Combat Medic

Created by Captain Cian D'Anvers on 01/08/2020 @ 2:24pm

Combat Medic

A Starfleet Medic currently registered as a paramedic and has been approved to function at this advanced level of care. A Starfleet Medic can:

train and direct routine and emergency medical care

establish combat casualty collection points

conduct initial surgical and medical patient assessment and management

triage and provide advanced trauma management

prepare patients for evacuation.

Routine care includes assisting medical officers with daily sick call and requires advanced knowledge in common orthopedic problems, respiratory illnesses, gastrointestinal disorders, dermatological conditions, and environmental hazard illnesses.

Starfleet Medics train non-medical personnel on first responder skills and preventive medicine.

Starfleet Medics conduct their scope of practice under the licensure of the ship's Chief Medical Officer and are not independent health care providers.

Starfleet Medics should always obtain the advice of the ship's Chief Medical Officer and be supervised for all care provided. However, on rare occasions Starfleet Medics may be required to operate relatively independently with only indirect supervision in remote, austere, or clandestine locations. In these cases, it is still extremely rare that a Starfleet Medic will be unable to communicate by computer.

Standing Orders

Advanced life support interventions, which may be undertaken before contacting on-line medical control.

PROTOCOLS – Guidelines for out of hospital patient care. Only the portions of the guidelines, which are designated as “standing orders”, may be undertaken before contacting ship's physicians.

Medical Officer is a licensed and credentialed medical provider, physician or physician assistant, who verbally, or in writing, states assumption of responsibility and liability and is available on-site or can be contacted through established communications. Medical care, procedures, and advanced life-saving activities will be routed through medical control in order to provide optimal care to the sick or injured. Medical Control will always be established, regardless of whether the scenario is a combat mission, a training exercise, or routine medical care. Note that, ultimately, all medical care is conducted under the licensure of an assigned, attached, augmenting, or collocated physician.

The 8 “C.R.I.T.I.C.A.L.” Combat Medicine Tasks

Contain Scene and Assess Casualties.

Return Fire and Secure Scene.

Direct Casualties to Cover.

Evaluate for Life Threatening Injuries

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Triage – Immediate, Delayed, Minimal, Expectant.

Call Medical Personnel for Assistance as Required

.

Rapidly Identify and Control Massive Hemorrhage.

Direct & Indirect Pressure.

Tourniquet.

Emergency Trauma Dressing.

Inspect and Ensure Patent Airway.

Open and Clear Airway.

Nasopharyngeal Airway.

Treat Life Threatening Torso Injuries.

Occlusive Seal Dressing

Needle Decompression.

Abdominal wound management.

Inspect for Bleeding, Gain IV Access, Manage Shock.

Head to Toe Blood Sweeps.

18 Gauge Saline Lock.

IV Fluids when dictated by Shock.

Prevent Hypothermia.

Control Pain and Prevent Infection.

Combat Wound Pill Pack.

Aid and Litter Team.

Package and Prepare for Transfer.

Litters, Manual Carries.

Leader Coordinated Evacuation.

Casualty Precedence – Critical (Urgent), Priority, Routine.

MEDEVAC Coordination.