Next Generation Combat Medic

Knowledge Weighs Nothing in the Rucksack

Case Studies / Scenarios

SPC Chad E. Brown, 1-4 INF, a combat medic from Red Oak, Texas, examines a boy's infected wound during a dismounted patrol to a village in the Deh Chopan district in the Zabul province of Afghanistan. (Photo: SPC Elisebet Freeburg, Joint Sustainment Command-Afghanistan PAO)

Case studies are important tools that allow in-depth, multi-faceted exploration of complex issues in their real-life settings. The illustrative ‘grand round’, ‘case report’ and ‘case series’ have a long tradition in clinical practice and research. Whether it’s lessons from the battlefield or reports from a far-flung clinic, we want to hear what you’ve collected! Send us a message on Facebook and tell us your story!


 Our posts about Case Studies / Scenarios:

 

  • Case Study: Female with Stomach Pain - You are one of two medics for a group of 25 researchers (anthropologists) in a remote site in Central America. Your nearest hospital is a host nation facility, 10-hour drive through mountains, a 30-minute flight weather permitting. There is a small village nearby, pop. 1500, with a small market but no legitimate medical facilities. Your […]
  • Case Study: Head Injury w/ GSW to chest -     You are in Afghanistan in Regional Command – North, when you get called to pick up a 36 year old Coalition Forces Solider via MEDEVAC (UH-60L)  ((Or you can replace with ground CASEVAC if that suits your learning purposes)), that was shot in the Chest then sustained a basilar skull fx, not due to […]
  • Case: Bilateral Elbow Pain post-workout - A soldier presents to your small battalion aid station while deployed far forward: 31 year old active duty male presents with bilateral elbow pain after a crossfit workout yesterday, in obvious pain. “I woke up and my elbows were swelling and it was difficult to move. I think they have swollen more since I woke […]
  • Case: The Knee Injury -           28 year old male in obvious distress presents to your remote clinic being carried on the shoulders of another soldier, after injuring his knee during physical training. You notice an obviously swollen left knee and an inability to bear weight. You do OPQRST/SAMPLE and vitals: O: “15 minutes ago or so. I planted my […]
  • U.S. Army Rangers use IV fluids to rehydrate 46 hours into the rescue mission following Operation Red Wings II, July 2005 Oral or I.V. fluid for Heat Casualties and Dehydration on extended patrols? - On multiple occasions, missions have taken longer than previously thought. (Shocking, I know.)  When briefed that it’s only a few hours some may take less (or even no) water on mission to ‘stay lighter’, and then the mission can end up taking days instead of hours. This is a situation the Medic going out on […]
  • Scenario: “The Camp Cough” - Due to circumstance you are the senior and only medic at a multi-national relief effort including 300-500 people. It is winter and there is snow on the ground. Due to the nature of the mission and the location of the camp, supplies are limited. Since you arrived you’ve noticed what everyone calls “The Camp Cough” […]
  • Scenario: Fluid Resuscitation for the Blast and Burn patient - Blast injury results in 42% TBSA burns and right upper extremity amputation bleeding initially uncontrolled with a  tourniquet, BP 68/42. Assuming 100kg patient… What is your fluid resuscitation strategy? Which fluid(s)? Which formula? Resuscitation goals? Be able to show your work. In addition, What are your other priorities on this patient? If the answer did […]
  • The Combative Airway Emergency - Your patient is agitated, perhaps even combative, but they need an airway and/or ventilations… 1.) How do you handle a patient that due to burns/maxillofacial trauma needs an advanced airway or other interventions but is too combative to sit still enough or even let the medic near their neck with a scalpel to go for […]
  • The Confined Space Patient and their Airway Management - Confined space airway management is where access to your patient, the positioning of your patient, and the use of your equipment are constrained by the physical environment. All of our patients will be at room temperature, while dry, at waist level, with good lighting and everything going right? Not so much. Do you train in […]
  • crush injury compartment syndrome crushed rhabdo urine output prolonged field care PFC USAISR US Army Institute of Surgical Research Clinical Practice Guidelines CPG fluid tourniquet albuterol The Crush Injury - “Medic!” After an explosion, one of your guys legs are trapped under heavy debris that can not be lifted by your team…
  • Marines fast rope from an MV-22B Osprey The Prone Trauma Patient / Airway - As your unit is assaulting an objective, one of your guys burns in during the fast rope and hits HARD.  “Medic!” As you descend you notice he is prone and not moving around. Once closer he complains of pain in his back and is grimacing. While not in CUF (yet), you certainly have the potential […]

%d bloggers like this: