Spr.Earl said:
Why cant we go back and just teach Combat First Aid which mnay of us have learnt in the past by which I mean;All combat arm's knew how to give a I.V and moniter the drip,.give morhine,sucking chest wound's etc.
Now this training is lacking and it pee's me off,Why?
The faster I can treat my Bud's the better chance he has.
With all due respect, please read the TCCC thread, especially that last few pages that talk about fluid resus before you post. As RN PRN stated there are problems with teaching troops IV fluid resus, read the other threads. Theres problems with morphine autoinjectors. Do you carry Narcan with them? This has been discussed too. Give Morphine to someone who is shut down peripherally, doenst work, give him another, they get resus'd, opens his periphery, Morphine OD. And lastely, I don't think this has been discussed, but the falacy of the sucking chest wound. The hole in the chest has to be larger than the trachea, thats pretty big, and the intercostal muscles will usually seal any hole. Air takes the path of least resistance, so if the hole is smaller than the trachea, it is going to enter the trachea. If you look at casualty mortality curves, these casualties can survive for 6 hours with no treatment. The three sided occlusive dressing does not work, the tape will not stick to blood and dirt and sweat. The Ashermans are being phased out (at SOF levels anyway, and working its way down) the valve just doesnt work, and the latest treatment is completely occluding the hole and needle decompressing prn. The needle doesnt need a condom or glove finger or heilmich valve, its to small to allow air passage in, becasue the trachea is so much bigger.
Combat First Aid is a thing of the past, lets leave it there. We've evolved considerably into TCCC. Please don't take the attitude of, well it worked for us in the past, why should we change it. Thats old Army attitude. It worked for us in the past, because it was never utilized on a large scale. TCCC has been proven effective by the US, Brits, Israeli's, Canadians and others on current operational theatres. It works well. Proven to work well, backed up by tons of data. Please educate yourself before saying we should go back to the old ways.