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Airborne Combat Medic care for Paratroopers

Discussion in 'BLS Discussion' started by Maggie Yakus, May 27, 2018.

  1. Maggie Yakus

    Maggie Yakus Forum Ride Along

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    Hey this is mainly for my fellow combat medics out there. I just got assigned to an airborne unit straight out of ait/airborne school. A big concern I've heard from people is that the unit's current medics are not trained well enough to handle an airborne incident whether from the landing or static line injuries. I wanted to start this discussion, because I am new to the medic world and was trying to go over what I would do in a situation like that. As for bad landings, I would think that I would establish conscious level/ pain level, check airway and bleeding, control c-spine and perform a trauma assessment to see where all my injuries are on my patient. Definitely some sort of pain management in there too. I have never dealt with this kind of injury and i feel like it wasn't covered very indepth in school so I was wondering if there is anyone out there that has dealt with this and has any other input that i could do to help my patient.
     
  2. luke_31

    luke_31 Forum Asst. Chief

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    C-spine if indicated. Follow your protocols for your unit. A lot of what you will see with PLF injuries is a lot of sprained or broken ankles and a few tib/fib fx
     
  3. Jim37F

    Jim37F Forum Deputy Chief

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    Wasn't a medic, but was Airborne, and a Jumpmaster.

    Once on the ground, it's just another injury, treat the same as any other. (tl;dr summary)

    Before the jump, make sure they're properly trained. You're not a Jumpmaster, or otherwise in the Chain of Command so little to nothing to be done directly about that, other than try to pay attention, some damn fool Colonel who hasn't jumped in a year or more may have pencil whipped his BAR and will be jumping...shockingly that's the guy you need to pay attention to being hurt more so than the scared Pvt on their first jump out of Jump School...
    Inside the aircraft, just like on the range, there's Safety, but everyone is a safety officer too, see something dangerous, f***ing say something...much less paperwork later lol

    While in the air you obviously can't do jack and sh** about it till they're on the ground, where you treat them no different than if they were in a traffic collision, or fell from a ladder or whatever. Basic trauma protocol. The only thing different/special I can think of would be to pop their canopy release assemblies if not done already, just to prevent an errant gust of wind from catching and dragging your casualty away from you. Otherwise, it's all basic blunt force impact trauma care.

    Same BSI/scene safety (don't forget overhead...don't want the second pass dropping something heavy on your head), PENMAN size up, general impression, Level of Consciousness/Alert & Orientation Level, Chief Complaint, (your protocols will probably call for Spinal Motion Restriction/C-Spine precautions), ABC's (though I believe Military is now MARCH - Massive Hemorrhage, Airway, Respirations, Circulation, Head Injury/Hypothermia, basically the same, just spelling out don't forget to tie off arterial bleeds first), Secondary Assessment (this'll be a full head to toe...just please don't be cutting through expensive parachute harness if all they got is an ankle fx and are awake talking to you....that step can probably wait till they're in whatever FLA/MEDEVAC/CASEVAC vehicle you've got...a few jumps I was on in the Reserves we had AMR on standby with an ALS Ambulance, much better than some old HMMWV lol...anyways) and so on and so forth.

    As always, consult your local units treatment protocols for trauma injuries, that'll trump anything I (or anyone else) say here. But you already knew that...
     
    Remi likes this.

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