Update from the Medical Training Team

On behalf of Training Command, J7 Training Staff, J6 Policy Staff, the Medical Training Team and Medical Force Manual Development Group, the following changes have been made to medical policy and progression.   Tier Updates:

• Tier I: Basic first aid, airway management, triage, splints, painkillers, CPR, ammonium carbonate.
• Tier II: Personal Aid Kits, IV bags, blood transfusion kits, King LT airway tools, pulse oximeters, nitroglycerin.
• Tier III: Advanced tools/medications (e.g., TXA, EACA, norepinephrine, epinephrine, AED(-X)).

  Notable Changes:

• TXA, EACA, norepinephrine, phenylephrine moved from Tier IV to Tier II/III.
• Pulse oximeter moved from Tier III to Tier II.
• Epinephrine (wake-up chance) moved from Tier IV to Tier I.
• Cardiac rhythm meds (epinephrine, amiodarone, lidocaine) now Tier III.

  New skill added: FM/BS-768.V1.01 - Use nitroglycerin to speed up transfusions - to Tier II

• Administer nitroglycerin to reduce blood transfusion time.
• Limited to 6 doses every 6 minutes to avoid overdose.
• Side effects: increased bleeding, heart rate, reduced blood pressure.

  Loadout Policy:

• Squad medics: Minimum 2 doses, recommended 8 doses.

  Advanced Heart Rhythms:

• Introduced 3 new rhythms (total 5), adding complexity for medics with AED(-X).

  Skills that have been updated to represent this change

• FM/BS-169.V3.01 - Use an AED(-X) to restore a normal heart rate

  Guides have been updated or added 

• FM/BG-771.V1.00 - Recognizing heart rhytms with the AED-X
• FM/BG-201.V4.00 - Recommended process for treating cardiac arrest with an AED(-X)

 

Unless otherwise stated these changes are effective immediately and the medical grace period for new skills is 30 days.

 

On behalf of and with thanks to:

• SSG Kevin (J7 Staff NCOIC, Chief Medical Instructor)
• SPC Applechaster (Chief Medical Instructor)
• Sgt Jochem (J6 Policy NCOIC)