04-28-2004, 21:39
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#31
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That takes too much time IMO. To me, there's not a lot I can do about altered mental state at the scene, so I focus on the things I can fix. Make sure everybody's yelling "Medic!" (Airway, breathing), then move right to "C". The burns weren't too bad, so not likely to be a priority. Shrapnel seems to have done the most damage, so I'm looking for bleeders.
Seems like it was bleeding out. I would check the guys with the thigh wound first, especially the through and through to the other leg, make sure it didn't get the femoral.
quick glance at the compount FX to make sure he wasn't going to go south on me. Then deal with him after I'm sure of the thighs.
Plus, the thigh wound stands a good chance of going into shock if I don't reassure him about his package ASAP.
Make sense? Just me.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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04-28-2004, 21:42
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#32
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pushing my luck...
That was not in SOAP format Sarn't.
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Surgicalcric is offline
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04-28-2004, 21:43
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#33
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Quote:
Originally posted by The Reaper
If us non-medical types are permitted to guess, I would say exsanguination for those who do not make it to clinical treatment.
TR
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From the Special Operations Forces Medical Handbook (2001).
Circulation: Uncontrolled hemorrhage is the leading cause of preventable battlefield deaths. Rapid identification and effective management of bleeding is perhaps the single most important aspect of the primary survey while caring for the combat casualty.
Sir, a soldier with your training is hardly guessing.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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04-28-2004, 21:44
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#34
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Re: pushing my luck...
Quote:
Originally posted by Surgicalcric
That was not in SOAP format Sarn't.
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LOL - Touche Cherry. I SOAP 'em after I get 'em dirty.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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04-28-2004, 21:50
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#35
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Quote:
Originally posted by NousDefionsDoc
From the Special Operations Forces Medical Handbook (2001).
Circulation: Uncontrolled hemorrhage is the leading cause of preventable battlefield deaths. Rapid identification and effective management of bleeding is perhaps the single most important aspect of the primary survey while caring for the combat casualty.
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Seems like I have seen that somewhere before...
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"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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04-28-2004, 21:52
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#36
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Here's a SOAP for ya:
S -VERY year-old smart ass 18Xer reports to clinic app 22:48. C/O knowing it all.
O - Pt observed floundering around worried about mental status after a large order explosion thread. Guarding and avoidance on mention of SOAP format. PERRLA. Alert, however 12 on the NDD coma scale.
A - 1. Lack of quality time with old soldiers
2. Too much time as a civie
P - 1. Refer Pt to SFAS Instructors ASAP
2. Check PRN for attitude adjustment
3. Repeat SFAS PRN
LOL - I crack myself up. 
Just funnin' ya Crip - you know you're my favorite 18B candidate.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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04-28-2004, 21:53
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#37
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Back to the PTs at hand. Do you agree with my analysis?
We'll see what Eagle has to say when he comes in.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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04-28-2004, 22:04
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#38
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Asset
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Well, in the case that was chosen, there are a few more things that should be mentioned. First, we were under fire after the blast, so there's a lot of gunfire going on. Second, the most serious injury (one closest to blast, punctured IBA, etc.) was still alive for sometime after the blast. Third, we had one medic, almost everything except the three closest to the IED was addressed using buddy aid.
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04-28-2004, 22:05
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#39
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Quote:
Originally posted by NousDefionsDoc
Here's a SOAP for ya:
S -VERY year-old smart ass 18Xer reports to clinic app 22:48. C/O knowing it all.
O - Pt observed floundering around worried about mental status after a large order explosion thread. Guarding and avoidance on mention of SOAP format. PERRLA. Alert, however 12 on the NDD coma scale.
A - 1. Lack of quality time with old soldiers
2. Too much time as a civie
P - 1. Refer Pt to SFAS Instructors ASAP
2. Check PRN for attitude adjustment
3. Repeat SFAS PRN
LOL - I crack myself up.
Just funnin' ya Crip - you know you're my favorite 18B candidate.
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You are too funny.
S- no comment
O- no comment other than shouldn't "knowing it all" fall in 'O' lol
A1- concur but working on that daily
2- what can I say...
P1- not much longer
2- James who...we have no idea who you are talking about Sarn't. No attitude here NDD
3- hopefully not
You are not baiting me with the 18B comments. I stumbled into that firing lane last time and I am not going to make that mistake twice. I barely escaped with my life last time.
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"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
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Surgicalcric is offline
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04-28-2004, 22:07
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#40
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Quote:
Originally posted by NousDefionsDoc
12 on the NDD coma scale.
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care to elaborate?
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04-28-2004, 22:07
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#41
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Sounds like you guys and your medic did an outstanding job.
I'm sorry you lost your teammate.
With the added information, the chest wound becomes my #1 priority, followed by the through and through thigh.
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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04-28-2004, 22:10
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#42
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Quote:
Originally posted by Doc T
care to elaborate?
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Just messin' with Crip, ma'am. I didn't know you were here. I'll stop now. 
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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04-28-2004, 22:11
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#43
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I would agree.
I was under the impression from your wording Max the soldier with the chest injury was deceased. He would have become my first priority.
On that note, I find it difficult to treat patients sometimes without being able to physically see them and what occurred. This was a good learning tool though.
__________________
"It's better to die on your feet than live on your knees."
"Its not who I am underneath, but what I do that defines me" -Batman
"There are no obstacles, only opportunities for excellence."- NousDefionsDoc
Last edited by Surgicalcric; 04-28-2004 at 22:13.
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Surgicalcric is offline
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04-28-2004, 22:12
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#44
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Quote:
Originally posted by NousDefionsDoc
Just messin' with Crip, ma'am. I didn't know you were here. I'll stop now.
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the residents have a hard enough time remembering the glascow coma score....was hoping for something more interesting....
keep messing around.... James can take it I am sure....
doc t.
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04-28-2004, 22:12
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#45
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Quote:
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O- no comment other than shouldn't "knowing it all" fall in 'O' lol
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Only if I actually observed you knowing something. NOW STOP! Doctor Ma'am is here - no more messin' around.
Are you still going with mental status and respiratory rate for triage?
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Somewhere a True Believer is training to kill you. He is training with minimal food or water, in austere conditions, training day and night. The only thing clean on him is his weapon and he made his web gear. He doesn't worry about what workout to do - his ruck weighs what it weighs, his runs end when the enemy stops chasing him. This True Believer is not concerned about 'how hard it is;' he knows either he wins or dies. He doesn't go home at 17:00, he is home.
He knows only The Cause.
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