SAPPER

Soldiers Actively Practicing Patient Emergency Response

SSG. C. Sprayberry NCOIC SGT. D. Barkley Lead Instructor SGT. H. Jones Lead Evaluator SPC. M. Parrish Co-instructor/Evaluator

References

FM 8-10-6. Google Search

Terminal Learning Objectives

Be able to identify and correctly use all contents of a standard issue CLS bag. Correctly establish a 9-line Medevac request.

Tasks

The instructor team will ensure that the students know ALL the contents of an army standard CLS bag and are fully capable and competent of the functions and uses of each item. Students will also be proficient and accurate with a 9-line Medevac while being highly motivated and eager to learn.

Conditions

In a classroom environment with a PowerPoint presentation and medical staff to assist with learning, questions, and hands-on techniques. Simulated trauma lanes to provide a realistic setting and aid in evaluation of competency.

Standards

Given a fully stocked Army standard CLS bag, effectively provide life saving measures to casualties by precedence while under fire, in a tactical field setting, and re-assessing while awaiting for a Medevac.

CLS BAG

SAM Splint II
Wrist/arm Splint Ankle/leg Splint C-Collar V and Modified V-Splint
NSN: 6515-494-1951

ABD Dressing
Eviscerations Inguinal or Axillary wounds Stumps/Amputations

NSN: 6510-00-201-7425

Israeli Bandage
Pressure dressing Stump dressing Minor stabilization on open fracture
NSN: 6510-01-460-0849

CAT (Combat Action Tourniquet)

STOPS EXTREMITY BLEEDING

NSN: 6515-01-521-7976

Cravats
Slings Securing splints or other bandages Improvised tourniquet Head and Eye Injuries
NSN: 6510-00-201-1755

Penrose Drain
Constricting band Eye Flushing

NSN: 6515-01-508-8343

ACE Wrap
Light pressure dressing Stump dressing Ocular Injuries Minor Stabilization
NSN: 6510-00-935-5823

Rehydration Salts
Oral suspension given to rehydrate

NSN: 6505-01-197-8809

Transparent Dressing
Small occlusive bandage on neck or chest

NSN: 6510-01-372-4493

H&H Gauze
Packing or dressing wounds Eye/head injuries Penetrating wound Stabilization Drying a wound site
NSN: 6510-01-503-2117

Nasopharyngeal Airway
Maintaining an open airway

NSN: 6515-01-529-1187

Trauma Shears
Cutting adjustments on bandages and tape Removal of Clothes/Gear

NSN: 6515-00-935-7138

14g Needle/Cath.
Needle Chest Decompression IV....UNACCEPTABLE!

NSN: 6515-01-541-0635

3 Inch Tape
Everything (explained in lecture)

NSN: 6510-01-549-0927

Latex/Nitrile Gloves
Protection from infectious diseases Protects the Combat Life Saver only if USED

NSN: 6515-01-515-0197

9-Line Medevac

Location Of Pickup Site

Encrypt grid coordinates (i.e. AB12345, CD67809)

Radio Frequency, Call Sign, Suffix

Include your Call Sign and Frequency. (i.e. 17500, Knight 1)

No. of Patients by Precedence

Report only applicable information: A=Urgent, B=Urgent-Surgical, C=Priority, D=Routine, E=Convenience. If more than one casualty fits a specific criteria, include the number of casualties before the letter. For example, 2A or 4C.

Special Equipment

A=None, B=Hoist, C=Extraction Equipment, D=Ventilator Use this line to request any other equipment you may need such as a replacement litter or any other supplies.

No. of Patients by Type

Differentiate which patients are capable of ambulating (A) and which patients require a litter (L). Combine the number of patients with the letter to which they correspond.

Security of Pick-up Site

Used as line 6 during wartime. N=No enemy troops in area P=Possible enemy troops in area(use caution) E=Enemy troops in area(use caution) X=Enemy troops in area(armed escort required)

No. and Type of Wound, Illness, and Injury

Used as line 6 in peacetime. Include specific information regarding patient injuries by type (gunshot wounds, shrapnel, etc.) Report serious bleeding along with patient blood type if known.

Method of Marking Pick-up Site

A=Panels B=Pyrotechnic Signal C=Smoke Signal D=None E=Other

Patient Nationality and Status

Number of patients in each category doesn't need to be included. A=US Military/ B=US Civilian/ C=Non-US Military/ D=Non-US Civilian/ E=Enemy Prisoner of War

NBC Contamination

Used as line 9 during wartime, and only included if applicable. N=Nuclear Contamination B=Biological Contamination C=Chemical Contamination

Terrain Description

Used as line 9 during peacetime. Include details of terrain features in and around proposed landing site. If possible, relate landing site to a prominent terrain feature such as a lake, mountain, or tower.

Scenario

RTO: Break, break, break. Dustoff this is Knight 1. I have a Medevac request, over. Medevac: Knight 1, this is Dustoff. Go ahead with Medevac request, over. RTO: Line 1-Alpha Bravo 12345 Charlie Delta 67809. Line 2-17500, Knight 1. Line 3- 1 Alpha Break 3 Bravo. Line 4Delta. Line 5- 3 Lima Break 1 Alpha. How Copy Over. Medevac: Knight 1 this is Dustoff, we read you Lima Charlie and have a bird in the air. ETA approximately 10 mikes. Will call when ready for completion of 9-line. Over. RTO: Dustoff this is Knight 1. Read you Lima Charlie. Out. Medevac: Knight 1 this is Dustoff. Over. RTO: Dustoff this is Knight 1. Go ahead. Over. Medevac: Knight 1 this is Dustoff. Send remainder of your 9-line when ready. Over. RTO: Dustoff this is Knight 1. Sending remainder of 9-line Medevac request. Line 6- Papa. Line 7- Charlie. Line 8- 3 Alpha Break 1 Bravo. How Copy Over. Medevac: Knight 1 this is Dustoff. Read you Lima Charlie. We see blue smoke. Over. RTO: Dustoff this is Knight 1. Roger. We have blue smoke. Over Medevac: Knight 1 this is Dustoff. Roger. Preparing to land at LZ. Out.

Questions?