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  1. #101
    Lord Chief Bottlewasher trellheim's Avatar
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    What does first responder imply ? ( apart from the obvious ? ) is there an existing syllabus for it ?
    "Are they trying to shoot down the other drone? "

    "No, they're trying to fly the tank"

  2. #102
    CQMS fiannoglach's Avatar
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    Yep, Its the PHECC Emergency First Responder Course with military specific modules.

  3. #103
    Lord Chief Bottlewasher trellheim's Avatar
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    Sorry I'm coming from the other end of the food chain; is there an Army syllabus for it ? is it planned for RDF or did the "DF" mean just PDF ?
    "Are they trying to shoot down the other drone? "

    "No, they're trying to fly the tank"

  4. #104
    Commander in Chief apod's Avatar
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    Quote Originally Posted by fiannoglach View Post
    I heard it's to be issued for this rotation.
    Excellent.I am hoping to go out with the nest rotation.Interesting to see how this works out.

    Quote Originally Posted by fiannoglach View Post
    Yep, Its the PHECC Emergency First Responder Course with military specific modules.
    Thats new.I haven't seen a syllabus for that on the D TRG webpage.Must be the first one?
    Infantry Corps - An Lámh Comhrac


    "Let us be clear about three facts:First of all.All battles and all wars are won in the end by the Infantryman.Secondly the Infantryman bears the brunt of the fighting,his casualties are heavier and he suffers greater extremes of fatigue and discomfort than the other arms.Thirdly,the art of the Infantryman is less stereotyped and harder to acquire than that of any other arm".
    -- Field Marshall Earl Wavell.1948

  5. #105
    CQMS fiannoglach's Avatar
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    AFAIK the course is contracted to a civilian company, under PHECC guidelines.

  6. #106
    Lord Chief Bottlewasher trellheim's Avatar
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    Anyone try one of these ( apparently highly rated ) ?

    http://www.specopsbrand.com/tactical...ch-medium.html ( Red tab on top so you know its the med pouch


    This looks like the new kit

    http://www.uscav.com/ProductInfo.asp...jn&subid=35806

    i.e.

    # 1 - SOFTM Tactical Tourniquet (NSN: 6515-01-530-7015)
    # 1 - Elastic Bandage Kit (NSN: 6510-01-492-2275)
    # 1 - GA4-½" 100's Bandage (NSN: 6510-01-503-2117)
    # 1 - 1 Surg 2" 6's Adhesive Tape (NSN: 6510-00-926-8883)
    # 1 - Nasopharyngeal, 28Fr, 12s Airway (NSN: 6515-01-180-0467)
    # 1 - 4 Patient Exam 100's Gloves (NSN: 6515-01-519-9161)
    "Are they trying to shoot down the other drone? "

    "No, they're trying to fly the tank"

  7. #107
    Lieutenant X-RayOne's Avatar
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    interesting to see some medics are also now doing the current national Advanced Paramedic course run by UCD.
    The people of England have been led in Mesopotamia into a trap from which it will be hard to escape with dignity and honour. They have been tricked into it by a steady withholding of information. The Baghdad communiqués are belated, insincere, incomplete.....It is a disgrace to our imperial record, and may soon be too inflamed for any ordinary cure.We are to-day not far from a disaster.

    T.E. Lawrence, 2 Aug 1920.

  8. #108
    Hostage Flamingo's Avatar
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    I'm delighted to see that nasaopharyngeal airways are becoming more popular. I always considered them a cracking piece of kit, and was carrying one as standard in lieu of the Guadel airway everyone else had 15 years ago (I know, I'm showing my age).

    Guadel airways are of limited use, IMHO. To be used safely, they require a simultaneous jaw lift/thrust, and if someone is doing that properly you don't need the oral airway anyway. Otherwise, roll the unconscious patient on their side, and again you don't need the Guadel airway anyway. Also, if the patient gets an intermittent or partial gag reflex (which will happen from both drug and trauma induced unconsciousness if only light) then the Guadel airway may be expelled by the patient before they are ready to do without it - but force them to keep it in, and vomiting may result.

    The nasopharyngeal airway is tolerated far better in a semi-conscious patient, and this may make a difference in a multi-casualty situation with limited medical personnel available to look after each casualty, or casualties dotted around a location.

