Doc D

LOL i get -2 rep for talking about how the 232 medical battalion is, LOL. But yeah too many females got raped so they took our overnight passes and whatnot. Did you know 68w(medic) and 11B(Infantry) are the only people living in bays for AIT? Every other MOS gets 2 to 4 man rooms for AIT. Lol.

Again your not understanding me. I know females get into fire fights and whatnot, but i am assigned to an infantry platoon of all males. I go out with them. No females in the infantry. Im not saying females dont fight, but i dont treat females because of the type of unit i am in. I go one patrols and missions and whatnot with the infantry. I am a line medic. The females are in support battalions and HHC companies, which have their own medics. Im not saying i NEVER will treat a female, but i am in infantry. Support and HHC have their own missions and their own medics. I am an EMT-B i know BSI is before everything as an EMT, but as a combat medic in the US Army its not too big of a deal. I know it sounds terrible to you guys because its drilled into you as an EMT. Its really different here. I wear gloves in garrison, dont get me wrong. But down there, you dont always have the time todo so. BSI is always good, dont get me wrong. My life and welfare is precious to me, but as a combat medic BSI is preffered but its accepted you wont always have time to get it on. Even in my civilian clothes i always have a pair of gloves in my pocket...but its just different here in the Army. I know its tough and it sounds outrageos to you all i can tell...but its about another persons life, not mine. Someone mentioned just wearing gloves when going into combat........i cant do that. Gloves let the enemy know i am a medic and they will shoot at me first. There arent enough combat medics in the army. I appreciate what all of you guys do. I am a different kind of EMS

Fort Sam Houston is pretty gay now. Atleast when i went through Charlie Co. 232 medical Battalion....we got smoked every day, they tossed our bays every day, we got mass punished for everything, we got dephased 3 times throughout the cycle, no weekend passes, super fast paced, low passing rate, lots of people fail out, less sleep then basic training, in most cases less then 1 hour personal time. It was a shitty 18 weeks, i would have just done basic training twice instead of going back there for a fresh 18;.

Im a line medic in an infantry unit. All infantry is males. All combat jobs, Infantry, Cavalry Scout, Tanker, Artillary, Forward Observers are males. I work with males. Sure females work all the POG jobs, Females are vital to the Army. I dont work with them, they dont go on the front in most cases. Therefore I dont send sisters mothers and daughters anywhere, aside from out of my room in the morning.(Thats a joke). Also, BSI is cool and all if your giving your drunk battle buddies IV's, but in the battle field if someone is bleeding arterially, or has other life threatening injuries im not going to waste my time putting gloves on, every second counts. I also know thaat soldiers cant deploy with viral STD's, HIV, Hepatitis and whatnot.

Your gonna hate fort sam houston seargent......its like not a military base. More officers then enlisted personell there. Tons of butter bars straight out of OCS. Its really funny when you walk by and salute them and they freeze up and dont know what to do.

I cant speak for the whole Army, but i can speak for the 101st Airborne. We lead the military in Suicides and AWOLS. Nothing to be proud of, but the Department of the Army has the whole division deploying back to back at all times. We all smoke or chew, i have actually never in my life seen as many tobacco users since coming to Ft.Campbell. Dont get me wrong, there are millions of movies and stuff about us, and we fight hard. Death before dismount, we get the job done...but there are consequences of it also. I was there last christmas, but i was chilling at my spots, Around Seneca Valley (i went there), Fox Chapel, Rolling Hills, the neighborhoods around Reburto Clemente etc.. etc.. Theres the New Shady Grove mini ER by Crystal Rock and stuff. But some things never change, Montgomery County Police are still assholes and will beat your ass for no reason. They tried to arrest me, what for i dont know....but my military ID got them to fuck off. Oh btw. I have an EMT-B, but i am not an EMT. Dont call me one. EMT's only come out with BSI and when the scene is safe. We run out with bullets flying, and dont give a fuck about BSI.Its about a soldiers life, sending a father home to his children, sending a husband home to his wife, sending a son back to his parents. We conserve the fighting forces of this country. We supress enemy fire, its our first priority. Its insulting to call a combat medic an EMT. Thats an insult senior medics will use to call younger medics at times. Please dont call me an EMT. I appreciate all of you for what you do, its a tough job. Long hours, legalities, protocols, etc... but we are very different. We are a seperate breed of EMS.

Seargents, what unit are yall apart of? (standing at parade rest lol)

I dont dip during the job. Not allowed, nor need to. I dont spit in cups either, i spit in the grass. I dont put raw tobacco in my mouth either. I use pouches. Please remember i am not an EMT. I am a soldier, I am a combat medic. Most male soldiers dip tobacco. Its a bad habit, but its very acceptable here. Big ups to my MOCO (Montgomery County) paramedics, i grew up there. Germantown, i appreciate what you guys do.

Anyone here Dip?

