mtnsldr
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Live tissue lab is pushing it, of course, but moulage would be nice... if you can't get the real thing get as close as you can, right? Live tissue is reserved for those "special" medics. Maybe someday I'll give a run at that stuff, if I feel like going back enlisted. SSG - Good luck hooking up with an ETT. I'll be joining that group you talked about it looks like. They are doing a near total change over in 2nd QTR. I don't want to sound like I am bashing the way the Army teaches BLS, its not that AT ALL. We're doing a great job, especially with the new curriculum. However, we have to very different (at least it looks like it to me) ways of running medevac, and very different timelines of treatment. The majority will be in Iraq where evac support is PLENTIFUL, but there are a select few who are going into dangerous places with potentially dangerous people, and could use some additional medical training for the long term solution,, when evac isn't immediately available. Maybe I'm totally blowing smoke, who knows. Maybe I'll never be more than a couple of hours from the FOB. I don't know yet. But there is a reason why the 18D is trained up the way they are, we seem to have a lot of folks doing "similar" missions (meaning that they link up with a bunch of indiginous, and execute ops far away from the flagpole) without the same kind of medical support integral to their unit.
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Its a damn shame, one of the biggest problems guys walked off the line from was dealing with real, bleeding trauma. No prep didn't help. In Iraq, it was exactly how you describe, make the 9 line, evac chopper in bound and touching down within about 7 min. However, in A-stan I'm hearing things like 2 guys go out with a bunch of Afghani's and stay out for a week +. We're talking hours from the flag pole in areas where medevac doesn't go. With two CLS trained troops, the likelyhood of saving one another is pretty low, especially for most troops when the reality is that they learn CLS when the mob, and then that is the last time they actually do it. My group is going out without an integral medic to even keep us fresh when we're on the FOB. SOMedic: Sorry for the late reply, PM sent. I'm looking forward to the new CLS course, and hopefully the trainers will teach us the right way. With the training I have now, I will be able to give a realistic assessment of what they are giving us. Also I have downloaded the student and instructor curriculum, so that should the leave anything out, Johnny on the spot will be there to correct. However, I do feel that some folks are walking out into a situation where they could be in over their heads real quick, without the ability to get any type of ALS to their location for assistance when the SHTF. This is especially geared toward the folks who work ETT.
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The term "operator" is not limited to one Branch's SOF. It is a "purple" term in all the applications I've seen it used. That being said, its also a term that is used for those elite style Police based units, and I've never seen any Military "operators" scoff at the use of it, because it applies directly to what they are doing. I think that most SOF are comfortable with the reality that Police Operators won't be confused with SOF Operators. That being said, I think most folks are right on in saying that most programs in the EMT-T training world (from the few folks I've spoken to) don't offer much more than a CLS level of education, but there are a bunch of folks out there who NEED that level, and aren't able to get it due to being "civilians." I think there is a bonafide need. I also think that there should be some courses designed that attain a higher level of training than what is seen commonly in the EMT-T world. There are a ton of things that a trained EMT-B or CLS could practice on to provide a higher level of care to their soldiers/officers, as well as gaining familiarity in practicing their craft in combat - simulated conditions. I am anxiously awaiting my chance to attend the new CLS course, and I hope that it encompasses more than what I think it will, I'd like to see things like emergency care over the long term (hours), casualty assessment and treatment during "combat" conditions, living tissue work to familiarize the student with the realities of injuries (moulage was a giant step in the right direction, this is just the natural evolution), and even insertion of trach tubes (don't think this is part of CLS.) I'm a fledling in this brotherhood, so I'm sure over time I'll learn more things I wish I'd known ahead of time, things I will learn the hard way about gunshot and blast treatment.
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I am not CLS certified. Myself and the other leadership were required to leave both training sessions to handle other situations during our mobilization. I hear this next trip I have to become certified to deploy. That being said, from what I have seen much of the training you pay for has more in it than CLS does. You don't do live tissue in CLS, you don't learn how to manage bleeds with TQ's in CLS (only how to apply them, and are in fact taught never to remove a TQ, ever, which isn't entirely accurate, just Joe proof) among many other things. CLS is a great beginning, and is more in the Trauma department than EMT-B, however I don't think the blanket statement that CLS = TEMS is accurate at all.
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All I've done is drag people out of "ca ca", but that was a movie (www.thewartapes.com). My reference was that I have done enough kicking in doors (and I'm about to do another damn year +) and I'm all set with being SWAT. But supporting SWAT from a medical standpoint, that sounds better. I guess I just boiled that all down into "dragging their happy asses out".
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Perhaps I overstated it a bit, and I am unqualified to speak about cops, not being one. However, your average infantryman, CLS or not, does not have a significant emphasis on medicine. The next time you're in a CLS course take a minute to watch the soldiers. Are they intently listening to the instructor? Or trying to hide the fact that they keep falling asleep? Trigger pullers would rather be pulling triggers, that is just reality, that is why the EMT's/Medics are around. Oh, and all soldiers are now required to attend CLS predeployment, so you'll get a lot of opportunities to see those sleeping joes. I'm not saying that all don't care, but the majority of folks (and my assumption extends to cops) would rather be spending their time training on something they feel is closer to their job description, not sitting in a medical class thinking "isn't this the medic's job?" "Edited for clarification: I don't agree with the above paragraph, however I do feel it is the common perception."
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Tac Medics exist because Cops don't care about the training, (I'm guessing, its pretty much the same reason Combat medics exist, if you could teach and infantryman to give a crap about chest seals, IV's etc, you wouldn't need medics.) I wanna be a tac medic because I don't care about law enforcement, I'd rather be the guy dragging their happy asses out.
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The question becomes, does it only run as fast as the EOD rigs do? transport at 5-10 MPH is almost as fast as I can carry the dude.
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What kind of stethoscope do you prefer?
mtnsldr replied to jeremy1322's topic in Equiqment and Apparatus
Oh its all ego! I just wanna look cool brother... 8) AHHH!!!! WACKER ALERT!!!! -
What kind of stethoscope do you prefer?
mtnsldr replied to jeremy1322's topic in Equiqment and Apparatus
Any idea where it was purchased? I'm looking for a puretone tactical and the only place I can find one is www.rangerjoes.com, which isn't known for outstanding prices. Thanks! -
Unfortunately the name seems to tell it all... :director: The Admin is a PERV! For all the Canadians :knob: Hey, my landlord is on here! :thebirdman: :violent3: :violent1: :violent2:
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And you wonder why we don't get respect...
mtnsldr replied to vs-eh?'s topic in General EMS Discussion
And what exactly was the reason for public embarassment? Could this have been better handled offline? Maybe you wouldn't have looked like a judgemental asshole then... -
Its not that, but you have to admit your story was a little over the top. 300 people at the ER? I gotta admit, it sounds like a case of post-incident embellishment. Just another big fish story. The sad part is, it was interesting enough without that part. Adding it just made you look worse. But, thats just my $.02. Not to mention not one of your sources corroborated that figure.
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First night actually (it was last night.)
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Suitcase? Wow, you guys do live in luxury in the Medevac world... The rest of us still use duffle bags... :wink: