA Air-a) Ta';'

Pro*ide Air-a) 'u..ort in an un&on'&iou'Pro*ide Air-a) 'u..ort in an un&on'&iou'

&a'ua$t) u'ing an NPA,&a'ua$t) u'ing an NPA,

P$a&e te &a'ua$t) in te re&o*er)P$a&e te &a'ua$t) in te re&o*er)

.o'ition,.o'ition,


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CMAST 19

Na'o.ar)ngea$ Air-a)Na'o.ar)ngea$ Air-a)


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CMAST 20

SABA Breating Ta';'SABA Breating Ta';'

P$a&e an o&&$u'i*eP$a&e an o&&$u'i*e

dre''ing/ on adre''ing/ on a

.enetrating &e't.enetrating &e't

-ound,-ound,


21/49

CMAST 21

SABA B$eeding Ta';'SABA B$eeding Ta';'

Contro$ e+orrage u'ing a tourni>uet orContro$ e+orrage u'ing a tourni>uet or

an E+ergen&) Trau+a Dre''ing (ETDan E+ergen&) Trau+a Dre''ing (ETD

I'rae$i %andage,I'rae$i %andage,

Co+%at A..$i&ation Tourni>uetCo+%at A..$i&ation Tourni>uet E+ergen&) Trau+a Dre''ingE+ergen&) Trau+a Dre''ing


22/49

CMAST 22

:e+orrage Contro$:e+orrage Contro$


23/49

CMAST 23

Current ir't Aid KitCurrent ir't Aid Kit

Te Ar+) a' +odified te +edi&a$ ta';' trainedTe Ar+) a' +odified te +edi&a$ ta';' trained

during Ba'i& Co+%at Training tat 'ou$d addre''during Ba'i& Co+%at Training tat 'ou$d addre''

te'e i''ue' o-e*er/ te 'o$dier +edi& +u't %ete'e i''ue' o-e*er/ te 'o$dier +edi& +u't %e

.ro*ided -it an u.graded.ro*ided -it an u.graded=ir't


24/49

CMAST 24

Improved First Aid Kit

Combat Application

Tourniquet (CAT)

MOLL T!pe

"ouch

Weight: 1.08 lbs Cube: 128 ci

mergenc! Trauma #ressing

($sraeli %andage)&' erli

*&g +eedle

+asophar!ngeal

Airwa! (+"A)

,' Tape

am -loves (&)


25/49


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CMAST 26

Co+%at Life'a*er Ta';'Co+%at Life'a*er Ta';'

Ra.id &a'ua$t) a''e''+ent,Ra.id &a'ua$t) a''e''+ent,

Contro$ e+orrage,Contro$ e+orrage,

Treat .enetrating &e't trau+a,Treat .enetrating &e't trau+a,

Maintain air-a),Maintain air-a),

Initiate 'a$ine Lo&;,Initiate 'a$ine Lo&;,

Pa&;age &a'ua$t) for tran'.ort,Pa&;age &a'ua$t) for tran'.ort,

Initiate MC,Initiate MC,

Initiate nineue't,Initiate nineue't,


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CMAST 27

Need$e Ce't De&o+.re''ionNeed$e Ce't De&o+.re''ion


28/49

CMAST 28

Need$e Ce't De&o+.re''ionNeed$e Ce't De&o+.re''ion


29/49

CMAST 29

Intra*enou' $uid'Intra*enou' $uid'

Initiate an IV infu'ion -it a 'a$ine $o&;,Initiate an IV infu'ion -it a 'a$ine $o&;,


30/49

CMAST 30

SKED Litter SKED Litter


31/49

CMAST 31

Ta$on II Litter Ta$on II Litter


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CMAST 32

!3W :ea$t Care S.e&ia$i't!3W :ea$t Care S.e&ia$i't

Te 'o$dier +edi& i' te .ri+ar) &areTe 'o$dier +edi& i' te .ri+ar) &are

.ro*ider in te .reui.+ent to

aug+ent te $o-er $e*e$' of &are andaug+ent te $o-er $e*e$' of &are andre'u..$) te CLS, Te) are trained inre'u..$) te CLS, Te) are trained in

Ta&ti&a$ Co+%at Ca'ua$t) Care .rin&i.$e',Ta&ti&a$ Co+%at Ca'ua$t) Care .rin&i.$e',


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CMAST 33

TC


34/49

CMAST 34

TC


35/49

CMAST 35

TC


36/49

CMAST 36


37/49

CMAST 37


38/49

CMAST 38


39/49

CMAST 39

Warrior Aid and Litter KitWarrior Aid and Litter Kit

Atta&;' again't $igt$) ar+ored *ei&$e' Atta&;' again't $igt$) ar+ored *ei&$e'

&ontinue to %e a 'our&e of inur) and deat&ontinue to %e a 'our&e of inur) and deat

to our So$dier', Dire&t and indire&t fireto our So$dier', Dire&t and indire&t fire

-ea.on'/ i+.ro*i'ed e8.$o'i*e de*i&e'-ea.on'/ i+.ro*i'ed e8.$o'i*e de*i&e'and +ine' .rodu&e de*a'tating effe&t',and +ine' .rodu&e de*a'tating effe&t',


40/49

CMAST 40


Se*era$ initiati*e' ranging fro+ i+.ro*edSe*era$ initiati*e' ranging fro+ i+.ro*edar+or ;it'/ and 'and%agging *ei&$e f$oor'/ar+or ;it'/ and 'and%agging *ei&$e f$oor'/to i+.ro*ing So$dier %od) ar+or/ toto i+.ro*ing So$dier %od) ar+or/ to

&anging Ta&ti&' Te&ni>ue' and&anging Ta&ti&' Te&ni>ue' andPro&edure' a*e addre''ed i+.ro*ingPro&edure' a*e addre''ed i+.ro*ingSo$dier 'ur*i*a%i$it), :o-e*er/ notingSo$dier 'ur*i*a%i$it), :o-e*er/ noting'u%'tantia$ a' %een i+.$e+ented to'u%'tantia$ a' %een i+.$e+ented to

addre'' .ro*iding ade>uate &a'ua$t) &areaddre'' .ro*iding ade>uate &a'ua$t) &areat te .oint of -ounding in te'eat te .oint of -ounding in te'e'&enario','&enario',


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CMAST 41


Te'e &on*o)'@.atro$' +a) or +a) notTe'e &on*o)'@.atro$' +a) or +a) not

a*e a So$dier Medi& or e*en a Co+%ata*e a So$dier Medi& or e*en a Co+%at

Life'a*er organi& to te e$e+ent, Te)Life'a*er organi& to te e$e+ent, Te)

+u't re$) on e>ui.+ent &arried on te+u't re$) on e>ui.+ent &arried on te*ei&$e' and on te indi*idua$ to .ro*ide*ei&$e' and on te indi*idua$ to .ro*ide

&are and &ondu&t e*a&uation,&are and &ondu&t e*a&uation,


42/49

CMAST 42

Current Vei&$e ir't aid KitCurrent Vei&$e ir't aid Kit


43/49

CMAST 43


A need e8i't' for a *ei&$e $ife


44/49

CMAST 44


Ti' ;it 'ou$d .ro*ide a 'ing$e unit ofTi' ;it 'ou$d .ro*ide a 'ing$e unit of

i''ue tat -i$$ &ontain a 'u..$) of $ifei''ue tat -i$$ &ontain a 'u..$) of $ife

'a*ing +edi&a$ e>ui.+ent a' -e$$ a' a'a*ing +edi&a$ e>ui.+ent a' -e$$ a' a

&o+.a&t $itter to fa&i$itate &a'ua$t)&o+.a&t $itter to fa&i$itate &a'ua$t)e*a&uation -itout &au'ing furter inur)/e*a&uation -itout &au'ing furter inur)/

uti$iing an) *ei&$e of o..ortunit),uti$iing an) *ei&$e of o..ortunit),


45/49

CMAST 45

.A//$O/ A$# A+# L$TT/ $T

Item $S$

1%Taon II &itter 90C 6530%01%504%9051

1%&itter Carrier 6530%01%504%9056

6% Cra'at" 6510%00%201%17554% Keri 6510%00%058%3047

4% !mer)en*+ Trama -re""in) 6510%01%492%2275

2% Com.at A//i*ation Torniet" 6515%01%521%7976

2% etroatm )ae 6510%00%202%0800

1%anet eatin) 4 /ane 6532%01%525%4062 1%anet iard Wra/ 6532%01%524%6932

1% $a"o/ar+n)ea Aira+ 6515%00%300%2900

2% 6in A*e Wra/" 6510%00%935%5823

2%10%14 )a)e 25%3 in *ateter" 6510%01%521%0910

2%Sam S/int" II 6515%01%494%19512% o" 2 in $+on Ta/e 6510%00%926%8883

1%-re""in), !a"ti* A.domina 6510%01%532%6656

2%Stra/, Tie -on :ni'er"a &itter 6530%01%530%3860

1% ane Marer, Sr'i'a 8345%00%140%4232

Wei)t 22." 8 o it Taon II itter in Carrier; tota *.e "/a*e < 23=12= 12=


46/49

CMAST 46



47/49

CMAST 47


=WALK

'tored on %a&;

';id of GMV

u'ing interna$'ou$der 'tra.'

and >ui&;

re$ea'e rat&et,


48/49

CMAST 48

Su++ar)Su++ar)

Te on$) .$a&e in te &ontinuu+ ofTe on$) .$a&e in te &ontinuu+ of

%att$efie$d &are -ere -e &an dire&t$)%att$efie$d &are -ere -e &an dire&t$)

inf$uen&e 'ur*i*a%i$it) i' at te .oint ofinf$uen&e 'ur*i*a%i$it) i' at te .oint of

-ounding, B) training e*er) 'o$dier to-ounding, B) training e*er) 'o$dier to.ro*ide .oint of -ounding &are -e &an.ro*ide .oint of -ounding &are -e &an

'a*e +ore $i*e' on toda)F' %att$efie$d,'a*e +ore $i*e' on toda)F' %att$efie$d,


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ue'tion'Hue'tion'H

c191w1tc cmast - point of wounding care

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