In '93, I was in an accident in Dundurn where I suffered a head injury. I was a driver instructor on a FMC Dvr Wh crse when we went around a blind corner and right there was a MLVW bearing down on us. We were in an iltis. We had no time to get out of the way but we could get the front end off the dirt trail and up onto the field. I leaned between the front seats and yelled hard right at the driver and he did just that. The ML hit us in the left quarter panel and through us back before it hitting us again this time in the drivers compartment slamming the light switch into the drivers leg and pushing the seat into my face breaking my cheek bone and depositing it into my jaw. I was placed in the ambulance on a spine board and sent into Saskatoon's Royal University Hospital. I was in there for 4 hrs before they could get the portable x-ray machine down there to check out my neck and head. I required plastic surgery and it was successful (I am still my homely self). My head was soar for two days as I was stuck on that spine board for 4 hrs.RN PRN said:Not on my shift and not if you value your license.
Usually we will get the person of the back board ASAP once they are in the ED. Before we log roll them to assess the back we will do a full neurological exam including CSM. Once the patient is rolled and the spine is examined and palpated along with assessing rectal tone will we do away with the board. The collar will remain in place and the patient supine until the X-Ray / CT clears the spine. Then and only then will the collar be removed.
Radop said:I leaned between the front seats and yelled hard right at the driver and he did just that.
Yes, we were doing a map and compus road rally type thing. The instructors were told to sit in the rear passenger seat and let the co-drivers give directions to the rally point.old medic said:Getting a bit off topic here, but you were driver instructing from the back seat ??
I guess it was the crestliner in to Saskatoon and the SMP veh into camp. (I feel sorry for the two medics as I was a bossy infantree MCpl back then and wouldn't let them look at me until they had treated and taken care of the two drivers. The doctor gave them sh** when we got into camp as I had obvious head injury and was just riding with the injured driver -just required stiches to his leg)old medic said:How was the ride in, did you get the crestliner (civy base amb) or an SMP amb ride?
I always prefered using the crestliner myself, the traffic moves pretty quick on that highway.
MedCorps said:Unfortunately at this time there is not standardized course. I have seen presented in two ways.
The first way is for medical personnel as part of a larger course that deals with Combat Casualty Care in general (just not tactical combat casualty care). When I first took it, I did it this way as part of the Combat Casualty Care Course run by the Defense Medical Readiness Training Institute in Fort Sam Houston. I have also seen it run by the UK RAMC as part of the Battlefield Advanced Trauma Life Support Course. We have run it in Canada as part of larger OP ATHENA medical pers work-up training for ROTO 0 and ROTO 0A (Medical Augmentation). We also ran it as part of a clinical training week called "Combat Medicine 2004".
The second way is for the warfighter, whom it really is intended for. It was run as a 1 or 2 day course. If I had to put PO's to it... it would look like this.
PO 001 - The Casualty Treatment and Evacuation Process (CUF vs TFC vs CCEC)
PO 002 - How Casualties Die (the big 3 and Tri-model death distribution)
PO 003 - Care Under Fire
PO 004 - Airway Problems and Management (with Lab [open airway, bulb suction, NPA, OPA])
P0 005 - Tension and Open Pnumothorax and Management (with Lab [needle decompression and Chest
sealing techniques x2])
PO 006 - Stop Bleeding and Treat Shock (with lab [shell dressing and one handed tourniquet, and improv.
tourniquet])
PO 007 - Triage
PO 008 - Morphine Autoinjectors (if issued)
PO 010 - Scenario Based Training (Exercise)
Here is more information:
http://www.google.ca/search?q=cache:X5nV_O9BVUAJ:www.nomi.med.navy.mil/Text/Tactical%2520Combat%2520Casualty%2520Care%2520Guidelines.pdf+%22Tactical+Combat+Casualty+Care%22&hl=en&ie=UTF-8
I suspect sooner or later that it will be standardized for the CF in a course. It is the waiting game, as mentioned in another thread. It is good to hear that 1 CMBG ran a course.
Cheers,
MC
CHIMO!!!!! said:Hey there,
Petawawa is running a 3 wk TCCC's course next month. It should be alot better than the 4 day one they taught before.