PHASES TRAUMA CARE IN COMBAT TACTICAL LOW. differences civilian prehospital care and medical tactics are very marked, although the two disciplines oversee the recovery of those injured in tactical medicine, deprives the lack of material and equipment, causes of trauma are different, the environment (conditions of darkness, crossfire, areas with gas, etc.) extreme environments (mountains, desert), the mission of the unit, the evacuation time can be much longer in the tactical environment.
fundamental goals of medicine tactics are: 1 .- Treat
low
2 .- To prevent more casualties.
3 .- Complete the mission.
Tactical Phases of Care combat casualties (CTBC)
care tactical combat casualties, focuses on the prevailing situation, depending on the tactical situation, tactical paramedic staff, will find: Under fire. In the field
tactical
in the evacuation of casualties.
These are the three phases of care tactical combat casualties.
medical care under fire:
This phase is characterized by paramedical personnel are combatants. Among the most important actions to be deprived in this stage is that the medical or paramedical personnel, firepower support to the efforts of other staff, care will focus primarily on eliminating the threat, as this decreases, the actions are focused on providing the best possible care to casualties, provided medical care for the wounded is the first level of response, being implemented by the same low or one of the companions near the injured, the medical equipment available is limited to the medical personnel who carry all the elements and preferably should bring:
1 pad of combat.
1 elastic bandage 10 cm. 1
combat tourniquet (CAT). 1 gauze
combat.
1 pair of gloves. Nasopharyngeal
1.
1 roll of adhesive tape 2 inches. 1 package of drugs
combat (antibiotics and analgesics)
This equipment should be placed in one location in the uniform of all personnel (combatants and noncombatants), so that this form may be accessed on quickly and expeditiously.
During this phase and if necessary the approach to the victims, asked if that is in a position to respond to enemy fire, to hide or even to pretend to be dead in this way decrease the chance of injury Additionally, after being covered with the victim, proceed to the placement of the tourniquet, if necessary. Note that in this phase of medical care under fire, not made Initial assessments of "ABC" The important thing is to respond to hostile fire, remove the victim if possible and exsanguinating wound management, the most convenient way to manage limb injuries is the use of tourniquet combat, not recommended the use of pressure dressings, hemostatic substance use, or other measures to control bleeding. A patient with head and neck injuries by gunshot fire, rarely have spinal cord damage from handling is made in the field, for that reason it is not necessary to stabilize the cervical spine Patients are unanswered (unconscious, not breathing, pulse) will not be resuscitated. At this stage of Tactical Casualty Care in Combat. NOT RECOMMENDED FOR THE IMPLEMENTATION OF cardiopulmonary resuscitation, these maneuvers may help rather than endanger the lives of the rescuers, may even endanger the mission.
