ADTMC- Upper Respiratory Infections

When conducting sick call using Algorithm Directed Troop Medical Care (ADTMC), it is important to have an understanding of upper respiratory infections (URIs). These are very common complaints for day-to-day sick call. Additionally, URI knowledge is an essential task in the ADTMC competency checklist. This lesson will be more lengthy due to the complicated nature of the topic. I recommend breaking it up and completing the review in stages. Additionally, I recommend returning to this topic often for review because there is so much info.

Start Here – Files to Download And Review

Videos to Break it all Down

The videos above describe the URI types and sources. Most often these illnesses are caused by viruses. However, in military populations who sleep close to each other in open bays for prolonged times, we can often see a higher prevalence of atypical pathogens (mycoplasma) that require antibiotics (Z-pack often helps). Therefore, in my experience, it is probably more appropriate to be more liberal with prescribing antibiotics in military training populations.

Click here to review Acute Otitis Media.

TAKE THE QUIZ – CLICK HERE

Extra Credit- Complications seen in URIs

Peritonsillar abscesses can be seen in military age patients. Several of these present each year within basic trainees. The drainage of such abscesses is typically performed by either an ER physician or a ENT physician. Medics should not attempt to drain these, especially without training for a multitude of reasons (including the carotid artery in the area). Retropharyngeal abscesses (second video) are less likely in occurrence. There are more complications than just these two, but I felt these are two worth reviewing.

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.

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.

Contact me by Email: admin@nextlevelmedic.com

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 Clinical Topics

Otitis Media

Competency validation is now a well described crucial piece of Algorithm Directed Troop Medical Care (ADTMC). Medics must be validated by their medical officer before using ADTMC in daily sick call. The appendix G of the 2019 release of MEDCOM Pam 40-7-21 has both a clinical skills and knowledge requirement for medics prior to beginning the triage and treatment process. Click here to go to the ADTMC page for skills review.

Check on Learning

These videos help to quickly explain acute otitis media. In these videos, you should have learned about how the infection occurs, how to perform an exam, what it looks like on exam, how to treat it, and the complications that can rarely occur. Take this quick quiz to “Check on Learning.”

For more information, check out these links below to read more on the topic:

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.

Contact me by Email: admin@nextlevelmedic.com

ADTMC Skills Part 5

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

This post is shorter and focuses on suturing and skin closures. Watch a few of the videos and then take the short quiz to check yourself to ensure you understood key concepts.

Check your Learning!

Take 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.

Latest Posts

Contact me by Email: admin@nextlevelmedic.com

ADTMC Skills Validation Part 4

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

This post is about a lot of blood and a lot of pus. Be prepared. But, these are skills that Medics can do with a little supervision. These are skills we expect them to be able to do.

Check Yourself! Take the Quiz 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.

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.

Latest Posts:

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.

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.

Day 3 of 68W Boot Camp
The last day of the 68W Boot Camp. Senior medics and/or providers …
Day 2 of 68W Boot Camp
0900: MSK Injuries- Ankles/KneesAnkle and Foot PresentationDr. Anne Resty, DPT Lower Extremity …

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.

%d bloggers like this: