Week 18 – Operational Day
Who: All EM residents and EM PA students who are scheduled to attend GR day of
What: MDOC grand rounds day. Topics: TCCC, FWB/WBB, and pt movement w/ and w/o litters. Followed by self-survey given by ISR.
Where: SMTS/FOB Courage
(The service is bad out by Camp Bullis but if you put “FOB Courage” into Google Maps it should take you to the right place”)
When: 09 NOV 2023, SP 0945 until 1400
Why: to develop and preserve the unique education of military GME and nest our training objectives within our commander’s intent to maintain an operationally and medically ready force.
UOD: OCP uniform or roughs. Roughs are generally considered to be some civilian equivalent version of OCP. Long pants (cargo pants/adventure pants) and usually T-shirt or button down shirt. For this exercise, regular T shirts are authorized given the high likelihood of mud or moulage exposure. No athleisure/yoga pants. If this is abused, we will have to go back to just OCP for uniform.
Light Reading/Watching for your review.:
Overall TCCC review: TCCC Guidelines (allogy.com)
Deployed Medicine pocket guide for first phase of TCCC (care under fire). CUF Hemorrhage Control (allogy.com)
Further pocket guides with videos from Deployed Medicine Deployed Medicine
Transfusion of Dr. Shauer: Training video for warm, fresh, whole blood transfusion procedures – YouTube
WBB process video: JTF-B Medel – Emergency Walking Blood Donor Program – YouTube
– This is a decent video of how the entire process can work. As always, METT-TC, but it is a decent flow. One caveat, the narrator mentions only using type specific and matching donor to patient. This is up for discussion (the alternative is using Type O that is with unknown titer level). Reference JTS CPG and theatre guidance when you deploy.
PACKING LIST:
– weather appropriate clothes (rain jacket, hat, etc)
– water, lunch/snacks, caffeine as needed
– boots or running/work out shoes, be mindful of possible mud
– gloves and eye pro (SUN GLASSES are fine)
– sharpie/marker in case you have to do some charting on a TCCC card
– war face