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Canadian Forces Approach to TC3
Presenter: Lt Col. Nick Withers MD – CCFP Canadian Forces Health Services GRP HQ
Lecture: Canadian Forces Approach to TC3
Canadian Forces number 70,000 with a Reserve of 30,000. 900 Med Techs. Tri-service and interchangeable. Budget $20 billion.
Compare to US – 3 million soldiers (AC/RC) with a budget of $480 billion.
CCC Training has three levels – Military Standard First Aid, Combat First Aid, and TCCC (11 day course).
Med Techs are all qualified as civilian Primary Care Paramedics and can advance their skills via three routes – Advanced Emergency Care, Tac Med Training, and/or PA.
TCCC 11 day course is broken down into 2 phases. Phase 1 includes topics such as Human Performance in TCCC, Critical Thinking, TCCC Paradigm (TCCC bubble, extraction techniques, Pluck lab, Tactical lab), Tactical training, Shooting, Live tissue training (swine). Phase 2 topics include the field portion and Mass Casualty.
Use the MARCHE acronym – Massive hemorrhage control, Airway, Respiratory control, Circulatory control, Hypothermia, and Eye trauma/Everything else.
For C-spine injuries, use the NEXUS criteria or the Canadian C-spine rules.
Re shock – use Hypertonic Saline 7.5% or Dextran 6%. 250 ml IV/IO q 10-15 min x 2.
Abx – Minofloxin 400 mq po q 24 hrs, Cefoxitin 2 g IV/IO/IM q 8 hrs, or Clinda 600 mg IV/IO/IM q 8 hrs (PCN alolergic).
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"And dying in your beds many years from now, would you be willing to trade all the days from this day to that for one chance, just one chance to come back here and tell our enemies that they may take our lives, but they'll never take our freedom?"- Braveheart
de Oppresso Liber
Last edited by olhamada; 12-17-2009 at 22:02.
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