“Do or do not. There is not try.” -YODA
Class
This week in class we focused on the medical aspects of what it’s like to be deployed and having to deal with medical emergencies and injuries in general. On Tuesday, we began class by talking about TCCC, which is tactical combat casualty care. There are three types of combat care: care under-fire, tactical field care, and tactical evaluation care.
The most important rule to care under-fire is making sure to return fire and gain fire superiority before tending to yourself and others. You need to make sure you eliminate the threat to the best of your ability so no one else risks getting hurt. After this, you tend to yourself briefly so that you are stabilized and then you look to those around you who need help. You first want to stop any major bleeding so that the casualty doesn’t bleed out. Then you perform MARCH, which is checking for massive hemorrhaging, airway, respiration, circulation, and head injury/hypothermia. You can do things like checking for a pulse, counting the number of breaths in a minute, checking the pupils, and applying a thermal blanket or chest seal if needed until you can get them evacuated.
If the area is secure and easy to get to, a medevac is the best option for a serious injury. This is where you call in to your base for a helicopter for air evacuation.
Class 2
This is what we learned about in Thursday’s class, how to call for a medevac over the comms. There is a specific way to do this, they call it the “9-Line MEDEVAC”. I’ll post a picture of the directions below because it’s a lot to explain by just writing it out, but basically each line represents something like the number of patients, or special equipment needed like a hoist for water or a ventilator to keep the patient alive. Also, the phonetic alphabet is used to make communication easier. For example if you have 2 urgent patients and 5 urgent-surgical patients for line 2 you would say, “Line 2 , Alpha – 2, Bravo – 5”.
The difference between ‘wartime’ and ‘peacetime’ is exactly what you think. Wartime is when you were under fire and still may be within the enemies reach which is why you might need to specify things such as are there enemy troops in the area (line 6) or is/was there any chemical, biological, nuclear contamination (line 9). Peacetime is when you were doing training exercises, practicing, or even just some recon and someone is injured badly enough that they need to be airlifted.
I have to admit, this has been one of my favorite lessons we’ve learned because I was learning a lot of new information and I felt as if this was something I 100% need to know, which makes studying it that much more fun. Also, our instructor gave us a lot of real-life scenarios that he has had to deal with which was really helpful to get a perspective on what situations we might have to deal with. I hope you guys have enjoyed reading my blog posts as much as I have enjoyed writing them!