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Ranger Medic Handbook update 4th edition , 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. Table of Contents Subject Page SECTION ONE RMED Mission Statement 1-1 RMED Charter 1-2 Review Committees 1-3 Editorial Consultants & Contributors 1-4 Key References 1-5 RMED Scope of Practice 1-6 RMED Standing Orders & Protocol Guidelines 1-8 Casualty Assessment & Management 1-10 Tactical Combat Casualty Care (TCCC) 1-17 SECTION TWO Tactical Trauma Assessment Protocol 2-1 Medical Patient Assessment Protocol 2-2 Airway Management Protocol 2-3 Surgical Cricothyroidotomy Procedure 2-4 King-LT D Supralaryngeal Airway Insertion Procedure 2-5 Orotracheal Intubation Procedure 2-6 Hemorrhage Management Procedure 2-7 Tourniquet Application Procedure 2-8 Hemostatic Agent Application Protocol 2-9 Tourniquet Conversion Procedure 2-10 Thoracic Trauma Management Procedure 2-11 Needle Chest Decompression Procedure 2-12 Chest Tube Insertion Procedure 2-13 Hypovolemic Shock Management Protocol 2-14 Saline Lock & Intravenous Access Procedure 2-15 External Jugular Intravenous Cannulation Procedure 2-16 Sternal Intraosseous Infusion Procedure 2-17 Hypothermia Prevention & Management Kit Procedure 2-18 Head Injury Management Protocol 2-19 Mild Traumatic Brain Injury (Concussion) Management Protocol 2-20 Seizure Management Protocol 2-21 Spinal Cord Injury Management Protocol 2-22 Orthopedic Trauma Management Protocol 2-23 Burn Management Protocol 2-24 Foley Catheterization Procedure 2-25 Pain Management Protocol 2-26 Anaphylactic Shock Management Protocol 2-27 75th Ranger Regiment Trauma Management Team (Tactical) Ranger Medic Handbook Ranger Medic Handbook 2007 Edition 75th Ranger Regiment, US Army Special Operations Command Subject Page SECTION TWO Continued Hyperthermia (Heat) Management Protocol 2-28 Hypothermia Prevention & Management Protocol 2-29 Behavioral Emergency Management Protocol 2-30 Altitude Medical Emergency Management Protocol 2-31 Acute (Surgical) Abdomen 2-33 Acute Dental Pain 2-33 Acute Musculoskeletal Back Pain 2-33 Allergic Rhinitis 2-34 Asthma (Reactive Airway Disease) 2-34 Bronchitis 2-34 Cellulitis 2-35 Chest Pain


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