    Just remember, the safety pin that comes with it is just to stick through the airway to stop it being snorted up the nose, not to pin it through the casualties nose to stop it falling out (as I once heard said!). Also, they are contraindicated in any suspected fractured base of skull, because of the (slim) chance of them going through the soft tissue and fracture site into the brain. But if it's your only option and they are going to choke to death anyway then its worth the risk.

    Last edited by Flamingo; 31st May 2011 at 23:34. Reason: spelling
    'He died who loved to live,' they'll say,
    'Unselfishly so we might have today!'
    Like hell! He fought because he had to fight;
    He died that's all. It was his unlucky night.
    http://www.salamanderoasis.org/poems...nnis/luck.html

  9. #109
    In Arduis Fidelis rod and serpent's Avatar
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    Flamingo has taken out shares in a nasaopharyngeal airway company, we expect the share price to rise in the next few days.


    But seriously, a nasaopharyngeal airway is much better than a Guedel airway.

  10. #110
    Hostage Flamingo's Avatar
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    Quote Originally Posted by rod and serpent View Post
    Flamingo has taken out shares in a nasaopharyngeal airway company, we expect the share price to rise in the next few days.


    But seriously, a nasaopharyngeal airway is much better than a Guedel airway.
    Thanks Rod, insider trading again!
    'He died who loved to live,' they'll say,
    'Unselfishly so we might have today!'
    Like hell! He fought because he had to fight;
    He died that's all. It was his unlucky night.
    http://www.salamanderoasis.org/poems...nnis/luck.html

  11. #111
    Commander in Chief RoyalGreenJacket's Avatar
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    thanks for the tip Flamingo - looks like an essential bit of kit.
    RGJ

    ...Once a Rifleman - Always a Rifleman... Celer et Audax

    The Rifles

  12. #112
    Hostage Flamingo's Avatar
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    Quote Originally Posted by RoyalGreenJacket View Post
    thanks for the tip Flamingo - looks like an essential bit of kit.
    Just get someone who knows to show you how to insert them. There is a little bit more to them than just shoving them in.
    'He died who loved to live,' they'll say,
    'Unselfishly so we might have today!'
    Like hell! He fought because he had to fight;
    He died that's all. It was his unlucky night.
    http://www.salamanderoasis.org/poems...nnis/luck.html

  13. #113
    Closed Account Goldie fish's Avatar
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    Would they be useful in clearing the airway when there are facial or suspected neck injuries?

  14. #114
    CQMS fiannoglach's Avatar
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    Depends on the facial injury!!

    Picture1.jpg


    Please consider that people may open these in Civvy Jobs. Consider hanging an NSFW on that in future. I know you didn't post it as an image for that reason.
    Last edited by trellheim; 1st June 2011 at 21:31.

  15. #115
    CQMS fiannoglach's Avatar
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    Quote Originally Posted by Goldie fish View Post
    Would they be useful in clearing the airway when there are facial or suspected neck injuries?
    Overall, NPAs are easier to use than Combitubes or ET tubes, as already said, they can be applied by almost anyone to a conscious or unconscious patient.

    Certain facial injuries - yes.
    Neck injuries - As long as the head is stabilised - yes.

    Suspected skull fracture - no

  16. #116
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    Quote Originally Posted by fiannoglach View Post
    Depends on the facial injury!!

    Picture1.jpg
    Throw a field dressing on it and give him a bit of difene, job done.

  17. #117
    Hostage Flamingo's Avatar
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    Much easier than ET tubes, which require very specialised training to use, and frequent refresher training to keep the skills up.

    Laryngeal Masks are the next level up, quite easy to train in and keep the skill level up (I'm sure I remember reading a paper on that once), but getting a bit beyond personal first aid kits!

    'He died who loved to live,' they'll say,
    'Unselfishly so we might have today!'
    Like hell! He fought because he had to fight;
    He died that's all. It was his unlucky night.
    http://www.salamanderoasis.org/poems...nnis/luck.html

  18. #118
    CQMS fiannoglach's Avatar
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    Wildo, trellheim.

  19. #119
    Hostage Flamingo's Avatar
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    My first thoughts on being confronted with that would be a tracheostomy or needle chrycothyroidotomy.

    Actually, no, my first thoughts would be "Oh Bugger what do I do now?"
    Last edited by Flamingo; 1st June 2011 at 21:58.
    'He died who loved to live,' they'll say,
    'Unselfishly so we might have today!'
    Like hell! He fought because he had to fight;
    He died that's all. It was his unlucky night.
    http://www.salamanderoasis.org/poems...nnis/luck.html

  20. #120
    Commander in Chief apod's Avatar
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    My first thought would be "how did i end up down on the floor".
    Seriously though that is one of the worst injuries i have ever seen.Hats off to all in the medical field and those on the frontline who have to see these things.I have seen a few terrible injuries in my time but not as regularly as those lads and lasses.Respect
    Hand on my heart.If we(average infantry section/platoon) had to deal with an injury such as that in the morning,with our current level of equipment and training,we would have to kiss the lad goodby there and then.
    Out of curiousty Fianoglach,WTF did that?IED?GSW?
    Infantry Corps - An Lámh Comhrac


    "Let us be clear about three facts:First of all.All battles and all wars are won in the end by the Infantryman.Secondly the Infantryman bears the brunt of the fighting,his casualties are heavier and he suffers greater extremes of fatigue and discomfort than the other arms.Thirdly,the art of the Infantryman is less stereotyped and harder to acquire than that of any other arm".
    -- Field Marshall Earl Wavell.1948

  21. #121
    Lord Chief Bottlewasher trellheim's Avatar
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    i was going to say zombie. Seriously though was he dead or alive ?


    Anyway. This looks like a nice bit of kit, rip-off medical pouch

    http://www.rvops.co.uk/rip-off-medic-pouch-2717.html





    anyone tried it ? we could dye it into OG easy enough. or we could just ring the maker and get them to send out a few OG on spec.
    Last edited by trellheim; 3rd June 2011 at 16:31.
    "Are they trying to shoot down the other drone? "

    "No, they're trying to fly the tank"

  22. #122
    Hostage Flamingo's Avatar
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    If you could keep the airway open (possible with tracheostomy being the probable option) and control bleeding, that is eminently survivable in the short-medium term. IV and/or peg feeding (direct tube into stomach) will sort out nutrition. It would be a good job for a Maxillo-facial surgeon to reconstruct, though. He'd be looking at a frequent-user card for his local operating theatre.

    It's an old problem, I remember reading about it in old copies of medical journals from the First World War, where a lot of the pioneering surgery was done

    http://news.bbc.co.uk/1/shared/spl/h...tle/html/1.stm

    http://www.gilliesarchives.org.uk/index.htm
    Last edited by Flamingo; 3rd June 2011 at 20:01.
    'He died who loved to live,' they'll say,
    'Unselfishly so we might have today!'
    Like hell! He fought because he had to fight;
    He died that's all. It was his unlucky night.
    http://www.salamanderoasis.org/poems...nnis/luck.html

  23. #123
    Lord Chief Bottlewasher trellheim's Avatar
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    no right or wrong, just "what works". "If it's stupid and it works, it's not stupid"
    "Are they trying to shoot down the other drone? "

    "No, they're trying to fly the tank"

  24. #124
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    Hey IPOD
    That wound was self inflicted using a shotgun. The photo is from a medical journal published in the US. The man is maintaining his own airway, breathing, is conscious, does not have any obvious cathestropic bleeding and is conscious...as you see him. Basic first aid is working for that guy. It’s a horrific wound and it sucks to be him but fancy airways and interventions didn’t get him to the ED alive....basic shit did. Your current DF training would enable you to deal with this wound as long as you, kept your cool, think ABC or CABC, stick to what you can do at the time and not what you would like to be able to do and can’t. And that stuff about “hand on me heart and kissing him good bye”.....doesn’t sound good, I imagine the Marine in your photo might be would be wondering WTF. But I imagine that’s just a phrase like "blood makes the grass grow" and not supposed to be taken too seriously. Knucklehead refers to someone who is hardheaded or stubborn by the way. If you forget the basics you’re patient is screwed. 9 line brief has been thought on LPC courses since 2007... its up to you guys to use it. Bye the the way, thanks for the respect ...word

  25. #125
    Captain Truck Driver's Avatar
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    Quote Originally Posted by trellheim View Post
    no right or wrong, just "what works". "If it's stupid and it works, it's not stupid"
    Isn't it true ? Think of the amount of things which have come into everyday
    military service as a result of the "it works, so let's use it" mentality

    Bergens/Backpack/whatever the fcuk you want to call them came into general usage
    in the British Army as a result of some Marines deciding they needed something better
    than the '58 pattern handbag
    "Well, stone me! We've had cocaine, bribery and Arsenal scoring two goals at home. But just when you thought there were truly no surprises left in football, Vinnie Jones turns out to be an international player!" (Jimmy Greaves)!"

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