TCCC Patient Evaluation

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  • เผยแพร่เมื่อ 5 ก.ย. 2018
  • This video was created to assist ROTC Cadets at Austin Peay State University. Please let me know if you feel there are areas that I need to expand on or may have missed. This is a basic patient evaluation from my experience as a medic in the Army. Thanks for watching!
    This was not designed for medics to use as a guide. If that's you, please visit The Committee on Tactical Combat Casualty Care's page.
    #army #rotc #apsu #firstaid #medical #cadet
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ความคิดเห็น • 27

  • @sethdunbar1996
    @sethdunbar1996 2 ปีที่แล้ว +8

    Combat medic here: great job on the TCCC, one thing I noticed is that you looked like you rushed it a bit. In order to preform a proper blood sweep, you have to grasp his armpits, and sweep the inguinal region. This is where a casualty will collect most of the blood. Don't just grab the extremities. But great work sir, thanks for commissioning

  • @jonenoh
    @jonenoh 3 ปีที่แล้ว +5

    - Bro you just Saved my Life! - my LT got me doing CLS next month for our Company and the upcoming Riots this year... great 👍 Video to remind those who might have forgotten a few steps. Am greatful, thanks🙏... I mean think about it who would really apply a perfect tccc weapons hot, as they own lives are on the line.

    • @Semitraveled
      @Semitraveled  3 ปีที่แล้ว +1

      Thanks! Your LT would appreciate you taking your own time to prepare yourself. I made this video for my peers during ROTC, but I'm glad some find it useful.

    • @jonenoh
      @jonenoh 3 ปีที่แล้ว +1

      @@Semitraveled - The Pleasure is Mine Brother 🙏

  • @tyshepa5486
    @tyshepa5486 2 ปีที่แล้ว +3

    How would you know if the tourniquet is effective if you haven't exposed the wound or check for pulses?

  • @ricardoaguilar4750
    @ricardoaguilar4750 2 ปีที่แล้ว

    Thanks very use full

  • @BrxadCrumb
    @BrxadCrumb 24 วันที่ผ่านมา +1

    Wheres hypothermia or head injuries

  • @FFEMTB08
    @FFEMTB08 3 ปีที่แล้ว +8

    They are now teaching to stop putting a knee as “proximal pressure”... If they have any sort of FX it can cause more harm than good.

    • @LinniFight
      @LinniFight 2 ปีที่แล้ว +1

      What??

    • @FFEMTB08
      @FFEMTB08 2 ปีที่แล้ว +1

      @@LinniFight read up on TCCC.

    • @abracadabra0974
      @abracadabra0974 ปีที่แล้ว +1

      That got me triggered too xd

  • @christopherpike7163
    @christopherpike7163 3 ปีที่แล้ว +1

    Didn't bother to check for head trauma or integrity of the plevis, fluid in ears or nose, pupils, and didn't bother with any blankets to keep the casualty warm or with bringing the casualty in a vehicle and crank up the heat. Does splinting, burns and wound treatment before hypothermia (really??)

  • @dad3562
    @dad3562 4 ปีที่แล้ว

    When being graded on this event, is it a timed event ?

    • @Semitraveled
      @Semitraveled  4 ปีที่แล้ว

      Not normally. If played into a scenario they can add stress by speeding up the evacuation time.

    • @dad3562
      @dad3562 4 ปีที่แล้ว

      Adam Tomlinson oh cool! Right on very cool.

  • @peterpohwat5292
    @peterpohwat5292 3 ปีที่แล้ว +3

    Damn big SGT! I have been doing this shit wrong all this time by waiting to get away from the point of x before conducting my blood sweeps. Also, is that direct pressure to the femoral from the lateral aspect of the thigh instead of the medial aspect effective? Circulation we’re going to dead halt have radials and carotid unilaterally as good enough? Not going to assess things like skin color, condition, neurologically intact bilateral. Also noted that your firefight lasted all of ten seconds. The patient didn’t bleed out enough for 1) radial pulses still present, so the patient is still volumized and perfusing, and 2) maybe we need to reassess that injury pack that thing because it may not warrant that tourniquet. Your nine claimed urgent but with a GSW to LLE with radial pulses intact; why would this guy be urgent?
    It seems like I’d bump this guy to a priority or routine. Maybe, just maybe, depending on my proximity to the tier 1 transport by ground CASEVAC. F my life, you wait to conduct vitals until after you treat a bunch of shit, not knowing where you started? Like MARCH gives you ample opportunity to get a baseline at that ARC. I think I look, listen and feel for AB. C is feeling for dem there pulses why not get that rate, rhythm, and quality during your down there. Your super high speed and found a place to stuff a BP cuff and stethoscope in that M9 bag, why not get a BP. I guess I like knowing if the work I am putting in is getting results. Back to nine-line, are you shitting me that you don’t remember lines 3,4 and 5? They are like the only part of the nine-line that is 1000% reliant on you! I mean, it’s simple whatcha got, whatcha need, and how those patients getting to your medevac. If your patient had a penetrating trauma to the chest, how effective is covering that shit up with your hand? I mean, sure as shit, I don’t have a third one on my dick, so how am I going to get my hyphen, H&H, etc., to place on that hole. It seems a lot faster to use both hands, and if that wound has created enough pressure to collapse that lung, we’re burping or dartin the guy, so... why do something so blah when not doing it would get better and more effective medicine to the patient quicker? Oh, and is that really how we check for that DCAP-BTLS on extremities? One hand on the proximal and the other distally? This entire time I have been trying to keep my hand near each other and applying pressure on all planes so I can get a determined yay or nay. Also, I guess checking cctn is not a thing when checking the efficiency of my hasty or deliberate tourniquet? So much was learned from this video.

    • @Semitraveled
      @Semitraveled  3 ปีที่แล้ว +7

      You should be more productive with your time. This was created to assist cadets with evaluation at Advanced Camp for my College ROTC program. Make sure you take that knowledge and share it with your non-medical personnel. At the end of the day they are the ones who will make a difference at the POI.

    • @christopherpike7163
      @christopherpike7163 3 ปีที่แล้ว +3

      It's TCCC, not EMS.

    • @PauleePessimist
      @PauleePessimist 2 ปีที่แล้ว +1

      @@Semitraveled can’t take constructive criticism. 🤦🏽‍♂️

    • @tnwhiskey68
      @tnwhiskey68 2 ปีที่แล้ว +5

      @@PauleePessimist that's not really what that was. It was more like an "I know stuff and you fucked up" comment

  • @KevinWhite13
    @KevinWhite13 4 ปีที่แล้ว +3

    “Play dead”
    He is dead now that you returned fire right at him...

    • @Semitraveled
      @Semitraveled  4 ปีที่แล้ว +2

      This video was created to help cadets to understand the performance measures on evaluating a casualty.

  • @davidhenriksen5947
    @davidhenriksen5947 4 ปีที่แล้ว +5

    this guy almost completly skipped A and C and would fail tccc big time.

    • @Semitraveled
      @Semitraveled  4 ปีที่แล้ว +3

      I hear you. This was a basic crash course for Cadets going to Advance Camp. TC3 makes their own videos designed for medics.

  • @Brendan7360
    @Brendan7360 5 ปีที่แล้ว

    Good job plebe

  • @chasetheoutdoors7469
    @chasetheoutdoors7469 4 ปีที่แล้ว +2

    Sloppy