ADTMC Skills Validation Part 3

Algorithm Directed Troop Medical Care (ADTMC) has been updated as of 2019, and there’s a lot of improvements. The ADTMC has been the traditional manual for allowing 68W medics to run sick call under the “supervision” of a provider for a long time. However, the line units have been the only ones still doing this…and not consistently.

This post is not in reference to NMERT certification. ADTMC is a protocol for sick-call within units. Providers must validate that their medics have the proper skillset and knowledge base prior to permitting Medics to conduct sick call semi-independently.

We need to get back to it. We need to get back to teaching medics. We need to get back to allowing medics to do more. We have to. In a “Near Peer” fight we will be relying on them much more than the last 15 years. And global pandemics like the COVID-19 issue also shows us that we need to be able to have a ready force of 68Ws.

The new ADTMC allows Medics to perform at a higher level, but only after validation. This post is the skills portion of the ADTMC validation. Providers and senior medics should use these videos to enhance their training and save time.

See One, Do One, Teach One

Medics, senior medics, and providers can use these videos to at least accomplish the “See One” portion of medical skills teaching. This is the Part 3 of the ADTMC validation series.

Hartmann’s Fluid = Lactated Ringers

Check Yourself on What You’ve Learned by Taking the Quiz Here

If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

CHECK OUT THE NEW MRE APP

From Military Apps, LLC. A Veteran Owned Business.

MRE APP is an app designed to help service members (or whoever is eating MREs) to choose the best MRE. See the contents of every MRE, search by desired item, search by category of snacks/desserts/beverages. See calorie content! Download now on Apple App Store or the Google Play Store.

This content is the author’s opinion alone and does not necessarily reflect the opinion, official position, or stance of the Department of Defense, or any other branch of the United States Military.

All content is intended to be educational only. Medics should operate under the supervision of a medical provider and abide by all local laws while stateside. Medics should only practice at the level credentialed, and only at the level allowed. This content is not intended to treat or give a substitution for any credentialed provider. Content is intended to aid in a deployed prolonged care setting. Take guidance from your leaders. Utilize these posts as preparation and as a supplement to your provider’s direction and teaching.

Advertisements

ADTMC Skills Validation Part 2

Algorithm Directed Troop Medical Care (ADTMC) has been updated as of 2019, and there’s a lot of improvements. The ADTMC has been the traditional manual for allowing 68W medics to run sick call under the “supervision” of a provider for a long time. However, the line units have been the only ones still doing this…and not consistently.

This post is not in reference to NMERT certification. ADTMC is a protocol for sick-call within units. Providers must validate that their medics have the proper skillset and knowledge base prior to permitting Medics to conduct sick call semi-independently.

We need to get back to it. We need to get back to teaching medics. We need to get back to allowing medics to do more. We have to. In a “Near Peer” fight we will be relying on them much more than the last 15 years. And global pandemics like the COVID-19 issue also shows us that we need to be able to have a ready force of 68Ws.

The new ADTMC allows Medics to perform at a higher level, but only after validation. This post is the skills portion of the ADTMC validation. Providers and senior medics should use these videos to enhance their training and save time.

See One, Do One, Teach One

Medics, senior medics, and providers can use these videos to at least accomplish the “See One” portion of medical skills teaching. This is PART 2 of the Skills Validation which will focus on the Eye.


Now, Check Yourself!

Take the Quiz Here

If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

Full Disclosure: While this site was not initially created in order to make a profit, the site does use the Amazon Affiliate Program. Ads are used to offset the costs of the initial investment of website design, as well as the reoccurring costs of maintaining the site. If you purchase a product through a link on this site, a small commission is received.

CHECK OUT THE NEW MRE APP

From Military Apps, LLC. A Veteran Owned Business.

MRE APP is an app designed to help service members (or whoever is eating MREs) to choose the best MRE. See the contents of every MRE, search by desired item, search by category of snacks/desserts/beverages. See calorie content! Download now on Apple App Store or the Google Play Store.

This content is the author’s opinion alone and does not necessarily reflect the opinion, official position, or stance of the Department of Defense, or any other branch of the United States Military.

