CTCTG 6th Anniversary – CHL Trauma Medical Crash Course
Date: May 23rd 2015
Instructor: Robert Klenka
Location: Waco, Texas
Length: 2 hours
This year was the Central Texas Combatives Training Group’s 6th year anniversary meet up. I was lucky enough to teach a short crash course on Trauma Medical for CHLs. The goal of my section was to get through the information as soon as possible so we could get to the force on force scenarios and application.
I started by first discussing the main differences between ‘Civilian’ and ‘Tactical’ in where the ‘civilian’ side of things has a stronger focus on more blunt force trauma (think car crashes) and where the ‘tactical’ side is more penetrative (think gun shots and stabbings). They both follow the classic First Aid ABCs: Airway Breathing and Circulation, just with a different order of priority.
From there I explained and demonstrated the uses of different tourniquets, pressure bandages and hemostatic agents, along with chest seals and decompression. All of which you can read more in-depth: HERE and HERE.
Once the brief information section on Trauma Medical was done, they where broken up into groups of three, one victim, one responder, and one spotter. Since we where not using fake blood or prosthetic injuries the spotters job was to relay information to the responder, such as amputated limbs or when the responder found a injury on a unconscious victim. They where then set up in a section of the shoot house where the responders had to attempt to save the unknown victims of a active shooter. After a few minutes a ‘unknown shooter’ would enter and engage the group, if the responder was ‘injured’ they then had to patch themselves up as well. You can see a lot of great images on our Facebook page: HERE.
At the end of Trauma Medical there where a lot of questions about what all should be included into a medical kit, and if it is better to buy one pre-made or to build them yourself. there are different types of kits people can make for different types of situations. What I recommend people do it build their first IFAK (Individual First Aid Kit) themselves. The IFAK would be bigger than a EDC (Every Day Carry) type of kit and would not look out of place hanging of a chest rig or battle belt.
Individual First Aid Kit (IFAK)
These kits are meant for one person (hence Individual), and should be belt and/or chest rig capable. Lets first look back at the First Aid ABCs: Airway Breathing and Circulation, then flip it for our Penetrative Combat Trauma usage: Circulation, Breathing and Airway.
At least One (1x) tourniquets (TQ)
CAT TQs – I find to be easier and quick to use, but they are made out of plastic.
SOFT-T TQs – Can be folded to be flatter than the CATs and are made out of metal, little harder to use than CATs in my opinion.
They are about $30 each and you should have at least one of those, more the better.
SWAT-T – They are the big rubber band type, like a exercise band. They are rather cheap, compact and have many usage outside of just TQ use. These are very common in pre-made kits. Should have one at least, but with its multi-usage, compact size and cost (about $10), the more the better.
‘Israeli’ bandages – These are very common and can be found with and without hemostatic aids. You can also make your own with some Z-Pak dressing and the SWAT-T. They are about $7 and have multiple usage so at least one is recommended.
Z-Pack Dressing – Basically sterile dressing that is folding in a Z or S fashion that does not need to be unwrapped.
Quick-Clot – is a pretty common one, the price will very depending on the type you get. try and stay away from the powdered one and more toward the impregnated clothes. This can get pretty expensive, should have at least one.
HALO Chest Seal – Chest seals for open sucking chest wounds. Want at least two of these, one for the entrance and exit wounds. But don’t forget you can use a lot of liquid proof items for this as well, but the adhesives in the seal is worth the money.
Needle Decompression – In case of tension phemothorax, at least 1.
Nasopharyngeal Airway – Better to have one to long and cut it short than to be to short.
Mouth Airway – To keep them from choking on their tongue, not a high priority but can be useful.
Coiled IV Set – Has many usage, but we like the big point tube at the end. Great for cricotomy and will fit most bag breathers.
Gloves – At least two sets of gloves.
EMT Sears – For cutting clothes.
Bag – For containing all of this. Rip-Away EMT pouch is pretty popular. ITS Pouch is nice but can be expensive.
1x EMT Sheers
1x CAT TQ
1x Israeli bandage
2x Z-Pak Dressing
1x Needle Decompression
1x Coiled IV Set
2x Halo Chest Seals
1x Nasopharyngeal Airway
1x Quick Clot
From there you can add additional items depending on your usage. Items such as SAM Splints, CPR guards, C-Spine wraps, and more can be added to create different types of kits.
This was another great event with the Central Texas Combatives Training Group and i was very proud to be a part of it.
+ Lots of information in a short time
FINAL – Recommended
I had a great time teaching this course and i hope my students enjoyed it as well.