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The Ranger Medic Handbook 2014-01-08

75th Ranger Regiment Trauma Management Team (Tactical)

  1. RaymondPeter
    ranger-medic-handbook. Historically in warfare, 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

    RMED Mission Statement 11
    RMED Charter 12
    Review Committees 13
    Editorial Consultants & Contributors 14
    Key References 15
    RMED Scope of Practice 16
    RMED Standing Orders & Protocol Guidelines 18
    Casualty Assessment & Management 110
    Tactical Combat Casualty Care (TCCC) 117
    Tactical Trauma Assessment Protocol 21
    Medical Patient Assessment Protocol 22
    Airway Management Protocol 23
    Surgical Cricothyroidotomy Procedure 24
    KingLT D Supralaryngeal Airway Insertion Procedure 25
    Orotracheal Intubation Procedure 26
    Hemorrhage Management Procedure 27
    Tourniquet Application Procedure 28
    Hemostatic Agent Application Protocol 29
    Tourniquet Conversion Procedure 210
    Thoracic Trauma Management Procedure 211
    Needle Chest Decompression Procedure 212
    Chest Tube Insertion Procedure 213
    Hypovolemic Shock Management Protocol 214
    Saline Lock & Intravenous Access Procedure 215
    External Jugular Intravenous Cannulation Procedure 216
    Sternal Intraosseous Infusion Procedure 217
    Hypothermia Prevention & Management Kit Procedure 218
    Head Injury Management Protocol 219
    Mild Traumatic Brain Injury (Concussion) Management Protocol 220
    Seizure Management Protocol 221
    Spinal Cord Injury Management Protocol 222
    Orthopedic Trauma Management Protocol 223
    Burn Management Protocol 224
    Foley Catheterization Procedure 225
    Pain Management Protocol 226
    Anaphylactic Shock Management Protocol 227
    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 228
    Hypothermia Prevention & Management Protocol 229
    Behavioral Emergency Management Protocol 230
    Altitude Medical Emergency Management Protocol 231
    Acute (Surgical) Abdomen 233
    Acute Dental Pain 233
    Acute Musculoskeletal Back Pain 233
    Allergic Rhinitis 234
    Asthma (Reactive Airway Disease) 234
    Bronchitis 234
    Cellulitis 235
    Chest Pain (Cardiac Origin Suspected) 235
    Common Cold 235
    Conjunctivitis 236
    Constipation 236
    Contact Dermatitis 236
    Corneal Abrasion & Corneal Ulcer 237
    Cough 237
    Cutaneous Abscess 237
    Deep Venous Thrombosis (DVT) 238
    Diarrhea 238
    Epiglottitis 238
    Epistaxis 239
    Fungal Skin Infection 239
    Gastroenteritis 239
    Gastroesophageal Reflux Disease (GERD) 240
    Headache 240
    Ingrown Toenail 240
    Joint Infection 241
    Laceration 241
    Malaria 241
    Otitis Externa 242
    Otitis Media 242
    Peritonsillar Abscess 242
    Pneumonia 243
    Pulmonary Embolus (PE) 243
    Renal Colic 243
    Sepsis / Septic Shock 244
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