ADTMC Skills Validation Part 1

Algorithm Directed Troop Medical Care (ADTMC) has been updated as of 2019, and there’s a lot of improvements. The ADTMC has been the longstanding manual for allowing 68W medics to run sick call under the “supervision” of a provider for a long time. However, the line units have been the only ones still doing this…and not consistently.

We need to get back to it. We need to get back to teaching medics. We need to get back to allowing medics to do more. We have to. In a “Near Peer” fight we will be relying on them much more than the last 15 years. And global pandemics like the COVID-19 issue also shows us that we need to be able to have a ready force of 68Ws.

The new ADTMC allows Medics to perform at a higher level, but only after validation. This post is the skills portion of the ADTMC validation. Providers and senior medics should use these videos to enhance their training and save time.

See One, Do One, Teach One

Medics, senior medics, and providers can use these videos to at least accomplish the “See One” portion of medical skills teaching.

Check yourself! Hold yourself accountable!

Click here to go to a very short quiz to test your knowledge on the subjects above.

If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

This content is the author’s opinion alone and does not necessarily reflect the opinion, official position, or stance of the Department of Defense, or any other branch of the United States Military.

All content is intended to be educational only. Medics should operate under the supervision of a medical provider and abide by all local laws while stateside. Medics should only practice at the level credentialed, and only at the level allowed. This content is not intended to treat or give a substitution for any credentialed provider. Content is intended to aid in a deployed prolonged care setting. Take guidance from your leaders. Utilize these posts as preparation and as a supplement to your provider’s direction and teaching.

CHECK OUT THE NEW MRE APP

From Military Apps, LLC. A Veteran Owned Business.

MRE APP is an app designed to help service members (or whoever is eating MREs) to choose the best MRE. See the contents of every MRE, search by desired item, search by category of snacks/desserts/beverages. See calorie content! Download now on Apple App Store or the Google Play Store.

ADTMC Skills Validation Part 3
Medics, senior medics, and providers can use these videos to at least …
ADTMC Skills Validation Part 2
Medics, senior medics, and providers can use these videos to at least …

Algorithm Directed Troop Medical Care

Teaching and Preparing Medics and Corpsmen for the COVID-19 Response

The New Algorithm Directed Troop Medical Care (ADTMC) algorithm was just released late last year. Lots of great improvements, and long overdue!  Below, I have posted the new “provider levels” and triage categories.  This is the new standard. Familiarize yourself with it. We will refer to these categories when we go through algorithms for various situations. This ADTMC release is very robust.  Lots of good material.

 

Provider Categories for ADTMC.PNG

Provider Categories for ADTMC 2.PNG

The requirement for an “Advanced Enlisted Medic” is fairly robust.  Requires lots of training, and time.  I suppose this is good. Overall, I believe that these categories are less confusing than the previous version.  And the manual lays out ways in which medics can become certified to practice at each level.

I plan to implement this in our Battalion Aid Station.  If Medics are needed in the COVID-19 response, I would also implement it for “doc” to be able to sufficiently take care of the troops independently.

Refresh on SOAP Notes here.

 

More Content on ADTMC Coming in the Next Few Days

If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

Breath Sounds

Preparing US Army Medics and Naval Corpsmen for the COVID-19 Response

Medics should familiarize themselves with basic physical exam requirements. Short post today, but check out the breath sounds of a COVID-19 patient. Be familiar with normal breath sounds so that you’ll know when you hear the abnormal. Be familiar with an abnormal respiratory rate (over 25). Understand that it actually can be a very helpful vital sign. Measure for the full minute, or at least 30 seconds. There are some tricks to keep the patient from figuring out what you’re doing.

In the next few posts, I’m likely to begin working through some Algorithm Directed Troop Medical Care algorithms. This was just updated last year. Long overdue! Pretty good for far. I expect medics could be used for the COVID response in a myriad of ways. Best to prepare now to save lives!

Proning in ARDS

Preparing Medics to Care for COVID19 Patients

Army Medics should be thinking about large scale operations supporting tent-like hospitals. This would not be the typical CSH layout. And it wouldn’t involve most of those reservists that are already working in civilian hospitals. Medics who aren’t already supporting the local infrastructure will be the ones needed to assist. This is the scenario for which we should prepare, even if it never materializes.

I’ve been reaching out to ICU nurses over the last couple days asking about ways that Medics could be called to assist if help is scarce. I’ll be sharing topics that Medics should brush up on or learn. Should your nation call upon you for help, you can be a little more prepared!

One of the topics you may have heard talked about a lot in this fight against COVID-19 is the idea of “Proning.” Watch this video to see how you may be able to assist with proning a patient in the ICU to assist with ARDS.

SKIP TO 3:50 on the Video to see only the DEMO

WANT INFO ON COVID TO SHARE WITH YOUR NON MEDICAL FRIENDS?

I recommend checking out UpToDate.Com. I have been reading their content for 12 years now. Great source of info for providers and medical professionals of all types. The US Army gives us this content for free, and lots of hospital organizations pay for it as well. They are offering COVID-19 info for free right now. If you want to share some good info on the COVID-19 situation with your friends that is presented in a manner they can understand, then click here.

If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

This content is the author’s opinion alone and does not necessarily reflect the opinion, official position, or stance of the Department of Defense, or any other branch of the United States Military.

Want to learn something I haven’t covered? Send me an email! I want to teach what you want to learn.

Email me at: admin@nextlevelmedic.com

All content is intended to be educational only. Medics should operate under the supervision of a medical provider and abide by all local laws while stateside. Medics should only practice at the level credentialed, and only at the level allowed. This content is not intended to treat or give a substitution for any credentialed provider. Content is intended to aid in a deployed prolonged care setting. Take guidance from your leaders. Utilize these posts as preparation and as a supplement to your provider’s direction and teaching.

PPE Ideas

Everyone is aware of the PPE problem. What to do about it? What are some strategies? What are others doing? I’ll share some examples. To be honest, I don’t know exactly what is best. The experiences are all over the place. I’ll share a few things with you to help you make your best decision, if your organization doesn’t decide for you. If this continues to explode as I suspect, then Medics should learn from the civilians on the front line already developing strategies now. START FOLLOWING THIS NOW.

First, we need to understand a few foundational things about how diseases spread.

Fomitesobjects or materials which are likely to carry infection, such as clothes, utensils, and furniture.

When we come into contact with an infectious agent and then touch objects, the object becomes a fomite. If anyone touches the fomites and then touches their mouth, they transmit the disease. So, PPE is important. Good discipline is important. Washing hands often- also important. Be careful of infectious surfaces, or even your phone! This was the number one reason that the experts were warning against wearing masks at the beginning- because you could inoculate yourself if removing a mask improperly- and because of severe shortages. I think we are changing our minds not this now.

WHAT PPE Should we be Wearing?

This is the million dollar question. I already shared in a previous post that ” it’s not airborne, but its borne in the air ” – a great article. Go check that out if you have not yet read it. It’s a great article that really highlights the difficulty that we are having. The virus seems to be concentrated in droplets and so it spreads 6 feet or so when sneezing/coughing. However, we know that it takes approximately 3 hours to settle and that it has been found in air vents, etc. So, should we be taking airborne precautions? We don’t really know how much of the virus is needed to inoculate us, or how much it would take for us to be asymptomatic carriers. We just don’t know.

“There is much to learn about the newly emerged COVID-19, including how and how easily it spreads. Based on what is currently known about COVID-19 and what is known about other coronaviruses, spread is thought to occur mostly from person-to-person via respiratory droplets among close contacts.”

Centers for Disease Control, COVID 19 Website for Healthcare Providers https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-patients.html

And Why is This Different from H1N1?

**CHECK OUT THIS FANTASTIC ARTICLE BY AN AMERICAN FAMILY PHYSICIAN WHO TOOK CARE OF PATIENTS IN CHINA WHEN THIS ALL STARTED. LESSONS LEARNED!**

What Are Most HealthCare Systems Doing Now for PPE?

  • Some are using surgical masks on all healthcare workers.
  • Some are using N-95s, but limiting the workers to only receiving one per day
  • Some are using surgical masks routinely all day, but switching to N-95 for aerosolizing risky procedures
  • Some are even giving out masks to all patients who enter. – this is what was recommended by a physician in Italy.

I will share some screenshots of a social media group I am a part of and the different innovations that they have been discussing. Healthcare workers are concerned. They are getting creative. Forgive the image quality of screenshots, but this is the easiest way to share the information.

USING SURGICAL DRAPES TO MAKE COVERS FOR N-95 MASKS
USING SILK TAPE TO SEAL MASK

SOME INTERESTING PROPOSALS

MAYBE WE CAN SUBSTITUTE ANOTHER DEVICE?

MAYBE WE CAN RE-USE THE N-95 IF WE USE A COVER?

PERHAPS WE CAN USE UV LIGHT?

THE NEBRASKA MEDICINE PROTOCOL

Check out this link to a fantastic website from Nebraska Medicine. They have developed an entire protocol! Click HERE. Also, recommend to not use alcohol on the outside of the mask as it may degrade the mask.

Can We Re-use a Mask after 5-7 days? Maybe!

Some discussions have been circulating around social media from medical professionals/healthcare workers about this very subject. We think that the longest time that the virus has been detected is 9 days. Most studies are showing 3-7 days, at most. Theoretically, we could issue 10 masks to a provider and have them place the mask each day into a numbered brown paper bag (plastic not recommended). Then, the worker would rotate daily to a new mask and theoretically the virus will have died from the previous days. (Reference here)

MEDICS SHOULD CONTINUE TO TRAIN! PREPARE NOW

If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

This content is the author’s opinion alone and does not necessarily reflect the opinion, official position, or stance of the Department of Defense, or any other branch of the United States Military.

All content is intended to be educational only. Medics should operate under the supervision of a medical provider and abide by all local laws while stateside. Medics should only practice at the level credentialed, and only at the level allowed. This content is not intended to treat or give a substitution for any credentialed provider. Content is intended to aid in a deployed prolonged care setting. Take guidance from your leaders. Utilize these posts as preparation and as a supplement to your provider’s direction and teaching.

COVID-19 Reputable Info

Consolidated Reputable and Cited Info on COVID-19 that can help leaders make informed decision based on what we know (As of 18 MARCH 2020)


TRY AMAZON PRIME VIDEO FREE FOR 30 DAYS AND SUPPORT NEXTLEVELMEDIC


SUMMARY: The SARS-COV2 virus has infected over 200,000 people of whom we are aware. The virus is thought to be “silent” in numerous individuals and cause mild symptoms in others. However, the transmission rate is very high and the impact on our healthcare system is the most worrisome problem- this should be our chief concern.  Because the virus has the potential to infect so many at one time, a high number of individuals will die. Onset from exposure to symptoms is approximately 5 days, but viral shedding occurs prior to symptoms. In fact, it is now reported that symptoms spread the most in the first week.


The result of an overburdened system will result in children with broken limbs or other trauma waiting longer at Emergency Rooms. Strokes will go undiagnosed resulting in higher morbidity and mortality. “Heart Attacks” will not receive rapid intervention from cardiac catheterization that could save their lives. Motor vehicle accidents will have a higher mortality. Bed space will be at a premium. Riskier decisions will need to be made. Mistakes will be made. Many tests will not be available without significant wait times due to time needed to properly disinfect the machines. 

Further, healthcare workers are 3-5 x more likely to have severe illness and death compared to others, even among young individuals.. We hypothesize this could be due to viral load of intimate exposure and the wide dispersion of the virus during emergent care requiring ventilation procedures. 

These outcomes are very likely based on a comparison to China and Italy.  San Francisco, Seattle, New York, and Boston are showing us what may happen in our own areas soon.  However, based on our geographical layout of our country, we may have pockets of areas that are hit hardest.  This will also cause a disproportionate burden on resources. Concentrated clusters of people in bigger cities may spread the virus more. Sparse resources in small towns may cause serious burdens and higher mortality. 

