Posted on Mar 12, 2014
SFC Healthcare Specialist (Combat Medic)
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<p>Just looking for some vignettes (stories) about what you have seen Combat Medics do down range that was out of the scope of practice.&nbsp; PAs and DOCs I need you to chime in with events you know your medics have done down either at home station or down range.&nbsp; Also for the providers; what do you train your combat medics on besides what is listed in the STP.&nbsp; </p><p>Within the 10 medical areas where should AMEDD put additional thoughts and resources to improve the training of Combat Medics moving forward into the wars of 2020 and beyond?</p>
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Responses: 35
SSG Roger Ayscue
26
26
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TO ALL THE FNG's and Young Troopers still fighting the fight today reading this...Just ONE real-world, mission essential piece of advice...TAKE CARE OF YOUR MEDIC!, because Doc is Damn Sure gonna take care of you.
Doc don't pull guard, because when you are copping zulus Doc is checking feet and fevers...
Doc dont dig his own hole, he don't need blisters on the hands that will start your IV.
Doc eats FIRST, because he will spend 90% of that chow break making sure your NUGS and Privates are drinking water and eating something besides candy bars (I know this is YOUR JOB there Squad Leader, but Doc does it too, because he fracking cares).
Take care of Doc, Help him carry his load, cause most of his load, is for you and the platoon. One last thing, if your are still reading...Check Doc's feet once in a while, offer him a cookie from home in that box from your little sister, let Doc know he is part of the platoon, and is misassigned to HHC. Invite Doc to your platoon cookouts, and even to Christmas dinner if he is single.
In the fight or in Garrison, Doc is a Grunt's best friend.
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SGT Eric Knutson
SGT Eric Knutson
>1 y
Well said bud, I keep think of MSG Pils, the stud sure took care of us, didn't he? I had another, Sgt Dietrich, I forget where, but those 2 really stood out in my mind.
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MAJ Physician Assistant
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19
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As a Physician Assistant in the United States Army, a former combat medic, and a front line provider, I train my medics in everything I possibly can. The idea is to push as much knowledge forward as possible since I certainly cannot be everywhere. I train my medics to do everything as it relates to trauma (tourniquets, airways, crics, NCDs, chest tubes, digita intubation, morphine and ketamine usage, Narcan, and when it comes to noncombat (DNBI), i teach constantly to increase their awareness and ability to treat. Any provider who doesnt is failing his medics, in my opinion, and therefore failing the warfighter. AMEDD has done a poor job adapting its combat medic program with the reality of combat medicine. And as we leave the known combat theater, it will need to get its head wrapped around the idea of sustainment training for all medics, because table 8 BS is worthless and MSTC sites are hit and miss. If we dont support a solid program moving forward we will lose a massive amount of institutional knowledge and return to the medic we went to war with, not the Combat medic we brought home.
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MAJ Rn
MAJ (Join to see)
8 y
In my perfect army the Charlie Med company medics would have had extensive working experience with the PA or PROFIS Dr. Perhaps the afternoon one day a week the TMC could shut down and the medics could huddle around the PA to learn as much as he or she could teach them about all the stuff you cited above. You have no doubt accumulated a vast narrative about the medics you took to war compared to the combat medic you brought home. What we most need is men like you and other P.A. from the BAS who could go to AMEDD C&S and do a thorough review of the curricula and if need be add stuff or toss out/decrease other stuff based on what you saw and where you identified gaps or flaws in their training.
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CSM Charles Hayden
CSM Charles Hayden
8 y
MAJ (Join to see) When I visited a former BN, the medics were so pleased to introduce me to 'their' PA!!! Thank you for your service and your 'care'!
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MSG Christopher Keller
MSG Christopher Keller
>1 y
when I first became a medic and was assigned to 2/10 (Air) Cavalry at FT Ord in 1980 our Bn PA had me follow him everywhere, he gave me a book to read a fat green book on differential diagnosis (i still have it) when he wasn't grilling me I was reading, when he was suturing I was holding the light while he explained why he did everything. In the aid station or in the feild I was with him until he felt I was ready to be on my own, Did we do things outside our scope, hell yes, we did what we needed to do to take care of our soldiers. The more your learn in garrison or training the more ready you are if/when the sh** hits the fan.
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SFC(P) Healthcare Specialist (Combat Medic)
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A medic's scope of practice is often expanded or contracted based off their relationship with the PA or the BN Surgeon if deployed. In my experience for a "good" medic their scope can be a lot more beyond the STP critical task list. I have personally performed many minor procedures in a field MTF environment as PFC while deployed. This was always proceeded by vetting through the BN Surgeon on every aspect of the of the procedure such as identification/conservative treatments/procedure risks/procedure steps/supervised executions.

From what I've seen, of medics that are coming out of the school house, they are still getting the full run through of combat oriented treatments, but are severely lacking on the general sick call identification, treatment, and documentation (Medical treatment ,organic and area support). I also had some basic field sanitation knowledge coming out of training, but now they seem to have none (Preventive medicine services). Which is a very large issue as the line medic can often serve in the place of the unit field sanitation team. For both of these shortfalls in training, I have not seen new medics come out with any additional training so I have no idea what may have taken its place.
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SFC Healthcare Specialist (Combat Medic)
SFC (Join to see)
10 y

So what I need from you is a story, yours or someone else's that you witnessed.  I've been a combat medic for 15 years now and need to expand upon stories from the field with AMEDD Lessons Learned and social media.  So what do you have for me?

If you want to tell me why preventive med is needed from the combat medic in a manuever company/platoon/squad formation from your story(s) experience, please do.

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SFC Healthcare Specialist (Combat Medic)
SFC (Join to see)
10 y
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SGT Suraj Dave
SGT Suraj Dave
10 y
Surgical Cric under fire and Chest tubes aren't really out of scope... it is taught to most medics in forsecom during BCT3...

Going to my first unit, I had no clue how to do sick call or write SOAP notes. Learned all that at my first unit. In juries I treated under fire were normally just extremity GSW's but I did deal with a GSW to the neck and inguinal region also.
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SSG Genaro Negrete
SSG Genaro Negrete
10 y
I agree with the field san portion. It took me weeks to get the BSMC's Prev Med soldier out to my COB for an inspection of the facilites. By then, it was more of a formality. But that bad case of the shits can leave a soldier susceptible to more debilitating ailments or simply puts them out of the fight for something easily preventable.

It seems that the school house has had a lot of pressure to crank out deploy-able medics. All the clinical and preventative medicine seems to have taken a back seat.
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