Austere Medicine

Austere Medicine (20)

The Austere Medicine Tab - 2018 Update

THE AUSTERE MEDICINE FUNCTIONAL AREA


The Austere Medical Functional Area is designed by former Special Forces Medical Personnel with a focus on Austere environments where higher tier medical support will not be readily available. Concentrating in the basics as well as high stress events, and student ingenuity. Courses are based upon DoD TCCC Committee, and NAEMT Guidelines

The BASIC Austere Medical Program


Designed to build strong foundations in Trauma Medical Care in an environment where Emergency Medical Services are not readily available (Austere Environment). This Program will lead you into becoming a great asset to the community at large, whether in providing first aid at home, immediate attention to the victims of an automobile crash or in an Active Shooter Incident.
Those that meet the requirements of this program will earn a Basic Austere Medicine Tab. 

Earning the Basic Austere Medical Tab


There are Three normal paths to earning the Basic Austere Medical Tab:

1. Satisfactorily complete this CAG course

  • Introduction to Austere Medicine (AM-1) course 

 AND Complete and provide an Outside Medical Training Certification

  •   Outside Medical Certification (Current), examples include:

- First Aid and CPR/AED - Red Cross or equivalent 
- Wilderness First Aid - Red Cross or equivalent 
- National Registry (certificates MUST be current)
- Military Combat Life Saver (cert must be within 24 months of the issue date)
- Any State Licensure (MUST be current)
- "Other" medical training will be considered on a case by case basis.

 –OR–
 
 2. Satisfactorily complete a Trauma Medical Course (TCCC or TECC Based) from a CAG Affiliate Trainer or Approved 3rd Party Trainer.

 AND Complete and provide an Outside Medical Training Certification

  Outside Medical Certification (Current), examples include:

- First Aid and CPR/AED - Red Cross or equivalent 
- Wilderness First Aid - Red Cross or equivalent 
- National Registry (certificates MUST be current)
- Military Combat Life Saver (cert must be within 24 months of the issue date)
- Any State Licensure (MUST be current)
- "Other" medical training will be considered on a case by case basis.

 Once Issued a Certificate of Training or Completion, you may request credit for your Training


 –OR–


3. Distance Learning Program Submissions.

 
This method is for individuals that have the prerequisite skills for qualification, they merely need to provide proof of those skills. This method is also recommended for members that may lack the ability to access training or trainers.

MENTOR Program Assistance is available, Contact This email address is being protected from spambots. You need JavaScript enabled to view it. and we will attempt to assist your learning!
 
All Distance Learning Submissions will be by email to the CAG Training Desk at This email address is being protected from spambots. You need JavaScript enabled to view it. 

To earn the Austere Medicine Tab you have to send video proof of Proper procedures and equipment (That's TWO separate 2 minute videos, PLUS photographs AND certifications) Example videos and Standards for video submission are provided below.
 

  • A MARCH Patient Assessment Video submission
    • Must be in sequence according to Trauma Assessment Steps
    • You MUST verbalize (Say out loud) what you are doing so we can follow along with you
    • The video in its entirety MUST be under 2 minutes, this includes your introduction stating your membership number

MARCH Patient Assessment Example

  • A Trauma Treatment Video Submission
    • One video Submission from these topics below (Same 2-minute standard), be creative and practice, we aren't giving you the answer for this one.
    • Clearly State your Name and Member Number for the video
      • A CoTCCC approved tourniquet self-applied to your arm (one handed application).
      • A Homemade 3-sided AND 4-sided occlusive dressing to a chest. This looks easy, but we can tell if it doesn't seal!
      • A homemade tourniquet self-applied to your own thigh, we will assess the tourniquet you create.

Improvised Windlass Tourniquet Example
 

  • A Photo of your IFAK, must include:
    • Your membership number written or printed on a card, no video edits
    • Your IFAK must contain the items required to treat every category of MARCH.
    • Manufactured IFAKs are acceptable, BUT they must contain ALL items required for a full MARCH assessment.
    • Homemade supplies are entirely acceptable
       
       
  •  Outside Medical Certification (Current), examples include:

- First Aid and CPR/AED - Red Cross or equivalent 
- Wilderness First Aid - Red Cross or equivalent 
- National Registry (certificates MUST be current)
- Military Combat Life Saver (cert must be within 24 months of the issue date)
- Any State Licensure (MUST be current)
- "Other" medical training will be considered on a case by case basis. 


To Request Tab Credit you must:

  • First, ensure that you are logged into your personal profile on www.CAGMain.com and that your profile is complete
  • All Course/Project Videos and Presentations should be submitted by email to This email address is being protected from spambots. You need JavaScript enabled to view it.
  • On the Home Page, select the MEMBERS ONLY tab
  • In the drop down menu, select the REQUEST TAB CREDIT tab
  • Fill out the blocks completely, incomplete submissions will not be accepted
  • Upload an electronic copy of your Certificates into the block provided
  • Don't forget to hit the SUBMIT button
  • The CAG Staff will process your request and contact you.

