12/10/2014 Special Operations Combat Medic PFN: SOMTCL02 Hours: 2.0 - PDF document

12/10/2014 Special Operations Combat Medic PFN: SOMTCL02 Hours: 2.0 Instructor: JSOMTC, SWMG(A) Slide 1 Terminal Learning Objective  Action: Communicate knowledge of the Special Operations Combat Medic  Condition: Given a lecture in a classroom environment  Standard: Received a minimum score of 75% on the written exam IAW course standards JSOMTC, SWMG(A) Slide 2 Reason The SOCM must program their reactions and learn from their responses JSOMTC, SWMG(A) Slide 3 1

12/10/2014 Agenda  Define the Special Operations Combat Medic  Outline SOCM trauma training  Identify Combat Medic variables  Describe environment based thinking  Identify Combat Medic equipment  Identify SOCM packing principles  Determine death and resuscitation termination  Identify SOCM Pearls of Wisdom JSOMTC, SWMG(A) Slide 4 Special Operations Combat Medic JSOMTC, SWMG(A) Slide 5 SOCM “ Special Operations Combat Medics (SOCMs) may often find themselves in austere tactical environments where evacuation of a teammate to a medical treatment facility may not be possible or may be severely delayed. They must be prepared for any injury within any environment.” JSOMTC, SWMG(A) Slide 6 2

12/10/2014 SOCM Abilities  Capability to treat numerous different types of traumatic wounds  Aptitude to increase team survivability  Comprehension of multisystem trauma patients  Dexterity to operate in all types of environments tactically and medically  Competence to self adjust shortfalls JSOMTC, SWMG(A) Slide 7 Core Attributes  Integrity  Courage  Perseverance  Personal Responsibility  Professionalism  Adaptability  Team Player  Capability JSOMTC, SWMG(A) Slide 8 SOCM Trauma Training JSOMTC, SWMG(A) Slide 9 3

12/10/2014 Trauma 1  ACLS  PEPP  Military Medicine  Lecture / PMST II JSOMTC, SWMG(A) Slide 10 Trauma 2  Trauma Patient Assessment (TPA)  Trauma Surgical Skills (TSS)  Combat Trauma Management (CTM) JSOMTC, SWMG(A) Slide 11 Trauma 3  K9 Instruction  Tactical Combat Casualty Care  Military Triage  MASCAL  Advanced Trauma Management (ATM)  Field Training Exercise (FTX) JSOMTC, SWMG(A) Slide 12 4

12/10/2014 Summation  Each training block is built to add onto the next section  Skills are introduced and reinforced  The medical information will always be changing and the SOCM needs to be informed and integrating the new knowledge JSOMTC, SWMG(A) Slide 13 Combat Medic Variables JSOMTC, SWMG(A) Slide 14 Two Types Of Variables  Controllable  Uncontrollable JSOMTC, SWMG(A) Slide 15 5

12/10/2014 Controllable Variables What are the variables we can control? 1. Preparation/ Training/ Contingency Plans 2. Mental Capacity/ Composure/ Emotion 3. Education/ Medical Updates JSOMTC, SWMG(A) Slide 16 Mental Capacity  Developed securely through experience  The ability to filter out what is important in relation to all stimuli  Maturity to distinguish threat from non ‐ threat medically and tactically  Maturity of reaction JSOMTC, SWMG(A) Slide 17 Preparation Preparation entails: 1. Team training 2. Medic training 3. Augmentee training in medical skills 4. Indigenous integration 5. Equipment placement (individual vs. aid bag) 6. PCI checks for mission JSOMTC, SWMG(A) Slide 18 6

12/10/2014 Training  Medical skills are perishable  Team Medical SOP’s (must be enforced)  Medical training should not be a separate event from other training  Focus on the basics when training teammates (BLS, bandaging and splinting) JSOMTC, SWMG(A) Slide 19 Numerous Concerns JSOMTC, SWMG(A) Slide 20 Beyond Medical Concerns Mini ‐ gun MBTIR fill   Feed mechanism for the Mini ‐ gun MBTIR zero   Load plan for rounds(mini ‐ gun) MBTIR operation   Round box maintenance Winch operation (GMV)   Pindle configuration for Mini ‐ gun Compressor   Power Layout Power converter   Feed tube immediate action AT ‐ 4 safety   Trigger operation AT ‐ 4 operation   Trigger maintenance Carl Gustav safety   M240 operation (butterfly trigger) Carl Gustav operation   M249 operation 60mm mortar   M4 operation Trigger fire operation   M9 operation Mortar round settings   DAMA 102 SAT   MERC Chat Team internal chat   JSOMTC, SWMG(A) Slide 21 7

12/10/2014 Preparation is Controllable  There are many, many competing considerations besides medical proficiency and training (weapons maintenance)  As a medical operator, stressing medical training will be a non ‐ stop job requirement  Training and preparation is a controllable variable that needs to be stressed in terms of the medical component JSOMTC, SWMG(A) Slide 22 Uncontrolled Variables JSOMTC, SWMG(A) Slide 23 Uncontrollable Aspects  Weather  Follow ‐ on missions  Enemy activity  Unavoidable equipment malfunction  Changing environment  Number of casualties  Evacuation response time JSOMTC, SWMG(A) Slide 24 8

12/10/2014 Variables Continued  Resupply response time  Time of day  Augmentee additions to mission  Force strength (teammates leaving or entering theatre)  Loyalties of Indigenous forces JSOMTC, SWMG(A) Slide 25 Key points  Categorizing variables helps the operator define the battlefield  “How can I deflate this variable which is uncontrollable?”  Each mission requires a different thought process for the SOCM  The mission may be constant but the execution will change (multi ‐ use items) JSOMTC, SWMG(A) Slide 26 Key points Continued  “The operator cannot wait for information to come to them, they must first establish what information they need and then seek it out until they find a required answer”  Developing initiative for preparation will save more lives than any other skill JSOMTC, SWMG(A) Slide 27 9

12/10/2014 Environment Based Thinking JSOMTC, SWMG(A) Slide 28 All Actions Depend on Environment JSOMTC, SWMG(A) Slide 29 Casualty Movement JSOMTC, SWMG(A) Slide 30 10

12/10/2014 Casualty Aid JSOMTC, SWMG(A) Slide 31 Casualty Movement JSOMTC, SWMG(A) Slide 32 2 nd Soldier Shot JSOMTC, SWMG(A) Slide 33 11

12/10/2014 What is the Environment? JSOMTC, SWMG(A) Slide 34 Review of Reaction  Casualty appears in open area  Rescuer responds by running to casualty (unknown suppressive fire extent)  Casualty weight is overwhelming limiting speed of exit to solid cover  2 nd rescuer responds in same manner  One rescuer becomes casualty  Rescuer retreats from open area to regroup JSOMTC, SWMG(A) Slide 35 Schematic Wood Enemy Building fire Rescuer direction of travel Road Road Enemy fire JSOMTC, SWMG(A) Slide 36 12

12/10/2014 Environmental Factors  Enemy position unknown or well covered  Large open area, little solid cover  Casualty is unresponsive, no help with extraction  Casualties equipment adds weight  Daylight, full visibility  Distance to solid cover extensive JSOMTC, SWMG(A) Slide 37 Keys to Rescue/ SOCM Thought Process  Enemy position located (fire superiority)  Location for casualty located (solid cover)  Method of extraction (casualty carry)  Aided rescue tactics (smoke, vehicle cover)  Factors of speed (equipment necessity)  Factors of speed (# of rescuers, pros, cons)  Coordination/ Orchestration (effective fire)  Communication JSOMTC, SWMG(A) Slide 38 Schematic Wood Enemy Building fire Rescuer direction of travel Road Vehicle Road Enemy fire Which way to bring casualty? JSOMTC, SWMG(A) Slide 39 13

12/10/2014 Tactical Principles  3 F’s of Combat  Find  Fix  Finish  Finding the enemy is easier said than done  Fixing the enemy requires accurate suppression  Finishing may require any number of possibilities JSOMTC, SWMG(A) Slide 40 Medic Considerations  The thought process and communication requirements for the Medic revolves around the 3 F’s.  Care Under Fire phrase is misleading  Limited medical care should be given to the casualty until SOLID cover is between you and the enemy  SOLID cover will be different for every environment JSOMTC, SWMG(A) Slide 41 Considerations Continued SOLID cover examples JSOMTC, SWMG(A) Slide 42 14

12/10/2014 Environment Scenario JSOMTC, SWMG(A) Slide 43 Suicide Bomber  Your clinic has been targeted by suicide bombers  As the only medic involved in the clinic you need to make the clinic safe due to this threat JSOMTC, SWMG(A) Slide 44 Schematic Door Entrance Door Entrances Female Clinic 50 meter distance Male Clinic Safe Area Suicide Bomber Threat is imminent to the from cross checked intelligence reports West and HUMINT resources. Two way road 10 meter mud wall JSOMTC, SWMG(A) Slide 45 15

12/10/2014 Resources available  2inX4inX8ft wood planks (unlimited)  Nails unlimited  5 Camp workers with necessary tools (shovels, hammers, etc)  1 loader  3ftX3ft Hesco containers (unlimited amount)  30 man Afghan Infantry Co  All the mud you want JSOMTC, SWMG(A) Slide 46 Exercise  With the schematic and the resources given you must make the clinic safe for your patients, the host nation doctors working for you, your teammates, and any other guests which may visit the clinic at any time  You now have 10 minutes to think about and draw out a strategy for safety  Questions? JSOMTC, SWMG(A) Slide 47 Schematic Review Door Entrance Door Entrances Female Clinic 50 meter distance Male Clinic Safe Area Suicide Bomber Threat is imminent to the from cross checked intelligence reports West and HUMINT resources. Two way road 10 meter mud wall JSOMTC, SWMG(A) Slide 48 16