Social distancing plays a big part in this fight.  We are slowing the transmission by splitting up into cohorts and limiting exposure to other people. After all, we do not know who has the virus.  This is not the flu. It is not Ebola. It is not a hoax. This is different. I am now part of a social media group of over 100,000 Physicians, PAs, NPs, and CRNAs that are sharing information on what is happening with their own patients as well as tips and strategies to combat this.  This is a real thing. 

Our only hope is that an unknown external factor helps us in this fight.  Perhaps warmer weather will positively affect this virus like influenza (unknown). Perhaps we will solidify pharmaceuticals which will mitigate the severity and mortality.  There are studies underway now on ideas that work, in theory. And perhaps social media will continue to hasten the way towards a cure with the instant transfer of information between specialists.

COLLECTED CONTENT

  1. The Nasopharngeal test has at least a 20% false negative rate.
    1. Swabs which are not performed accurately (appropriate depth) as well as early disease duration may lead to higher false negative tests. 
    2. SOURCE: radiol.2020200642
    3. SOURCE: https://emcrit.org/ibcc/covid19/#labs
  2. Virus General Info
    1. The virus is believed to be stable in the air for 3 hours, copper for 4 hours, cardboard boxes for 24 hours, stainless steel for 48 hours, and Plastic for 72 hours (New England Journal of Medicine)
      1. https://www.nejm.org/doi/10.1056/NEJMc2004973?fbclid=IwAR1RAJb083TQ2KJAsuPB4cTW7PkcooCS9SKvyPChcRNziZqmflODHrwtHI8
    2. Is the Virus Airborne?  (sorta)
      1. The virus is aerosol, but it appears to linger in the air. Suggestion is at least 6 feet separation, but we’re not 100% certain. 
      2. Information on mask choices and why:
      3. Source: https://www.wired.com/story/they-say-coronavirus-isnt-airborne-but-its-definitely-borne-by-air/
    3. Two different Major Strains identified with 278 mutations
      1. One major strain is more virulent (worse symptoms) than the other
      2. Hypothesized that the weaker strain is more prevalent currently, potentially due to human pressures to suppress it
        1. https://academic.oup.com/nsr/advance-article/doi/10.1093/nsr/nwaa036/5775463?searchresult=1&fbclid=IwAR3x883cnvbgMPcztj8UKlIXV6z8fwSgePny3aMDFG65sOVA83CK7oLnBxg
  3. Why Social Distancing Matters
    1. We do not have the bed space to care for everyone. Social distancing slows the spread.
    2. If we flatten the curve to 6 months duration, we project 274 percent potentially available capacity) and 295,350 ICU beds (508 percent potentially available capacity). Strokes, heart attacks, injuries to kids, and others will not have a bed for admission when at 274 % of capacity. THIS IS A PROBLEM. 
      1. Source: https://www.healthaffairs.org/do/10.1377/hblog20200317.457910/full/?utm_source=Newsletter&utm_medium=email&utm_content=COVID-19%3A+US+Hospital+Capacity+And+Projected+Need+For+Coronavirus+Disease+Care%3B+Paid+Sick+Leave%3B+Politics%2C+Partisanship%2C+And+The+ACA&utm_campaign=HAT+3-17-20&fbclid=IwAR1nBOliwFZythaq6lT0F-vExBKnoUiBQdTvDdlfoRj8Lbjl4ErN0yRYaBg&
    3. “Per person, the transmission rate of undocumented infections was 55% of documented infections ([46%–62%]), yet, due to their greater numbers, undocumented infections were the infection source for 79% of documented cases. These findings explain the rapid geographic spread of SARS-CoV2 and indicate containment of this virus will be particularly challenging.
      1. Undocumented Infections defined as: “These undocumented infections often experience mild, limited or no symptoms and hence go unrecognized, and, depending on their contagiousness and numbers, can expose a far greater portion of the population to virus than would otherwise occur.”
      2. Source: https://science.sciencemag.org/content/early/2020/03/13/science.abb3221?rss=1&fbclid=IwAR0ChPtRbw0NyJ-O2z2cn_oEwIoyLRSM5XIaFtvfKwjwklYu9bCfsyZ3UQg
  4. Can N-95 Masks be re-used?
    1. There is no way of determining the maximum possible number of safe reuses for an N95 respirator as a generic number to be applied in all cases. Safe N95 reuse is affected by a number of variables that impact respirator function and contamination over time
    2. Source: https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html?fbclid=IwAR1gl5crMKxQlSqm81Bcs85no0aFwUHB7kzZ_slgXaPECbeznwx3dbq7diI

