1 00:00:02,230 --> 00:00:04,341 There's a known enemy just beyond the 2 00:00:04,341 --> 00:00:06,508 four line of troops . Flat air platoon 3 00:00:06,508 --> 00:00:08,674 is holding approximately 115 commuters 4 00:00:08,674 --> 00:00:10,619 to Southwest . Given an a personal 5 00:00:10,619 --> 00:00:10,430 weapon equipment . You must navigate 6 00:00:10,439 --> 00:00:12,383 from your current location to your 7 00:00:12,383 --> 00:00:12,140 squad simulator . 8 00:00:16,829 --> 00:00:19,639 I'd like to describe it more as just a 9 00:00:19,680 --> 00:00:23,139 trauma lane , trauma assessment . You 10 00:00:23,149 --> 00:00:25,260 ran up on a car in the fire situation 11 00:00:25,260 --> 00:00:27,482 where you receive fire , you engage the 12 00:00:27,482 --> 00:00:29,482 enemy , you destroyed the enemy and 13 00:00:29,482 --> 00:00:31,649 then you treated your patient on the X 14 00:00:31,649 --> 00:00:33,871 in a care under fire situation and then 15 00:00:33,871 --> 00:00:36,093 you moved your patient back to your CCP 16 00:00:36,093 --> 00:00:38,205 that you have already designated that 17 00:00:38,205 --> 00:00:40,149 point and then further treated him 18 00:00:40,149 --> 00:00:42,260 there . Uh Control bleeding as best I 19 00:00:42,260 --> 00:00:42,040 can . That's why we do a hasty 20 00:00:42,049 --> 00:00:44,160 tourniquet . It's as high as possible 21 00:00:44,160 --> 00:00:46,382 and as tight as possible on that limb . 22 00:00:46,382 --> 00:00:48,382 You don't check anything else . You 23 00:00:48,382 --> 00:00:48,189 don't sweep for blood , you don't do 24 00:00:48,200 --> 00:00:50,311 anything like that . You just look at 25 00:00:50,311 --> 00:00:52,478 him cool . There's blood there , throw 26 00:00:52,478 --> 00:00:54,311 it on high and tight as possible 27 00:00:54,311 --> 00:00:56,478 regardless of where that injury is and 28 00:00:56,478 --> 00:00:59,200 you get them going . Do I notice any uh 29 00:00:59,209 --> 00:01:01,431 obstructions in the nose and or mouth ? 30 00:01:02,569 --> 00:01:04,736 Naval science are not obstructed , not 31 00:01:04,736 --> 00:01:06,879 obstructed . We're gonna go ahead and 32 00:01:06,889 --> 00:01:10,430 place bevel towards the septum pig nose . 33 00:01:11,540 --> 00:01:15,209 Shove it down in there . I 34 00:01:15,269 --> 00:01:17,970 go ahead and tape this up , not over 35 00:01:17,980 --> 00:01:20,349 the hole , making sure he can still 36 00:01:20,360 --> 00:01:23,580 breathe . All right . MP A is secure . 37 00:01:24,010 --> 00:01:27,150 Fantastic blood . All right . Big guy . 38 00:01:27,160 --> 00:01:29,438 If you can hear me , go ahead . Exhale , 39 00:01:29,438 --> 00:01:30,438 exhale , exhale . 40 00:01:33,830 --> 00:01:35,941 All right . Looks good . Looks good . 41 00:01:35,941 --> 00:01:38,108 Looks good . Essentially when you lose 42 00:01:38,108 --> 00:01:40,052 blood , uh , you get really cold , 43 00:01:40,052 --> 00:01:42,219 right ? Your body has less blood keeps 44 00:01:42,219 --> 00:01:44,386 you warm . Blood flow keeps you warm , 45 00:01:44,386 --> 00:01:46,330 right ? And if you have less blood 46 00:01:46,330 --> 00:01:48,497 flowing colder , you're gonna get . Oh 47 00:01:48,497 --> 00:01:48,480 yeah , I've had uh patients before 48 00:01:48,489 --> 00:01:50,879 where , you know , they went from a 49 00:01:50,889 --> 00:01:53,410 heat cat injury and then to a cold cat 50 00:01:53,419 --> 00:01:55,940 injury and then you had to like re warm 51 00:01:55,949 --> 00:01:59,639 them up rather quickly . Then go ahead . 52 00:01:59,650 --> 00:02:03,129 Pull tightly greens , 53 00:02:03,260 --> 00:02:06,970 fantastic . Drop 15 degrees 54 00:02:07,099 --> 00:02:09,410 increase catheter . We're going to oude 55 00:02:09,419 --> 00:02:13,240 the vein , pull a needle out , shove 56 00:02:13,250 --> 00:02:17,250 right there . I'll include that 57 00:02:18,580 --> 00:02:20,636 weak and thready pulses for the most 58 00:02:20,636 --> 00:02:22,524 part . That kind of means they're 59 00:02:22,524 --> 00:02:24,802 starting to go into shock a little bit . 60 00:02:24,802 --> 00:02:27,024 They're starting to shunt essentially . 61 00:02:27,100 --> 00:02:29,156 And at the end of the day , they did 62 00:02:29,156 --> 00:02:31,378 just get shot . So they probably lost a 63 00:02:31,378 --> 00:02:31,259 good amount of blood , you know , 64 00:02:31,270 --> 00:02:32,937 before I was able to get that 65 00:02:32,937 --> 00:02:34,714 tourniquet on while I was still 66 00:02:34,714 --> 00:02:37,929 engaging the enemy . So that something 67 00:02:37,940 --> 00:02:40,107 to just be mindful of , you want to be 68 00:02:40,107 --> 00:02:42,162 able to get an IV access and then in 69 00:02:42,162 --> 00:02:44,107 the future , maybe push some blood 70 00:02:44,107 --> 00:02:46,273 products , maybe 1 to 11 to , 1 to 1 , 71 00:02:46,273 --> 00:02:48,384 uh R BC , stuff like that . So , need 72 00:02:48,384 --> 00:02:50,496 to be faster . A bit rusty on it . Of 73 00:02:50,496 --> 00:02:52,607 course , uh , working in a hospital , 74 00:02:52,607 --> 00:02:54,551 uh , not really doing a line medic 75 00:02:54,551 --> 00:02:56,718 stuff like I , like I was doing , um , 76 00:02:56,718 --> 00:02:58,718 need to , of course , keep up those 77 00:02:58,718 --> 00:03:01,051 skills , practice a little bit more and , 78 00:03:01,051 --> 00:03:03,384 uh , keep up the , uh , time efficiency . 79 00:03:03,384 --> 00:03:07,160 So , all right , cool . Hypothermia 80 00:03:07,169 --> 00:03:09,410 is complete from here . I would 81 00:03:09,419 --> 00:03:11,419 actually call up my nine line , but 82 00:03:11,419 --> 00:03:12,070 we're not doing that .