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PRIMARY CARE IN A COMBAT ZONE COL AMANDA CONLEY 1 4/7/13 - PDF document

Nov 24, 2022 •317 likes •527 views

4/7/13 PRIMARY CARE IN A COMBAT ZONE COL AMANDA CONLEY 1 4/7/13 OBJECTIVES Demonstrate understanding of basic diagnosis and treatment under austere condi8ons. Verbalize

  1. 4/7/13 ¡ PRIMARY CARE IN A COMBAT ZONE COL AMANDA CONLEY 1 ¡

  2. 4/7/13 ¡ OBJECTIVES Demonstrate ¡understanding ¡of ¡basic ¡diagnosis ¡ and ¡treatment ¡under ¡austere ¡condi8ons. ¡ Verbalize ¡challenges ¡of ¡trea8ng ¡with ¡limited ¡ formulary. ¡ Discuss ¡providing ¡care ¡with ¡defini8ve ¡care ¡300 ¡ miles ¡away. ¡ Discuss ¡factors ¡which ¡pre-­‑dispose ¡soldiers ¡to ¡ PTSD. ¡ ¡ 2 ¡

  3. 4/7/13 ¡ DEFINITION OF COMBAT ZONE Area ¡of ¡imminent ¡or ¡poten8al ¡danger ¡from ¡ enemy ¡offensive. ¡ COMMON PRESENTING COMPLAINTS Hypertension ¡ Abdominal ¡pain ¡ H1N1 ¡flu ¡ Sleep ¡disorders ¡ Suicide ¡ Trauma ¡ “Robo-­‑tripping” ¡ PTSD ¡ 3 ¡

  4. 4/7/13 ¡ HYPERTENSION Difficult ¡to ¡obtain ¡reading ¡(noise), ¡skill ¡level ¡of ¡ Medic ¡ Limited ¡medical ¡history ¡ Treatment ¡op8ons: ¡ ¡beta ¡blockers, ¡quarters. ¡ Mission ¡essen8al ¡personnel ¡ Soldier ¡compliance ¡ ¡ ¡ ¡ ABDOMINAL PAIN KIDNEY ¡STONES-­‑Environmental ¡condi8ons ¡ Diagnosis: ¡X-­‑ray ¡at ¡TMC ¡ Treatment: ¡IV ¡fluid, ¡Kuwait ¡City ¡GU ¡clinic ¡ ¡ ECTOPIC ¡PREGNANCY-­‑R&R ¡VISITS ¡ Diagnosis: ¡urine ¡pregnancy, ¡history ¡ Treatment: ¡Transfer ¡300 ¡miles ¡for ¡surgery ¡ 4 ¡

  5. 4/7/13 ¡ CLINIC AND BUNKER H1N1 FLU Immuniza8on ¡at ¡mob ¡site ¡100% ¡ Sleeping ¡tents: ¡70 ¡soldiers ¡ Hygiene ¡poor ¡ Port-­‑a-­‑poeys ¡ Preventa8ve ¡medicine: ¡cultures ¡ Isola8on ¡tents ¡“iso ¡tents” ¡ 5 ¡

  6. 4/7/13 ¡ SLEEP DISORDERS Noise-­‑aircrag, ¡generators, ¡others ¡ Security-­‑no ¡locks ¡ Anxiety ¡ Rx: ¡Ambien ¡ ¡ ¡ ¡ ¡hallucinogen, ¡weapons, ¡sleepwalk ¡ ¡ ¡ ¡ ¡ ¡ VISIBILITY BLACK 6 ¡

  7. 4/7/13 ¡ ROBO-TRIPPING Robitussin ¡DM; ¡Vicks ¡44 ¡ ¡ Dextromethorphan ¡(DXM) ¡ ¡an8tussive ¡ ¡ ¡ ¡ ¡OTC ¡ ¡ ¡ ¡sent ¡from ¡home ¡ ¡ ¡ ¡hypertension/hypotension ¡ ¡ ¡ ¡dysrhythmias ¡ ¡ ¡ ¡seizures ¡ ¡ ¡ ¡motor ¡func8on ¡impairment ¡ ¡ PTSD Isola8on ¡from ¡family ¡ Constant ¡threat: ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡enemy ¡(focus ¡of ¡training) ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡Iraq ¡army ¡train/live ¡with ¡us ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡tcn ¡-­‑temporary ¡contract ¡ ¡ ¡ ¡ ¡na8onalist ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡ ¡sleep ¡interrup8ons ¡ ¡ 7 ¡

  8. 4/7/13 ¡ DECORATE BARBEQUE 12/25/2012… 122! 8 ¡

  9. 4/7/13 ¡ CHRISTMAS 2012 EXERCISE 9 ¡

  10. 4/7/13 ¡ QUESTIONS? 10 ¡

  11. 4/7/13 ¡ 11 ¡

  12. 4/7/13 ¡ RODNEY ATKINS K-CROSSING 12 ¡

  13. 4/7/13 ¡ CONVOY LEAD VEHICLE 13 ¡

  14. 4/7/13 ¡ WATER TOWERS NO COMMENT 14 ¡

  15. 4/7/13 ¡ SUMMARY OF EXPERIENCE 15 ¡

  16. 4/7/13 ¡ FAMILY HOMESTEADS 16 ¡

  17. 4/7/13 ¡ ROADSIDE TRASH MY BUNKER 17 ¡

  18. 4/7/13 ¡ BLACK HAWK FULL GEAR 18 ¡

  19. 4/7/13 ¡ MOSQUE NEAR KUWAIT CITY 19 ¡

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