Very Early relevant reports not yet substantiated:

  1. Ibuprofen may be harmful in COVID-19. Suggesting Tylenol for fever control may be better. Max 3 grams daily for adults without any contraindications.
    1. WHO now recommending against choosing ibuprofen based on reports of otherwise healthy individuals who developed severe symptoms and pneumonia after using ibuprofen. GROWING EVIDENCE TO AVOID NSAIDS
    2. Source: https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center?utm_content=bufferc15e0&utm_medium=social&utm_source=facebook&utm_campaign=buffer&fbclid=IwAR13lRxR8ow6zVSSoRBjxXUKrsp3rFjaSv_EDsOcGmM6xZCA_O6aZhJqRmQ
  2. ACE inhibitors (a type of blood pressure medicine) may worsen disease. Current guidance by American Heart Association and others is to continue medicine at this time due to lack of evidence. 
    1. Source: http://www.nephjc.com/news/covidace2?fbclid=IwAR3fiZdL1JMx6by6kpDbJP93zyUtYhX1KKqtgE2o04N5iZEKAWubfukgqCc
    2. Source: https://www.bmj.com/content/368/bmj.m810/rr-2?fbclid=IwAR1jUM8J76jryzlfDbG_BJ3yYxAlFgf_gkiKTY-_SG_FZb2uN2PIzlly5Y0
  3. Pregnant women hypothesized to not be at increased risk, but suggested caution due to limited evidence and numbers so far. Earlier pregnancies may be riskier, but unknown. Limit visits in person and use telehealth, when possible. 
    1. Source: Center for Disease COCA Group webinar
  4. There may be a correlation between disease severity and blood type
    1. Blood Type A may be more likely to get the virus as well as have harsher symptoms. Early reports and not yet peer reviewed. No reason given between possible link. 
    2. Source: https://www.medrxiv.org/content/10.1101/2020.03.11.20031096v1?fbclid=IwAR3g8rZRKsJNmbbyAa3f-3TZc1qkB1Yn595ziRQYzKrhbQUAzuPCECQJPw4

WEBSITES FOR MORE INFO

  1. HARVARD University Website on COVID-19, and FAQ (Highly recommended)
    1. https://www.health.harvard.edu/diseases-and-conditions/coronavirus-resource-center?utm_content=bufferc15e0&utm_medium=social&utm_source=facebook&utm_campaign=buffer&fbclid=IwAR13lRxR8ow6zVSSoRBjxXUKrsp3rFjaSv_EDsOcGmM6xZCA_O6aZhJqRmQ#Questions
  2. CDC Website for Cleaning and Disinfecting Against the Virus; Laundry
    1. https://www.cdc.gov/coronavirus/2019-ncov/prepare/cleaning-disinfection.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fcommunity%2Fhome%2Fcleaning-disinfection.html
  3. EPA Website for list of Disinfectants for use against SARS-COV2
    1. https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2

FOR PROVIDERS: 

One of the best collected sources for current information is from EM Crit. Link Here.


This content is the author’s opinion alone and does not necessarily reflect the opinion, official position, or stance of the Department of Defense, or any other branch of the United States Military.

*JOIN AMAZON PANTRY NOW TO SAVE ON FOOD DELIVERY PRICES. CLICK HERE*

WILL UPDATE AS ABLE!

Contact me by Email: admin@nextlevelmedic.com


If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

VISIT BLOG OR TABLE 8 INFO

COVID-19 for Medics

What do you need to know if you are asked to help the Nation care for these patients?

