30 Apr 2020 04:06
But that was all years ago, haven't done any courses since
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For the discussion of medicine in general, and related topics.
But that was all years ago, haven't done any courses since
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I’ve done none at all
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I may be able to answer any questions you may have. And if you have fun challenges I’ll participate if I see them. It keeps the mind sharp.
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I wish I had challenges
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Wish I could practice
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Next generation combat medic on facebook posts a bunch of good stuff.
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So does NAR
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Read the question, think it through, then look at the comments and compare. See where you went wrong and right.
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medical AAR’s essentially
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Situation stuff. NAR does too, I don’t follow them but I occasionally run across others who repost their stuff or share it.
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I loved using NGCM’s stuff when I was active and getting everyone’s inputs before we read the comments. It was really insightful, especially when someone thinks out of the box and comes up with great solutions. Keeps the mind sharp.
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As great as TC3 is when it comes to saving lives, it can be quite lackluster whenever you have any sort of medical knowledge. Very simple, very effective at keeping the patient alive. But not always the best option for the trained personnel.
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I’m not trained, although I know a bit.
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Doctrine is a fall back if you can’t come up with anything better.
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That’s one of my favorite phrases, and it’s fairly universal
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I suppose that’s true.
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Also when you have people who are too used to operating within certain doctrine it can be a hinderance at some point.
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I’m gonna be honest I probably do need training but I don’t know where to get it.
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Take a local stop the bleed to start
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Nowhere to take that to my knowledge
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I’m sure there’s one in St. Louis occasionally
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Asked a friend of mine if I could stick him with an IV and got
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I’ve had black out drunk dudes push saline on me to sober us up
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Imma find one of my friends to stick
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:peepoGiggles: glad I know how to do that already
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CLS qualed marines are better at IVs/blood draw than nurses who call themselves heroes
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I’ve heard stories
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Nurses missing like 13 times
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Seems like that's far too common
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Yeah. Most people suck at their job, nurses aren’t an exception
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Okay, I’m going to be honest, the emt-b is a joke. But it’s a start.
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My buddy found a two week course, and I did a six week course at fort Sam Houston and that was crazy enough. Look for a minimum eight weeks, but it’s a start.
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A nice foundation for understanding medical guidelines, and a start, albeit it a weak one, towards saving lives.
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I have contact with an 18D so that’s a start eh?
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No, there’s a massive difference. 18D are amazing resources, truly. But you need hands on training.
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I mainly meant the 18D to supplement knowledge.
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I 100 percent recommend emt-b courses. You’ll get so much more out of your contact with a treating understanding, just from the nuances you may have missed.
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I just...it’s hard to get training at my age.
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Community colleges offer training for all men and women.
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What’s the thing used to test percussive resonance or whatever on a possible collapsed lung called?
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I don’t even fucking know. Every single medical profession I’ve ever asked had the same answer.
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“You’ll know it when you hear it”
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Someone told me it’s the thing they test your knee with. The weird triangle hammer
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Oh that shit.
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Something like that.
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I think they meant something else but that’s what I got from their *vivid* illustration
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Okay I was thinking you were talking about doing yaps on the abdomen to check for abnormalities
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Collapsed lung had signs you don’t need to test for, most obviously of course respiratory distress (difficulty breathing) but also look for Jugular vein Distention.
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Always feel and listen to the patient as the breathe, as taught in CLS or TC3-AC
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Hands on both sides of the ribs, ear to the mouth.
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Check for asymmetric rise of the chest
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One palm, one back of hand on the breasts
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You know what I’m talking right?
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Don’t do back of the hand. That’s a political call.
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I think so. One side rising and falling more than the other or something.
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That’s sign of a tension pneumothorax or hemothorax.
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Yeah I know all of that
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Bilateral rise and fall is the easiest visual indicator
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Tracheal deviation is a late stage indicator
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Use the palms. It was switched to backs of the hands over females being allowed in more roles to prevent false claims of sexual assault. The military is full of PC bullshit especially in training.
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Tracheal deviation is really fuck bad.
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At which point if there is suspected TPX, decompress at the designated sites. I’m sure you all know them.
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They’re dying. Don’t feel bad btw for being a zoomer, I’m first year (or last year millennial) zoomer.
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Yeah I was gonna say, if they’re already at tracheal deviatiation you’re gonna need immediate evacuation and higher level interventions
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Yeah lot of PC bullshit in the military.
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Always push for immediate evacuation on any sort of airway or respiratory issue.
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If they require a fucking chest tube, you better pray your medic was fortunate to be taught it, as not all are. I received training from a doctor during my NTC rotation.
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Nasal trumpet and flare gun, got it
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A hemothorax can end a life with a doctor watching, and it can be so difficult to see if your not trained 10000 percent for it.
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I think we only had one PT that required a chest tube on my last deployment, and I think they did it before air casevac, but I’m buzzed and chant remember exactly when they pushed that
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They cover sticking them with the needle to remove the trapped air in the CLS course
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Needle decompression to relieve tension pneumothorax, turns out it was a hemothorax and you didn’t chest tube, respiratory distress kills. It’s terrifying.
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OCD to NCD. Great start, the CLS basic. You’re not wrong if that’s all you know.
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I'd recommend everyone look up videos of a CLS course, great info in there
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Feel like I just learned a lot right now. Thanks 🙏
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Look for JVD with HTX
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Respiratory distress is the first sign, rake the chest and back ASAP in search of wounds.
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Don’t let it get further than respiratory distress is the optimal answer but unlikely for non-medical professionals.
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Stop the bleeding if there is any. If the bleeding is from your entry and exit wounds you've got two birds with one stone. If they progress to TPX then you didn't seal off the wounds properly (adhesive tape is key) then redress.
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MARCHH is the answer.
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If it gets worse or is already bad from taking too long to treat, you'd need to use the needle to remove the trapped air in the chest cavity. Tell them to try to exhale, then stick them under the second rib from their collarbone. You'll start feeling/hearing air through the needle if successful.
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