 

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When Do We Apply the TQ "High and Tight?"

      There is a lot of discussion on whether to place a tourniquet (TQ) "high and tight" on an arm or leg,  or place 2-3 inches above the wound, even if on the forearm or lower leg, sometimes called a  "double bone compartment. " There is also those who say a tourniquet can be on for 1 hour, or for 8+, so which is it? 

The short answer is, it depends on the wound, who you are, and where you are.

 "When do we do high-and-tight? "

High-and-tight is a "catch all" for most situations and non-medical professionals. It's easy to remember and unlikely to be placed distal (away from the injury, not between injury and heart) or be placed over a joint which would make it ineffective. High and tight also accounts for blast wounds where the wound may be more extensive or deeper than it appears, and when placing over clothes during "Care Under Fire" where the wound and location of bleeding may not be easily apparent.

For non-medics and Tactical Combat Casualty Care (TCCC) trained individuals, high-and-tight is for care-under-fire.

For those close to a hospital, within 1-2 hours, high-and-tight is also fine. We will discuss why if farther away from care you may want to consider other options.

 

 

 

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Abdominal Aortic Tourniquet (AAT)

https://www.youtube.com/watch?v=ql7w9ho79T8&w=560&h=315 Published on Jul 19, 2013 The Abdominal Aortic Tourniquet (AAT) is the most stable device available to treat non-compressible junctional pelvic bleeding. It is FDA approved for difficult to control inguinal bleeding. The AAT is the only junctional device that has actually saved human life! Click here to learn more!
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Xstat- Intrinsic vs extrinsic pressure (Video)

[youtube https://www.youtube.com/watch?v=RgEO-sRwdAs&w=560&h=315]

Medical Concepts: Intrisic vs. extrinsic pressure. Click here to watch: https://goo.gl/noatbE Synopsis: In this video we show you the difference between the two concepts of pressure using a Gen 7 CAT tq, and the X stat trauma syringe....
‪#‎TjackSurvival‬ ‪#‎CrisisApplicationGroup‬ The Activity Group North American Rescue We will be giving away a free: CAG tier 1 IFAK with combat gauze to a lucky subscriber. watch the video for a chance to enter. Click here to learn more about the prize: https://goo.gl/I3Er8F Crisis Application Group Ready-Sure-Secure www.CAGmain.com ‪#‎Survival‬ ‪#‎AustereMedicine‬ ‪#‎IFAK‬ ‪#‎CombatProven‬ ‪#‎TheActivityGroup‬ ‪#‎RevMedX‬ ‪#‎NorthAmericanRescue

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LiveFire Care Under Fire (Video)

[youtube https://www.youtube.com/watch?v=gRmpnnmmZmo&w=960&h=720]

LiveFire CareunderFire www.CAGmain.com In this video one of our students runs the Live Fire Care under Fire drill here at CAGmain. Its a chance for them to apply both basics courses (TCCC and Intro to Pistol) under timed pressure in a controlled environment. This past week end we ran 7 students total, and only 1 passed in time. This clip runs just over the 5 minute pass mark, but he will get another chance to try in Jan. Each student must have (Mandatory): Passed Intro to pistol and safety Intro to TCCC 2 safetys per student Eye and hearing protection The Drill: -The patient is located behind simulated cover -The student medic must engage targets and move to the patient behind cover. -If the medic breaks the cover box they must shoot a penalty -Timed shots and initiated at 30 seconds then every 60 seconds after -The student MUST engage immediately when the horn blasts, even if mid treatment. In orderTo pass: -The student must hit both steel targets twice per shot sequence (20 yards) -Identify all injuries in sequnce (MARCH) -Treat all injuries -Verbalize for hypothermia blanket and reassess every 15m In this video the student medic was using: The warrior assault systems recon Mk1 (Courtesy of www.ArizonaDefense.com) http://arizonadefensesupply.com/store/#!/WARRIOR-ASSAULT-SYSTEMS-Recon-Shooters-Cut/p/56347282/category=15066506 The CAG Tier 1 IFAK:http://cagmain.com/shop-cag/#!/CAG-Trauma-Packs/c/13147503/offset=0&sort=normal Which uses combat proven products from www.NARescue.com) 1x Gen7 CATTQ: http://cagmain.com/shop-cag/#!/Combat-Application-Tourniquet-C-A-T-Tactical-Black/p/50856842/category=13227550 1x NPA 1 Hyfin chest seal twin pack: http://cagmain.com/shop-cag/#!/Hyfin-Vent-Chest-Seal-Twin-Pack/p/50869901/category=13227552 2x Compressed Gauze 2x 4" ETD dressing:http://cagmain.com/shop-cag/#!/EmergencyTrauma-Dressing-ETD-4-in/p/50856860/category=13227550 This video was made possible by: Arizona Defense Supply www.ArizonaDefenseSupply.com and North American Rescue www.NARescue.com

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Review: NEW Gen 7 CAT Tourniquet (Video)

