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Welcome SSG Scaliatine SGT McNamara

Task: Re-certify Combat Lifesaver skills IAWISO826 (CLS Instructors Booklet)Conditions: Given performance check list on four tasks (I.V., Measure/Monitor Pulse, Restore Breathing, Stop bleeding on a limb)Standards: Receive a go on all tasks. Watch your head, LOW CEILINGUse the hand rail when on stairsDon't lean back on chairsNo

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Welcome SSG Scaliatine SGT McNamara

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    5. Evaluate the Casualty Steps in a Primary Survey Mask and Treat a Chemical Agent Casualty Check the Casualty for Responsiveness Check the Casualty’s Airway Check the Casualty’s Breathing Check the Casualty’s Circulation Check the Casualty for Bleeding Treat for Chemical Agent Poisoning (if appropriate) Check the Casualty for Shock

    6. Evaluate the Casualty Steps in a Secondary Survey Check the Casualty for Fractures Check the Casualty for Burns Check the Casualty for Closed Head Injury (concussion) Check the Casualty for Environmental Injuries Check the Casualty for Other Wounds/ Fractures Check the Casualty for Combat Stress Reaction

    25. Perform Mouth-to-Mouth Resuscitation Buddy-Aid Book

    26. Evaluate the Casualty Steps in a Primary Survey Mask and Treat a Chemical Agent Casualty Check the Casualty for Responsiveness Check the Casualty’s Airway Check the Casualty’s Breathing Check the Casualty’s Circulation Check the Casualty for Bleeding Treat for Chemical Agent Poisoning (if appropriate) Check the Casualty for Shock

    27. Evaluate the Casualty Steps in a Secondary Survey Check the Casualty for Fractures Check the Casualty for Burns Check the Casualty for Closed Head Injury (concussion) Check the Casualty for Environmental Injuries Check the Casualty for Other Wounds/ Fractures Check the Casualty for Combat Stress Reaction

    45. Evaluate the Casualty Steps in a Primary Survey Mask and Treat a Chemical Agent Casualty Check the Casualty for Responsiveness Check the Casualty’s Airway Check the Casualty’s Breathing Check the Casualty’s Circulation Check the Casualty for Bleeding Treat for Chemical Agent Poisoning (if appropriate) Check the Casualty for Shock

    46. Evaluate the Casualty Steps in a Secondary Survey Check the Casualty for Fractures Check the Casualty for Burns Check the Casualty for Closed Head Injury (concussion) Check the Casualty for Environmental Injuries Check the Casualty for Other Wounds/ Fractures Check the Casualty for Combat Stress Reaction

    61. Application Of Tourniquet (Tying of Half-Knot)

    62. Application of Tourniquet (Positioning Stick)

    63. Application Of Tourniquet (Full-Knot on Stick)

    64. Secure Stick

    76. Measure and Monitor a Casualty’s Pulse

    77. Evaluate the Casualty Steps in a Primary Survey Mask and Treat a Chemical Agent Casualty Check the Casualty for Responsiveness Check the Casualty’s Airway Check the Casualty’s Breathing Check the Casualty’s Circulation Check the Casualty for Bleeding Treat for Chemical Agent Poisoning (if appropriate) Check the Casualty for Shock

    78. Evaluate the Casualty Steps in a Secondary Survey Check the Casualty for Fractures Check the Casualty for Burns Check the Casualty for Closed Head Injury (concussion) Check the Casualty for Environmental Injuries Check the Casualty for Other Wounds/ Fractures Check the Casualty for Combat Stress Reaction

    79. Task, Conditions & Standards found on page 18-1 in Medical Tasks book

    80. Step #1 Locate the pulse site Carotid Radial NOTE: DO not palpate both of the Casualty’s Carotid Arteries at the same time Other sites: Posterior Tibial, Temporal, Brachial, Femoral, Popiteal, Dorsalis Pedis & Apical. Look at the picture on page 18-3 for locations.

    81. Step #2 Palpate the pulse site Use Middle and Ring fingers Do not use your thumb Count the beats felt in one minute Do not cheat, IE: 30 seconds x 2 Normal: 60-80 Beats per Minute (BPM) Tachycardia: Over 100 BPM Bradycardia: Less then 50 BPM

    82. Step #2 (cont) Classify the Strength of the Pulse Regular: Easy to feel, Even Beats, Normal Force Bounding: Easily detected due to large amount of blood pumping Weak: Difficult to detect due to loss of blood Absent: You guessed it; NO PULSE FOUND

    83. Step #3 Monitor the Casualty’s Pulse Count as needed Periodically Report Abnormal readings or changes

    84. Try the Practical Exercise on Page 18-6

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