I can envision a scenario in which US Army Medics, Flight Medics and PJs, Air Force Medical Technicians, and Hospital Corpsmen from all components are placed into field hospitals to help the Nation care for critical patients. One only needs to look at Italy to see how it is “all hands on deck.” Even if it never gets bad enough here, reading up on all of these topics is certainly worthwhile.

POSSIBLE USES OF MILITARY PERSONNEL

  • Army Medics, Technicians, and Corpsmen – assisting in the E.R., assisting inpatient, assisting in the ICU, assisting in patient triage, performing patient evacuation, assisting with patient transport, performing nasal swabs to test for COVID-19, and completely running sick call.
  • Flight Medics, SF/SOCOM medics, and PJs – Assisting in critical care/ ICU, as well as patient transfer to higher level of care

As I write this, I am also studying to prepare myself. Teaching is a great way to learn, and to cement ideas.

I believe that we need to focus on several topics. We need to re-educate medics on using ventilators. We need to help them familiarize themselves with vents to be able to assist in the care of these patients. We need to educate and/or re-educate on the science/physiology behind respiration/ventilation. We need to review the proper PPE procedures. We need to enable Medics to do other skills also in order to free up providers to handle the most critical patients.

I hope to post relevant info as the situation evolves, and as time allows in order to assist medics. I encourage medics to imagine where they can be helpful, and to learn and study on those topics now. I’ve posted a few links at the bottom of the page to some previous posts that have a TON of helpful short videos. You will find videos on patient assessment, respiration, triage, and others. If I were a senior medic, I would be assigning medics to watch a few videos a day to refresh NOW. Better to prepare and not be needed than to be caught off guard and unprepared.

VENTILATORS THAT THE U.S. ARMY CURRENTLY USES, or MAY USE

PERFORMING A NASOPHARYNGEAL SWAB

Medics may be required to assist with performing swabs of patients suspected of having SARS-COV2 (COVID-19). Use this video below to know how to perform the swab to standard.

HOW TO CORRECTLY DON AND DOFF PPE

If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

TAKE TIME TO REVIEW A FEW TOPICS

Respiratory System – Knowledge and Skills Videos, Podcasts, and Lung Sounds Refresher

Triage Skills, Patient Assessments, and Other Videos

Medical Assessment and Treatment Skills Videos

IV Access and Medication Administration Skills Videos

SOAP Notes (How to think when assessing a patient)

All content is intended to be educational only. Medics should operate under the supervision of a medical provider and abide by all local laws while stateside. Medics should only practice at the level credentialed, and only at the level allowed. This content is not intended to treat or give a substitution for any credentialed provider. Content is intended to aid in a deployed prolonged care setting. Take guidance from your leaders. Utilize these posts as preparation and as a supplement to your provider’s direction and teaching.

This content is the author’s opinion alone and does not necessarily reflect the opinion, official position, or stance of the Department of Defense, or any other branch of the United States Military.

Shoulder Dislocations

Ever wonder how to reduce a shoulder? Maybe you’re down range and you need to do a shoulder reduction without being able to evacuate the patient- this is for you. Come back to this page and review the video if you’re about to try it downrange. Don’t do this in urban America where Emergency Rooms and clinics are available.

A good distal Neuro and vascular exam should be completed before and after reduction. If possible, its best to try to get a post reduction X-ray to confirm the joint is reduced, especially in cases where a clunk cannot be fully appreciated. The axillary nerve should be checked after reduction also by feeling the deltoid area of the shoulder for sensory.

Post reduction, the patient should be in an immobilizer or similar to avoid dislocating again.

Extra Credit for Next Level Medics

If You Enjoy This Content, Please Consider Sharing with Others to Help Them Learn Also

All content is intended to be educational only. Medics should operate under the supervision of a medical provider and abide by all local laws while stateside. Medics should only practice at the level credentialed, and only at the level allowed. This content is not intended to treat or give a substitution for any credentialed provider. Content is intended to aid in a deployed prolonged care setting. Take guidance from your leaders. Utilize these posts as preparation and as a supplement to your provider’s direction and teaching.

Contact me by Email: admin@nextlevelmedic.com

%d bloggers like this: