PARARESCUE MEDICATION PROCEDURE HANDBOOK EMT
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PARARESCUE MEDICATION & PROCEDURE HANDBOOK EMT 699pp CD

PARARESCUE MEDICATION & PROCEDURE HANDBOOK EMT 699pp CD
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Start Time Friday, October 03, 2008
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You are bidding on a CD   PARARESCUE MEDICATION AND PROCEDURE HANDBOOK & MORE   – 4 documents with 699 pages  of various handbooks, reports and studies with diagrams and illustrations. Please see complete description of all the files on this CD below.       1. PARARESCUE MEDICATION AND PROCEDURE HANDBOOK INTRODUCTION (Second Edition, 28 February 2001, 141 pages) 2. PARARESCUE OPERATIONS, TECHNIQUES, AND PROCEDURES  (3 MAY 2001, 237 pages) 3. WORKBOOK  PATROL MEDICAL COURSE  (JANUARY 2002, 269 pages) 4. Tactical Combat Casualty Care  (21 Feb 2003 Draft, 52 pages)                            1. PARARESCUE MEDICATION AND PROCEDURE HANDBOOK INTRODUCTION: This handbook is designed to provide concise information regarding management of patients in austere environments. It is a quick reference and is not meant to provide detailed discussions of physiological events. You are expected to provide the standard of care for your EMT certification, including the unique skills native to Pararescue. NOTE: No handbook can anticipate every tactical and/or medical situation that might occur in a rescue. When faced with adverse situations, a PJ and his team will have to improvise, adapt, and overcome. Always keep in mind the mission, your safety, and your patient’s safety. (Second Edition, 28 February 2001, 141 pages)     2. PARARESCUE OPERATIONS, TECHNIQUES, AND PROCEDURES Chapter 1  Introduction Chapter 2  Operational/Training Restrictions Chapter 3  Airmanship Chapter 4  Static Line Parachute Operations Chapter 5  Military Freefall Parachute Operations Chapter 6  RAMZ Procedures Chapter 7  Tree Climbing And Letdown Procedures Chapter 8  Rescue Jumpmaster Procedures Chapter 9  Alternate Insertion And Extraction Methods Chapter 10  Cargo Aerial Delivery Procedures Chapter 11  Dive Operations Chapter 12  Land Navigation Chapter 13  Individual Combat Tactics Chapter 14  Small Team Tactics Chapter 15  Combat Search And Rescue (CSAR) Operations Mission Planning Chapter 16  Medical Chapter 17  Communications Procedures (3 MAY 2001, 237 pages)   3. WORKBOOK  PATROL MEDICAL COURSE As an LRRP medic you will find yourself responsible for a variety of tasks. From the difficult but exciting task of trauma management through to the more mundane tasks of general health and hygiene. The first thing to remember is that you are attending the ISTC Medical Course to learn a skill, not to become a full time medic. It must be remembered you are a soldier first and a patrol medic in the second place. The skills you learn on this course are designed to compliment your existing skills, not replace them. As a SOF medic you will be responsible for a variety of tasks. These will include, but are not limited to: (1) The medical aspects of the premission planning. (2) Medical instruction for the rest of your patrol, i.e. first aid, health and hygiene, casualty evacuation procedures, etc. (3) Day to day health of the patrol. (4) Trauma management. (5) Medical equipment. (JANUARY 2002, 269 pages)   4. Tactical Combat Casualty Care Throughout their careers, military medical personnel may be called upon to treat trauma victims in two types of situations  in combat, and in routine life on or off military installations. This manual deals specifically with military combat trauma, and the recommendations herein apply solely to the tactical prehospital setting. Ninety per cent of combat wound fatalities die on the battlefield before reaching a medical treatment facility. This fact of war emphasizes the need for continued improvement in combat prehospital care. (21 Feb 2003 Draft, 52 pages)      Tables of contents:   1. PARARESCUE MEDICATION AND PROCEDURE HANDBOOK   MEDICAL COMMAND AND CONTROL 8 PRINCIPLES OF COMBAT CASUALTY CARE 9 • Resuscitation: Initiation and Guidelines 10 • Refusal of Medical Care 11 TRAUMA12 • Primary Survey 12 • Secondary Survey 12 • Glasgow Coma Scale 13 SHOCK14 • Hypovolemic 14 • Cardiogenic 14 • Anaphylactic 15 • Septic15 • Neurogenic 16 SPINAL INJURIES 17 • SoluMedrol Protocol (Blunt Spinal Chord Trauma) 17 • Clinical Clearing of the Cervical Spine18 •Dermatome Chart19 HEAD INJURIES 20 • Increased Intracranial Pressure (ICP) 21 FACIAL/EYE TRAUMA22 • Snellen Visual Acuity Chart 24 CHEST TRAUMA 25 ABDOMINAL TRAUMA 27 EXTREMITY TRAUMA 29 • Open Fractures29 • Shoulder Dislocations30 • Thumb/Finger Dislocations 31 • Knee Dislocations33 • Ankle FractureDislocations 33 COMPARTMENT SYNDROME33 CRUSH INJURIES34 BURNS 35 • Burn Nomogram39 MEDICAL PROCEDURES40 AIRWAY 40 • Jaw Thrust 40 • Chin Lift 40 • NasoPharyngeal Airway 40 • OralPharyngeal Airway 40 • Endotracheal Intubation 41 • Nasotracheal Intubation 41 • Lighted Stylet Intubation42 • Tactile Intubation42 • Cricothyroidotomy43 BREATHING  44 • Oxygen Therapy 44 • Needle Thoracentesis44 • Thoracostomy (Chest Tube)45 CIRCULATION 46 • Intravenous Insertion46 • Saline Lock Insertion 47 • Intraosseous Infusion 48 DIAGNOSTICS AND PATIENT CARE 48 • NasoGastric Tube Insertion48 • Urethral Catheterization 49 • Suprapubic Needle Cystotomy50 • Wound Irrigation50 • Debridement 51 • Delayed Primary Closure51 • Escharotomy51 • Fasciotomy 53 • Amputations53 • MAST trousers53 EXTENDED CARE AND TRANSPORT 54 TRIAGE55 OPERATIONAL AND ENVIRONMENTAL EMERGENCIES57 DIVE EMERGENCIES57 NonTrauma Dive Injuries57 Trauma Dive Injuries57 OPEN CIRCUIT DIVING EMERGENCIES 58 • Pulmonary OverInflation Injuries58 • Decompression Sickness 58 BAROTRAUMA 59 • Ear Squeeze 59 • Middle Ear Squeeze59 • Sinus Squeeze 59 • Reverse Squeeze59 • Dental Barotrauma59 • Reverse Squeeze59 CLOSED CIRCUIT DIVING EMERGENCIES 60 • Oxygen Toxicity 60 • Hypercarbia 60 • Hypoxia 61 • Chemical Injuries61 Rapid Field Neurological Exam62 Flying After Diving63 SUBMERSION INJURY (NEARDROWNING 64 HIGH ALTITUDE ILLNESS65 • Acute Mountain Sickness 65 • High Altitude Cerebral Edema66 • High Altitude Pulmonary Edema66 • Use of Nifedipine in High Altitude Pulmonary Edema 66 • UV Keratitis (Snow Blindness) 67 COLD WEATHER INJURIES 68 • Freezing Injuries (Frostbite)68 • NonFreezing Cold Injuries 69 • Hypothermia 70 • Immersion Hypothermia 71 HEAT INJURIES72 • Heat Cramps72 • Heat Exhaustion72 • Heat Stroke72 • Water Intoxication/Hyponatremia73 LIGHTNING STRIKES73 VENOMOUS INJURIES 74 • Reptiles 75 • Universal Snakebite First Aid Protocol 75 • Bee, Wasps, Hornets, Ants 76 • Arachnids and Arthropods 76 • Venomous Marine Animals 77 PATROL MEDICINE79 • Fever in Tropical Areas 79 • Malaria 79 • Cellulitis 79 • Skin Fungal infections78 • Dysentery79 • Ankle Sprains 79 WEAPONS OF MASS DESTRUCTION82 • Choking Agents 82 • Nerve Agents 82 • LongTerm care of Nerve Agent Casualties84 • Blood Agents85 • Blister Agents 85 • Biological Agents86 • Nuclear Contamination 87 MEDICAL EMERGENCIES88 • Chest Pain88 • Diabetes 89 • Coma 89 • Seizures90 • Asthma 90 • Infectious Diarrhea91 • Stool Guiac Testing91 CARDIAC CARE GUIDELINES AND TREATMENT ALGORITHMS92 PHARMACOLOGY  112 ANAPHYLAXIS PROTOCOL 115 STANDARD MEDICATIONS  116 Analgesics & Anesthetics  116 • Lidocaine (xylocaine) 116 • Morphine 116 • Narcan (naloxone)  116 Antibiotics 117 • Cefotan (cefotetan)  117 • Cipro (ciprofloxin)  117 • Gentamycin Opthalmic Ointment (garamycin)  117 • Keflex (cephalexin)  117 • Mefoxin (cefoxitin)  118 • Rocephin (ceftriaxone) 118 • Silvadene cream (silver sulfadiazine) 118 Antihistamines 118 • Benadryl (diphenhydramine) 118 • Phenergan (promethazine)  119 AntiInflammatory’s  119 • Decadron (dexamethasone)  119 • Motrin (ibuprofen)  119 • Solumedrol (methylprednisolone)  120 • Toradol (ketorlac tromethamine) 120 Miscellaneous Medications  120 • Afrin nasal spray (oxymetazoline)  120 • Diamox (acetazolamide) 121 • Epinephrine (adrenaline)  121 • Imodium (loperimide) 122 • Mannitol 122 • Lasix (furosemide)  122 • Valium (diazepam) 122 • Zantac (ranitidine) 123 ADVANCED CARDIAC LIFE SUPPORT DRUGS*  124 *EMTP authorized use and/or special mission requirement only • Adenosine  124 • Atropine  124 • Dopamine 124 • Epinephrine  125 • Lasix (furosemide  125 • Lidocaine  125 • Nitroglycerin 126 • Procainamide  126 WATER PURIFICATION IN THE FIELD  127 LASER EYE INJURIES  128 • Amsler Grid Testing  129 LINE MEDEVAC REQUEST 130 GLOSSARY  133 APGAR SCORE  134 MNEMONICS 134 CONVERSIONS  136     2. PARARESCUE OPERATIONS, TECHNIQUES, AND PROCEDURES   Chapter 1— INTRODUCTION 9 Deviations and Waivers.  9 Local Operating Procedures. .. 9 Records Disposition. Maintain and dispose of all .. 9 Chapter 2— OPERATIONAL/TRAINING RESTRICTIONS 10 Safety.  10 Parachuting.  10 Drop Zones.  14 Drop Zone (DZ) Operations. . 14 Dive Operations. .. 15 2 AFI16-1202 3 MAY 2001 2.6. Team Leader Requirements  15 Chapter 3— AIRMANSHIP 17 3.1. General. . 17 3.2. Responsibilities . 17 Figure 3.1. Mission Crewmember Responsibilities. . 17 3.3. Crew Coordination/ Duties.  18 3.4. Enroute Operations.  18 3.5. Objective Area (OA) Threat Assessment and Control.  18 3.6. Disabling of Aircraft Systems and Destruction of Classified. .. 19 Chapter 4— STATIC LINE PARACHUTE OPERATIONS 20 4.1. Purpose. . 20 4.2. General. . 20 4.3. Parachute Manipulation Using Modified Canopy.  21 4.4. Maneuvering to the Target. . 21 4.5. Team Parachuting. . 22 4.6. Land Parachute Deployment Procedures.  22 4.7. Water Parachute Deployment Procedures.  24 4.8. Water Parachute Deployment Configuration.  25 4.9. Night Parachute Deployment Procedures. . 26 4.10. Equipment /Packs/Snowshoe/Ski / Weapon Rigging. . 26 4.11. Equipment Release Procedures.  26 Chapter 5— MILITARY FREEFALL PARACHUT OPERATIONS 28 5.1. Purpose.  28 5.2. DZ Wind Determination.  28 5.3. Night Deployments.  28 5.4. Water Deployment Procedures. .. 29 5.5. Tree Parachute Deployment Procedures. . 30 5.6. Equipment Procedures.  32 5.7. MFF Grouping and Assembly.  32 5.8. High Altitude/Oxygen Procedures.  32 AFI16-1202 3 MAY 2001 3 Chapter 6— RAMZ PROCEDURES 34 6.1. Purpose. . 34 6.2. Fuel.  34 6.3. Rigging Procedures.  34 6.4. Inspection.  35 6.5. RAMZ Static Line Procedures. . 35 6.6. RAMZ Freefall Procedures.  36 6.7. De-Rigging Procedures.  37 6.8. Inflation.  38 6.9. Boat crew duties. .. 38 Chapter 7— TREE CLIMBING AND LETDOWN PROCEDURES 39 7.1. Tree Extraction.  39 7.2. Tree Climbing. .. 39 7.3. Using Tree Climbing Equipment.  39 7.4. Recovery of Personnel Suspended in Trees. .. 40 Chapter 8— RESCUE JUMPMASTER PROCEDURES 42 8.1. General. . 42 8.2. Terms and Definitions. . 42 8.3. Jumpmaster Qualification. .. 42 8.4. Jumpmaster Responsibilities. . 42 8.5. Pre-Deployment Evaluation. .. 45 8.6. Airdrop Release Methods. .. 47 8.7. Jumpmaster Directed Drops (JMDD). .. 48 8.8. General Jumpmaster Information/Requirements.  52 8.9. Static Line Aircraft Deployment Procedures.  52 8.10. Freefall Deployment Procedures.  57 8.11. Deployment to a Vessel. .. 58 8.12. Parachute Deployment Documentation. .. 59 Chapter 9— ALTERNATE INSERTION AND EXTRACTION METHODS 61 9.1. Purpose. . 61 9.2. Qualification and Training. . 61 4 AFI16-1202 3 MAY 2001 9.3. AIE Master Responsibilities. . 61 9.4. Planning Considerations. . 62 Table 9.1. Chemlight Configurations. . 63 9.5. General Contingencies/Emergency Procedures. .. 63 9.6. Rope/Rappel/Cast Master. .. 64 9.7. Air Land Operations. . 64 Table 9.2. Helicopter Rotor Spans. .. 66 9.8. Hoist Operations. . 67 Figure 9.1. Harness Set Up.  73 Figure 9.2. Daisy Chain Chest and Sit Harness. . 75 Figure 9.3. Daisy Chain to Hoist Cable Attachment.  76 Figure 9.4. Rope Strap with Jumar Ascender. .. 77 Figure 9.5. Prusik Strap. .. 78 Figure 9.6. Two-Man Leaving Aircraft. .. 80 Figure 9.7. Foot Placement. .. 82 Figure 9.8. Maneuvering the Head Inside on the Way.  83 Figure 9.9. Swing In. .. 84 Figure 9.10. Pull In. .. 85 9.9. Freefall Swimmer Deployment . 87 9.10. Rappel. .. 89 9.11. Fast Rope.  92 9.12. Extractions using Fast Rope Insertion Extraction System (FRIES). . 94 9.13. Rope Ladder. .. 95 9.14. Special Patrol Insertion/Extraction (SPIE) System  97 9.15. Stabilized Body Position (STABO)  99 9.16. Rapid Equipment Delivery System and Equipment. . 101 Table 9.3. Heavy REDS Kit Contents. .. 104 Table 9.4. Light REDS Kit Contents. .. 105 9.17. Tethered (T) Duck Operations .. 106 Table 9.5. "T" Duck Kit Contents.  107 9.18. Kangaroo Duck (K-Duck) Operations. . 110 AFI16-1202 3 MAY 2001 5 9.19. Helicopter Freefall Equipment Delivery. . 111 Chapter 10— CARGO AERIAL DELIVERY PROCEDURES 113 10.1. Purpose. . 113 10.2. Types of Airdrops. .. 113 10.3. Cushioning Materials for Aerial Delivery Loads. .. 113 10.4. Cargo Parachutes.  113 10.5. Aerial Delivery Containers.  114 10.6. Aerial Delivery Procedures.  114 10.7. Fuel.  115 Chapter 11— DIVE OPERATIONS 117 11.1. General. . 117 11.2. Dive Medic.  117 11.3. Diving Supervisor. .. 117 11.4. Stand-By Diver.  118 11.5. Safety.  118 11.6. Lost Diver/Equipment Procedures. . 119 11.7. Safety Boats. .. 119 11.8. Diving with Foreign Units. . 119 11.9. SCUBA . 120 11.10.Environmental Considerations. . 121 11.11.Search Patterns .. 121 Figure 11.1. SideView of Shore Based Sweep Pattern Using Vehicle to Elevate Line Tender.  123 Figure 11.2. Side View of Shore Based Sweep Pattern Using Float to Lift Line Over Obstructions. .. 123 Figure 11.3. Side View of the Shore Sweep Pattern With Float and Second Diver to Clear Obstructions.  124 Figure 11.4. Side View of Shore Based Sweep Pattern.  126 Figure 11.5. Top View of Shore Based Sweep Pattern. . 127 Figure 11.6. Shore Based Parallel Pattern.  128 Figure 11.7. Snag Method.  129 Figure 11.8. Straight Search.  130 6 AFI16-1202 3 MAY 2001 Figure 11.9. Combination Pattern.  131 Figure 11.10. Boat Based Circular Pattern. . 133 Chapter 12— LAND NAVIGATION 134 12.1. Purpose. . 134 12.2. Silva Compass. .. 134 12.3. Altimeter Used as a Compass Aid .. 134 12.4. Global Positions System (GPS). .. 135 12.5. Transmitting Coordinates. .. 135 Chapter 13— INDIVIDUAL COMBAT TACTICS 136 13.1. Purpose .. 136 13.2. Tasking. . 136 13.3. Planning. .. 136 13.4. Tactical Equipment and Clothing. .. 136 13.5. Camouflage.  140 13.6. Cover and Concealment. .. 140 13.7. Fundamentals of Movement. . 141 13.8. Man Tracking.  144 13.9. Tactical River and Stream Crossing. . 148 Chapter 14— SMALL TEAM TACTICS 150 14.1. Purpose. . 150 14.2. Team Size and Composition. . 150 14.3. Emergency Plan of Action (EPA). .. 150 14.4. Resupply. . 150 14.5. Reentry of Friendly Lines. .. 151 14.6. Aerial Movement Responsibilities (Infiltration) .. 152 14.7. Insertion Procedures. . 153 14.8. Initial LZ/DZ Assembly Actions.  153 14.9. Surface Movement. . 153 14.10.Formations. . 156 Figure 14.1. Figure of File Formation.  159 Figure 14.2. Figure of Line Formation. .. 160 AFI16-1202 3 MAY 2001 7 Figure 14.3. Figure of Wedge Formation. . 160 Figure 14.4. Overwatch Threat Guideline.  160 14.11.Security Measures. .. 161 14.12.Reconnaissance and Surveillance. .. 162 14.13.Rally Points.  164 14.14.Bivouac Sites.  166 14.15.Observation Posts For Small Elements.  169 14.16.Objective Area (OA) Actions. .. 169 14.17.Danger Areas.  170 14.18.Team Actions at Danger Areas.  172 14.19.Immediate Action Drills (IADs). . 173 14.20.Actions Under Flares.  178 14.21.Emergency Close Air Support. . 179 14.22.Policy On Enemy Contact. .. 181 14.23.Team Casualties. .. 181 14.24.Body Searches. .. 182 14.25.Evader/Survivor Contact. . 183 14.26.Evader/Survivor Medical Care.  184 14.27.Security for the Survivor. . 