What have you seen Combat Medics do down range that was out of the scope of practice?
I've given tons of IV's, shots, dressed bandages, bagged patients with breathing difficulty, treated wounded under fire, stabilized I don't know how many people, etc. Here's the 'fun' part. I've held a man's brains in his head, while intubating him with help from another medic. I've had to assist packing a gunshot would on an Iraqi prison who shot himself: fit 2 unrolled Kerlix rolls into him to help stop the bleeding. I've ventilated 3 children all under 7; 2 of whom we lost. Cut dead skin off a woman's foot with diabetes so I could bleed and she would hopefully keep her foot.
Gave an IV inside a moving military ambulance; which is NOT easy. This guy along with 3 other patients at the same time. Applied tourniquets to those that needed and bagged the worst one while trying to close a severe head wound. I learned Advanced Airway and Advanced Trauma procedures roughly a month after I got to my first duty station.
Our PL (who is also a PA) decided who got the additional training. I got to carry Morphine and Narcan which we usually aren't allowed to carry unless the PA feels we are efficient in it's use. EMT's and Medics aren't about treatment so much as "Pack and Go" or stabilize and transport. With Medic training being 4 1/2 weeks there is no way be can become efficient in our knowledge and skills above basic level.
Just need the stories
Okay, we know open heart surgery will not be performed by anyone in a dirty environment, but do you think medics need or require training on post damage control resuscitation (DCR)?
DCR is defined as a systemic approach to major trauma
combining the <C>ABC (catastrophic bleeding, airway,
breathing, circulation) paradigm [1] with a series of clinical
techniques from point of wounding to definitive treatment in
order to minimise blood loss, maximise tissue oxygenation and
optimise outcome.
This isn't simply doing the TC3 steps and evac. This would be TC3 and then sitting on a PATIENT waiting on evac for 6-12 hours short term and possibly, depending on evac cat, longer.
Evaluation of the unconscious Patient
Overdose, And Poisoning.
A. Initial evaluation
B. Differential diagnosis
C. Metabolic disturbances
This is very easy to overlook among much other things.But I will say this.What I learned in medical school Up State Sunny
NY is nothing like the battle field or Red Zone
very fast rate. The two Surgeons I scrubbed with taught me to perform minor surgeries on my own. My eyes and hands , knowledge of anatomy became very good. I went on to study after my tour, earned a couple of college degrees, went back in the service to fly airplanes. Guess you could say I went from defense to offense. No one ever complained or questioned my ability. I found my fellow airmen appreciated anything I could do for them. Treat your medics well, they do work hard to earn your respect. Compassion is a strength not a weakness.

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