The Combat Application Tourniquet was initially fielded by USSOCOM in 2004 then fast followed by conventional forces in 2005. In the early years of the Global War on Terrorism (GWOT) and prior to the implementation of modern prefabricated tourniquets, the death rate from extremity exsanguination was 23.3 deaths annually. After full implementation, this number was reduced to 3.5 deaths per year, an 85% decrease in mortality. In 2005 the Combat Application Tourniquet was selected as one of the Army’s top 10 greatest inventions and is recognized as one of the foremost advancements in pre-hospital care during the GWOT with an estimated 1,850 lives saved.

https://youtu.be/_1dvKdyHWec Brief History (North American Rescue) The Combat Application Tourniquet was initially fielded by USSOCOM in 2004 then fast followed by conventional forces in 2005. In the early years of the Global War on Terrorism (GWOT) and prior to the implementation of modern prefabricated tourniquets, the death rate from extremity exsanguination was 23.3 deaths annually. After full implementation, this number was reduced to 3.5 deaths per year, an 85% decrease in mortality. In 2005 the Combat Application Tourniquet was selected as one of the Army’s top 10 greatest inventions and is recognized as one of the foremost advancements in pre-hospital care during the GWOT with an estimated 1,850 lives saved. Relentless comprehensive analysis of all deaths from extremity hemorrhage has resulted in evidence-based tourniquet improvements. This approach has yielded critical device improvements to include five refinements in the design of the Combat Application Tourniquet over the last decade. These enhancements were focused on maximizing the effectiveness of the device while minimizing morbidity. Continuous interface with end-users and researchers, literature review and tourniquet applications in both real world and simulated high stress tactical environments have made it clear, that despite tremendous success, tourniquet knowledge gaps exist in the following areas (1) single verses double routing of the band (2) Importance of slack removal prior to engaging the windlass.  Closing these gaps will be accomplished through device enhancements, knowledge products and focused training.   The Combat Application Tourniquet Generation 7 When we began work on the CAT GEN 7 we considered every element that defines a tourniquet designed for combat use. We challenged ourselves to find the best, most forward-looking way possible to enhance performance and maximize application success. But we didn’t do this alone. Leveraging input from after action reviews, researchers, material scientists and you, the end-user, we were able to create the most advanced CAT to date. Every component of the CAT GEN 7 is optimized performance and reliability.  The CAT GEN 7 has a single routing buckle system that  (1) allows for extremely fast application and effective slack removal (2) unifies training standards and eliminates confusion by having a single protocol/directions for all applications.

The Combat Application Tourniquet Generation 7 Requirements Driven Enhancements 

Single Routing Buckle C-A-T® Gen 7 performs better and is easier to use than previous generations, resulting in less blood loss Unified training standards with single protocol/directions for all applications. Windlass Rod Increased diameter for enhanced strength Aggressive ribbing for improved grip Windlass Clip Bilateral beveled entry for rapid windlass lock Bilateral buttress for added strength Windlass Strap Sonic welded to clip for constant contact Color changed to Gray for tactical considerations Stabilization Bar Reinforced, beveled contact bar maintains the plate's integrity and decreases skin pinching  General Studies for the CAT TQ: 001. Tourniquet Problems in War Injuries - 1945 002. Battlefield tourniquet systems.2000 003. Tourniquet Controversy - 2003 004. Tourniquets for hemorrhage control on the battlefield - 2003 005. Tourn Issues MilMed.2004 007. Issues Related to the Use of Tourniquets on the Battlefield - 2005 008. Research on Tourniquet Related Injury for Combat Casualty Care - 2004 009. Surgical Tourniquet Technology Adapted for Military and Prehospital Use - 2004 010. Labortory Evaluation of Battlefield Tourniquets in Human Volunteers - 2005 014. Tourniquet_Evaluation_AUG05 015. A Balanced Approach to Tourniquet Use - 2006 016. Tourniquet 2007 017. Extended Tourniquet Application After Combat Wounds - 2007 018. Practical Tourniquet Use - 2008 018.1 TCCC Doyle Tourniquets PEC 2008 020. Tourniquet Technology on Today's Battlefield 2008 021. Tourniquet Use in Combat Trauma UK Experience - 2008 022. Battle Casualty Survival with Emergency Tourniquet Use to Stop Bleeding - 2009 023. Survival with Emergency Tourniquet Use - 2009 023.1 TK CALL AAR_Jul-09 rebuttal to Johnson 024. Final_tourniquet_working_group_minutes_march_2010 026. The Military Emergency Tourniquet Program's lessons Learned with Devices and Designs - 2011 027. Tourniquets - 2011 028. History of Tourniquet Use 2011 029. Re-Evaluating the Field Tourniquet for the Canadian Forces 030. CAT_Single-Routing_ 031. Tourniquet_Slack_Issue 032. Israeli NSW Feedback_to _the_Field_(FT2F) #11 FT2F #12 - TQ Use in OEF OIF and OND - 16Jul12 [caption id="attachment_2463" align="aligncenter" width="660"]QUALITY RETAIL QUALITY RETAIL[/caption]

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