Infidel-6 said:
So so when your vehicle rolls or the chopper is down -- and the vest and PPE are in the way -- is it not easier to pull a handle and leave it all there?
I really dont need a lecture on Combat Casualty Care, however I will offer that if you are not returning fire in a TIC and are working on wounded you have deprived the unit of a weapon to win the firefight. Self Aid, Buddy Aid, Medic Aid...
Secondly all one needs to do is strip mags or frags from the pouch on the armor system and dish them out -- its not rocket science, and many times the cas will still need to be in the fight so until he boards the bird he is keeping his gear.
Having said that some roles do not fit well with pouches affixed to the PPE, the LBE needs to be quick release - and a Benchmade Safety Tool is not a quick release as sometime ichy has to wear it again in that fight.
I6, I wasn't trying to step on your toes there- my reply was more for the benefit of anyone reading this than for you specifically. I don't think for a second that you've got anything to learn from me, but then you're hardly representative of the average member of this site, either.
A couple points I just want to clarify in my own defense- I was mostly referring to tactical field care, not care under fire. Obviously during a TIC I wouldn't be treating the casualty; I'm returning fire like everyone else. I'm not sure if the training you've gotten breaks down the same phases our TCCC curriculum does- care under fire (self aid, tell the cas to put on a tourniquet, win the firefight), tactical field care (TCCC/Medic treatment in a tactical environment with no immediate threat) and then CASEVAC. I think we just have different terminology for the same thing. I wouldn't for a second suggest treating a casualty while under fire. Maybe I phrased things poorly, but I'm not an idiot.
I had thought I added that if required to extract a casualty, sure, we'll ditch the PPE, and hopefully it can be recovered at a later time. Apparently I left that out of my post though. You're absolutely right that in that situation it could be necessary. I understand and appreciate the simplicity of a system such as a RAV, or CIRAS, or other releaseable fully integral system. Given that we are all under orders to wear the issued soft frag vest however, it makes sense that since we're stuck with it anyway we might as well keep our plates in with it for the reasons I went into in my last reply. Sadly few of us enjoy the same leeway you have. If we were at liberty to use our own PPE complete, sure, there would be better options than what we have. But since we're stuck with the frag vest, what we've been taught seems to be what makes the most sense. If I'm treating a casualty I'd prefer their PPE stay with them, and I've probably got more pressing matters than stripping their kit, hence I'd want to toss the LBE aside for the 2ic to pillage as necessary.
Anything you've got to enlighten me I'm obviously willing to hear it; we just have some pain in the ass restrictions to take into account. That of course goes for anyone whose operational experience contradicts that which we were taught. PPE with the casualty, LBE set aside was the rule of thumb we were given though.
The C.F. does still have some serious progress to make with regards to armour and load carriage, we all know that. Hopefully the next developments take tactical medical care into account as well. I'm not privy to what the SOFCOM types are using, but I imagine (or hope?) that they're a bit more ahead of the curve in this than the rest of the C.F., and that some lessons can be brought across for the benefit of us common folk.