UPDATE: Grid-Down Field Medical Training — Missoula, MT — 16-18 February 2013

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Field Expedient Medical Care for Outdoorsmen in Austere Environments

UPDATE 2245 EST 22 JAN 2013: Course cost is $400, payable by PayPal to hebrewswest@hotmail.com. Contact griddownmed@hotmail.com for more info.

This three-day (20+ hour) course of instruction will prepare the motivated outdoorsman to treat life-threatening and function-threatening medical conditions in the wilderness without access to classical EMS and medical resources.

The working hypothesis of this program is an injury or illness sustained by a family or work group remote from medical resources by distance, time, or availability (grid-down) over a short to intermediate interval.

Designed by a retired Emergency Physician with 35 years of Trauma, EMS/Rescue, and instructional experience, the methods and techniques taught are derived from over 10 years of front-line trauma care in an urban gangland zone and over 35 years of medical practice in environments as diverse as remote underground in caves (delayed evacuation to surface of 20 hrs), on the side of remote hills (48 hr bivouac in “whiteout” conditions), and at sea. The trauma concepts are compatible and consistent with the current military method of Tactical Combat Casualty Care.

Topics Include:
• The priority of medical care/stabilization in the survival skill set
• Triage: When to use the resources at hand, to benefit the most individuals, and preserve the “team” capability
• The “Priorities” of care for the single victim vs. the “Survivability” of the single victim in remote (time/distance/accessibility) austere environment
• The Major (Medical) Life Threats: Function and Management
• Anatomy of the life-sustaining systems of the human body
• Cover and concealment: high-threat extraction concepts
• The Big Three Survivable Life Threats-Airway control issues, pneumothorax/tension pneumothorax, and external hemorrhage
• Advanced airway techniques for the average sportsman/citizen, with expanded scope knowledge: Nasal Airways, cricothyrotomy
• Basic and Advanced Treatment of Thoracic Wounds- Stopping the air leak, and/or venting the pressure
• Basic and Advanced External Hemorrhage control- Direct pressure, mechanized direct pressure, hemostatic agents, pressure point use behind cover, tourniquets
• The science, and fairy tale, of fluid resuscitation
• Monitoring the head injured patient
• Stabilization of fractures and splinting for functional use
• Definitive wound care: Cleansing, Debriding, Closing
• The Team “Debilitators”: infection, vomiting/diarrhea/field sanitation, dehydration, toothache, soft tissue injuries, hyperthermia, and hypothermia
• Dealing with burns or cold induced wounds (frostbite, frostnip, etc.)
• Current therapy of envenomations: snakes, spiders, bees
• Pre-Pack Pharmacy: What you want to have before venturing into the outback
• Teammates with pre-existing disease: how not to make it worse
• The “Jericho Scenario”: Protection, Decontamination, and Treatment for chemical and biological agents

Contact griddownmed@hotmail.com for more info.

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