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HM1 (SW/FMF) LeRoy MOLLE (MIKE) BAG, SURGICAL INSTRUMENT SET & Morphine 1HR 30MIN PAGE 28-1

HM1 (SW/FMF) LeRoy MOLLE (MIKE) BAG, SURGICAL INSTRUMENT SET & Morphine 1HR 30MIN PAGE 28-1. Enabling Learning Objectives. Terminal Learning Objectives.

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HM1 (SW/FMF) LeRoy MOLLE (MIKE) BAG, SURGICAL INSTRUMENT SET & Morphine 1HR 30MIN PAGE 28-1

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  1. HM1 (SW/FMF) LeRoy MOLLE (MIKE) BAG, SURGICAL INSTRUMENT SET & Morphine 1HR 30MIN PAGE 28-1

  2. Enabling Learning Objectives Terminal Learning Objectives

  3. The Unit One was last reviewed in 1965 and it was never kept up with the increased training and skills demands of the Hospital Corpsman.

  4. EIGHT EXTERNAL POUCHES

  5. DETATCHABLE FLAP

  6. ONE DETATCHABLE I.V.BANDOLIER

  7. DRESSING, BURN 4X16 SATURATED WITH WATER/GEL

  8. DRESSING, CHEST WOUND SEAL

  9. LARYNGOSCOPE

  10. CHEMICAL COLD PACK, REUSABLE, DUAL ICE

  11. BASIC CORPSMAN ENT KIT

  12. VORTEC HEADLAMP

  13. Minor Surgical Set • Used for the emergency treatment of battle and non-combat casualties

  14. SURGICAL INSTRUMENT SET, MINOR SURGERY, WITH NON-RIGID CASE

  15. DD Form 1380

  16. Purpose • Furnishes the attending physician with essential information about the diseases, injuries and treatment provided the casualty during evacuation through the various echelons of care

  17. Purpose • Serves as a record of injury, illness and treatment during combat • Records disposition of patient, including death • Serves as a record during outpatient visits when medical record is not available • Utilized by all U.S. And Nato Forces

  18. Disposition of the DD Form 1380

  19. Combat Situation • Original: With patient to medical records • Duplicate: Health record/BAS

  20. Outpatient Treatment • Original: BAS • Duplicate: Enter in Health record. Copy to Adjutant

  21. Non-Combat Situation • Original: BAS • Duplicate: BAS

  22. Transfer • Original: To receiving facility • Duplicate: BAS

  23. Transferred Cases • Remains with the patient when transferred from one MTF to another • It should be attached to patient or with established health record until the patient reaches hospital, dies and is buried or returns to duty

  24. Carbon Copies • In the U.S., the Senior Command Surgeon prescribes the use of these through the SOP or the administrative or logistics order • Overseas commands they are used as the Senior Command Surgeon prescribes

  25. Accuracy • The DD Form 1380 is the first and sometimes the only record of combat casualty treatment • Accuracy and completion is of utmost importance

  26. Completion of the DD Form 1380

  27. Block #1 • Personal Identification: • Name • Rank • SSN • Sex • Specialty Code • Religion

  28. Block #2 • Unit Information: • Unit • Nationality • Force

  29. Block #3 • Injury identification: • Mark appropriately on diagram

  30. Block #4 • Level of Consciousness • Mental status • AVPU

  31. Block #5 • Pulse: • Record time Block #6 • Tourniquet: • Indicate with yes or no and time if applied

  32. Block #7 • Morphine: • Record dose and time Block #8 • I.V.: • Record start time

  33. Block #9 • Treatment Block #10 • Disposition Block #11 • Provider: • M. O.’s Signature, unit and date

  34. Block #12 • Reassessment: • Record status, date and time Block #13 • Clinical comments/diagnosis Block #14 • Orders/antibiotics

  35. Block #15 • Provider: • Signature and date Block #16 • Disposition • Duty status, Evac or Deceased

  36. Block #17 • Religious Services: • Chaplain services and entries

  37. MORPHINE

  38. MORPHINE: Not normally issued with the Unit One, but is issued prior to going on patrol. Usually you get issued 3 packages. EACH PACK OF MORPHINE CONTAINS 5 SYRETTES OF 16 MG

  39. Accountability • During time of war, you will be issued Morphine syrettes under very strict controlled procedures. Possession is a medical responsibility and must not be taken lightly

  40. Morphine Syrettes • Composed of a collapsible tube fitted with a hypodermic needle, with a stilt insert and a plastic needle cover. • Each syrette contains 16 mg of Morphine

  41. Use of the Syrette • Remove the needle cover • Grasp the stylet and push into tube until stopped by the opening guard • Remove the stylet and inject

  42. Dosage • Adult dosage is 8 to 16 mg, repeated if necessary every 4 hours

  43. Usage • Morphine is a very effective pain reliever • Proper administration in selected patients will relieve distressing pain and aid in the prevention of shock

  44. Precautions • Causes mental confusion • Respiratory depression • Increases intracranial pressure • Constrictive Pupils • Morphine poising and habituating

  45. Administration Precautions • LOC • Head injuries • Airway and respiratory related injuries • Massive hemorrhage

  46. Administration Precautions • Any casualty having fewer than 16 respirations per minute should NOT be given any morphine • Evidence of severe or deepening shock

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