185 14.28.Exfiltration Procedures.  185 14.29.Debriefing. .. 186 14.30.Team and Individual Patrol Tips.  186 14.31.General Tips of the Trade. .. 188 14.32.Weapon Tips. . 188 14.33.LBE Tips. . 189 14.34.Recon Tips. . 190 14.35.Forward Air Control (FAC) Tips.  191 14.36.Breaking Out of Encirclement Tips. .. 193 14.37.Remain Over Night (RON) Tips. . 193 Chapter 15— COMBAT SEARCH AND RESCUE (CSAR) OPERATIONS MISSION PLANNING 196 15.1. GENERAL .. 196 8 AFI16-1202 3 MAY 2001 Figure 15.1. General Stages of CSAR. . 197 15.2. Mission Planning.  199 Figure 15.2. Team Leader (TL) Checklist (Example).  199 Table 15.1. TL Time Schedule, Part 1 (Example). . 202 Table 15.2. TL Time Schedule, Part 2 (Example) .. 203 Chapter 16— MEDICAL 215 16.1. General. . 215 16.2. Use of the Flight Surgeon. .. 215 16.3. On-Scene Mission Commander (OMC) Aircraft.  215 16.4. Recovery Aircraft. .. 215 16.5. Relayed Communications. .. 215 16.6. Medical After Action Report . 215 Chapter 17— COMMUNICATIONS PROCEDURES 217 17.1. Safety Considerations  217 17.2. Types of Communication.  217 17.3. Radio Employment.  217 17.4. Radio Communications.  217 17.5. Radio Frequencies. .. 218 17.6. Radio Compatibility. .. 219 17.7. Antennas. . 220 17.8. Voice Procedures.  220 17.9. Secure Communication.  220 17.10.Security Considerations. .. 221 Attachment 1— GLOSSARY OF REFERENCES AND SUPPORTING INFORMATION 222 Attachment 2— D-RING THREADING 230 Attachment 3— RISER TIE-OFF 231 Attachment 4— FIXED TARGET PROCEDURES 232 Attachment 5— MOVING TARGET PROCEDURES 234 Attachment 6— CROSSWIND PROCEDURES 236         This CD is created and produced by planetetech from noncopyrighted, public domain, declassified or  nonclassified US Government documents, and is designed to work under Windows operating system  (the .pdf files are also viewable under other platforms, but some automatic features are likely to be disabled).  All the manuals on this CD are in Adobe Acrobat (.pdf) format, and the latest version of Adobe Acrobat  Reader is also included on this CD for your convenience.   Shipping and Handling fees for Canada and the US are $4.00 for the first CD and $2 for each additional CD (shipping to other countries is $1.00 more).  This includes shipping insurance. We guarantee that you will not end up with a CD damaged  during shipping  should this happen, we'll send you a new CD completely free of charge.   Email us  if you have any questions.   Your satisfaction is our priority!     APPROVED BY U.S. GOVERNMENT FOR PUBLIC DOMAIN RELEASE… DISTRIBUTION UNLIMITED…       Please click here to see other items that we offer for sale!   or   Click HERE to visit our eBAY store (in particular, you may be interested in “any 2 CDs for $20.00 with free S/H”, “any 3 CDs for $27.00 with free S/H”, or “any 5 CDs for $40.00 with free S/H” promotions that can be found in our store while quantities last)           On 01-Nov-05 at 05:46:39 EST, seller added the following information: After purchasing, pay instantly with your credit card through PayPal! Powered by eBay Turbo Lister

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