Ranger Medic Handbook 2007

Historically in warfare, the majority of all combat deaths have occurred prior to a casualty ever receiving advanced trauma management. The execution of the Ranger mission profile in the Global War on Terrorism and our legacy tasks undoubtedly will increase the number of lethal wounds.Ranger leaders can significantly reduce the number of Rangers who die of wounds sustained in combat by simply targeting optimal medical capability in close proximity to the point of wounding. Survivability of the traumatized Ranger who sustains a wound in combat is in the hands of the first responding Ranger who puts a pressure dressing or tourniquet and controls the bleeding of his fallen comrade. Directing casualty response management and evacuation is a Ranger leader task; ensuring technical medical competence is a Ranger Medic task.A solid foundation has been built for Ranger leaders and medics to be successful in managing casualties in a combat environment. An integrated team response from non-medical personnel and medical providers must be in place to care for the wounded Ranger. The Ranger First Responder, Squad EMT, Ranger Medic Advanced Tactical Practitioner, and Ranger leaders, in essence all Rangers must unite to provide medical care collectively, as a team, without sacrificing the flow and violence of the battle at hand.An integrated team approach to casualty response and care will directly translate to the reduction of the died of wounds rate of combat casualties and minimize the turbulence associated with these events in times of crisis. The true success of the Ranger Medical Team will be defined by its ability to complete the mission and greatly reduce preventable combat death. Rangers value honor and reputation more than their lives, and as such will attempt to lay down their own lives in defense of their comrades. The Ranger Medic will do no less. 03-001-III RMED HB Pharmacology FINAL.pdf......Page 0 Ranger MedicHandbook......Page 1 RANGER FIRST RESPONDER (RFR) – A Ranger who has successfully......Page 13 In a case where the Ranger Medic cannot contact Medical Cont......Page 15 CASUALTY ASSESSMENT AND MANAGEMENT......Page 17 III. RESUSCITATION......Page 20 HEAD......Page 21 RECTUM......Page 22 VI. SUMMARY......Page 23 TACTICAL COMBAT CASUALTY CARE (TCCC)......Page 24 MGMT: 1. Hydrate, 2. Acetaminophen (Tylenol) 1000mg PO q6h p......Page 62 MGMT: 1. Increase PO hydration, 2. Acetaminophen (Tylenol) 1......Page 63 MGMT: 1. Remove offending agent and evaluate pattern, 2. Was......Page 64 MGMT: 1. Examine eye, to include eyelid eversion, and remove......Page 65 2-10 mg PO tid-qid; 5-10 mg slow IV push......Page 76 Adverse Effects: Euphoria, insomnia, convulsions, increased......Page 77 Interactions: Alcohol, other CNS depressants, and MAOIs comp......Page 78 Interactions: Probenecid decreases renal excretion......Page 79 Interactions: Ferrous sulfate and aluminum or magnesium cont......Page 80 Interactions: Oral anticoagulants and heparin may prolong bl......Page 81 Interactions: Barbiturates decrease activity; cimetidine, be......Page 82 Interactions: CNS depressants, sedatives, barbiturates, alco......Page 83 Interactions: Reverses analgesic effects of narcotic (opiate......Page 84 Adverse Effects: Fluid overload, CHF, edema, electrolyte imb......Page 85 150–450 mg PO q6h; 600–900 mg IM/IV q6–8h......Page 87 Interactions: Aminosalicylic acid and carbonic anhydrase inh......Page 88 Interactions: No clinically significant interactions establi......Page 89 Interactions: Theophylline may decrease clearance leading to......Page 90 Contraindications: Clindamycin or lincomycin hypersensitivit......Page 91 Interactions: No clinically significant interactions establi......Page 92 Interactions: No clinically significant interactions establi......Page 93 Interactions: By inhibiting platelet function, may increase......Page 94 Adverse Effects: Fluid overload, CHF, edema, electrolyte imb......Page 95 Interactions: No clinically significant interactions establi......Page 96 Interactions: Alcohol and CNS depressants may potentiate sed......Page 97 Interactions: Rifampin may decrease ondansetron levels......Page 98 Interactions: Sympathomimetics and beta blockers increase pr......Page 99 Interactions: May effect and toxicity of oral anticoagulants......Page 100 Adverse Effects: Headache on awakening, drowsiness or fatigu......Page 101 Dose: 100–200 mg PO qd-bid......Page 104 Dose: 250-750 mg PO bid or 200-400 mg IV q8-12h......Page 105 Dose: 25-75mg PO bid-tid......Page 106 Interactions: Alcohol, CNS depressants, and herbal (St. John......Page 107 Interactions: Alcohol and other CNS depressants enhance CNS......Page 108 Class: Hormones and synthetic substitutes – adrenal corticos......Page 109 Interactions: TCAs and maprotiline may potentiate pressor ef......Page 110 Interactions: May increase diazepam, phenytoin, and warfarin......Page 111 Interactions: May decrease absorption of ketoconazole; may i......Page 112 Interactions: May increase theophylline levels; may decrease......Page 113 Interactions: Carbamazepine significantly decreases levels;......Page 114