Military to Civilian Prehospital Innovations COL Ian Wedmore Department of Emergency Medicine Madigan Army Medical Center Disclaimers The information presented is solely that of the author and does not represent the official views or policies of the DOD, USARMY, AMEDD or any subsidiary commands The Presenter has no Financial interest in any Medications or devices discussed in this presentation. Background Speaker Definition: “Prehospital” Military Level I and II Medic Up to Surgical Intervention BAS C-Med Goals Hemostasis innovations Wound Innovations Acute Pain innovations Other innovations Approach ABCDE vs MARCH M-Massive hemorrhage A-Airway R-Respiration (tension PTX) C-Circulation H-Hypothermia – (prevent!) Feb 2008 80% of deaths non preventable Major leading cause of potentially preventable death was truncal hemorrhage Truncal Hemorrhage – 80% Extremity hemorrhage – 15% Heads – 5% MOF – 5% Tactical Field Care - Airway Airway support is rarely required in combat casualties (1-11% of preventable deaths) If required it is usually due to either a head wound or a facial wound Rescue position • Nasal trumpet (NP or OP airway is primary airway • adjunct) • Simplest • Provides no airway protection
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