Thats cool, i noticed nowdays the NG doesnt fund their medics too well with medical supplies. I still see some NG medics walking around with old school powdered quick clot in their bags...lol

I understand. Thanks. Some of the statements I have made, are all how the army teaches their combat medics. You work a totally different type of EMS then I do. The whole reputation thing was a joke, i dont really care too much about it. About the flight medics, i cant pull up the protocol on it online for a bunch of reasons. one, the army doesnt release that stuff online, 2 every different Unit has its own protocols. Some cut em', some keep em'. Most cut em' though. Its like how my friends in the 4th ID have to use saline locks for all their IV's, while us here dont even get saline lock kits. We do straight IV's. Its like that.

It takes 6 hours for a tournakit to do tissue damage, and 8 for it to cause nerve damage Yes, an arterial bleed from a limb is its indicated use. Then again, you work Civilian EMS where there is protocols, in combat medicine there arent many and our wounds are different then yours Flight medics cut everything off and throw it away, its their protocol. Wow this thread has really hurt my reputation...lol combat medicine is substantially different then civlian EMS

Well my friend, the tournakit is meant to control arterial bleeds, which are life threatening. If someone tries to use one to control venous or capillary bleed's, so be it. It will do the trick, it maybe a bit too serious for such a simple injury, but it will still do the trick. The main issue i see, is wheneever we move on to the higher escheloes of care they CUT the tournakits off with trauma shears instead of just unbuckeling them, thus wasting a 40$ tournakit used once.

Never heard of the 38th infantry division or 1-125th Air Assault...are you national guard?

Improvisitation is the difference between a shitbag medic and a doc (In the Army) 4 sam splints is what we carry in our bag. You can splint a femoral fracture with it then provide traction on the ends to splint a femoral fracture. Its the only splint we got, but when my guys knock on my door and someone broke their arm playing football, i always splint it with a SAM

SOF-T is alright, but we use CAT Tournakits (Combat Application Tournikits). I dont understand why the hell people are so scared of those things. It takes 6 hours for a tournakit to cause tissue damage and 8 to cause nerve damage. Back when i was on the EMT side of my job, before moving to combat medicine they taught us Direct Pressure, Elevate, Push the arteries or something like that. Improvisint tournakits is pretty easy. A belt can be a semi-effective tournakit, but you can make a good tournakit from cravats and a stick, or cravats and tounge depressors.

Palpating ribs, guess im gonna have get some more practice. the angle trick is pretty interesting also, will look into it. I have another question? What is the effectiveness of a flutter valve on pneumothorax? putting an occlusive dressing on the exit wound in the back, and putting one on the front but leaving the bottom open for air to flow out and sitting the patient up-straight

Im with Bastogne, 1st Brigade BCT. 3rd BCT is already outta here, only the rear detatchment is left. Did you used to live in the 3rd BCT barracks?

I think the best splint out there, is actually the only splint we use here. its the SAM splint that forms to the limb then you ace wrap it. It also easy to improvise it into a traction splint for long bone femoral fractures and whatnot.

Back in my days at Army medic school i wondered what SKED stood for, and my seargent told me Super Kickass EVacuation Device. I know thats not what it stands for but its a good memory. The sked is pretty sweet though. Makes a good sled, and its easier to drag patients rather then lift them in certain cases.

I am a special kind of EMT... a combat medic, US Army. I carry an m-9 pistol and an m-4 carbine rifle w/ M68 CCO.

Well thats hard to say. Every combat medic has their own ways. Tournakits are the best and preffered way to control the arterial bleeds in a limb. I guess the etb could be a substitute after packing the wound with kerlix or combat gauze(hemostatic agent). Even if the arterial bleed on a limb is already controlled with a tournakit i will still pack the wound with Kerlix or combat gauze(hemostatic agent) to keept dirt and debree from getting into it. Honestly, i would much rather use an Ace Wrap though, pack it, wrap it up tight with the ace then use like 6 inch medical tape to secure it. Im telling you that plastic knotch for holding the pressure cen break. I dont trust it, and its useless because the higher eschelon of care, in my case the aviation/flight medic is just gonna cut it off and use his own preffered dressing.

army nurse deploying in september, she is with the 86th CSH (Combat Support Hospital). I have some friends in that unit. Hanging around their barracks you meet alot of girls (Its a hospital unit with monstly females, its a haven for girls on friday and saturday nights). I grew up in Germantown Maryland. Same county as you.

I dont do those other things you listed. The EKG and electrode placement is what EVAC is trained in. I am a front line medic, i work with the supplies in my aid bag. I was just saying because on the training dummies its very easy to find the 2nd intercostal space, but its not so easy on a human being.

Quick question for my paramedics here. I am a medic in the US Army, we wear IBA and IOTV body armor. Thoracic injuries of penetrating trauma dont really occur often. I would always apply the occlusive dressing, but my question is about the NCD. I havent done it on an actual human being because i havent encountered the injury. I know your preforming the NCD on the 2nd intercostal space, which is right above the 3rd rib. I have done it on training dummies all the time, but my question is on a human being it is hard to feel the third rib to know. Does anyone here know an easier way of identifying the 2nd intercostal space without feeling for the third rib?