Page 136 - JSOM Spring 2021

11. Casualties should not be completely undressed for a sec- – Open facial fractures with blood and teeth in the oropharynx
ondary survey in the field. Removal of clothing should be – Bilateral ankle fractures
limited to that necessary to expose known or suspected – Open angulated fracture of the left femur
wounds.
Figure 12 Fatality from Parachute Malfunction
Figure 7 Battlefield Triage – 16 man SEAL patrol
1. Control life-threatening bleeding – Interdiction operation on a weapons convoy
2. Disarm casualties as required – Night static line jump from C-130
3. Establish airways (unconscious or respiratory distress) – 4 mile patrol over rocky terrain to objective
4. Treat tension pneumothorax – Planned helicopter extraction near target
5. Treat shock – One jumper has streamer
6. Pain control – Obviously dead on DZ
7. IV antibiotics
Figure 13 Underwater Explosion on Ship Attack
Figure 8 Urban Warfare Scenario 1 – Fast Rope Casualty – Ship attack
– 16 man Ranger team – security element for building assault – Launch from PC 12 miles out
– 70 foot fast rope insertion for building assault – One hour transit in two Zodiacs
o One man misses rope and falls – Seven swim pairs
o Unconscious – Zodiacs get in to a mile from the harbor
o Bleeding from mouth and ears – Turtleback half mile, then purge and go on bag
o Taking fire from all directions from hostile crowds – Charge dropped in water at target ship
o Anticipated extraction by ground convoy in 30 minutes – Swim buddy unconscious

Figure 9 Urban Warfare Scenario 7 – Helo Hit by Figure 14 CNS Oxygen Toxicity during Ship Attack
RPG Round – Ship attack
– Hostile and well-armed (AK-47s, RPG) urban environment – Launch from PC 12 miles out
– Building assault to capture members of a hostile clan – One hour transit in two Zodiacs
– In Blackhawk helicopter trying to cover helo crash site – Seven swim pairs
– Flying at 300 foot altitude – Zodiacs get in to a mile from the harbor
– Left door gunner with 6 barrel M-134 minigun (4000 rpm) – 78 degree water – wet suits
– Hit in hand by ground fire – Turtleback half-mile, then go on bag
– Another crew member takes over mini-gun – Very clear, still night – transit depth 25 feet
– RPG round impacts under right door gunner – Diver notes that buddy is disoriented and confused with
– Windshields all blown out arm twitching
– Smoke filling aircraft
– Right minigun not functioning Figure 15 Gunshot Wound prior to SEAL Delivery
– Left minigun without a gunner and firing uncontrolled Vehicle Extraction
– Pilot – 2 SEAL Delivery Vehicle operation
o Transiently unconscious –now becoming alert – Insertion from Dry Deck Shelter with a two hour transit
– Co-pilot to beach
o Unconscious – lying forward on helo’s controls – Target is a heavily defended harbor in a bay
– Crew Member – 43 degree water – divers wearing dry suits
o Leg blown off – Air temperature 35 degrees
o Lying in puddle of his own blood – Boats bottomed for across-the-beach radio beacon placement
o Femoral bleeding – One man shot in chest at the objective
– Hostile forces in pursuit
Figure 10 Tib/Fib Fracture on Parachute Insertion
– Twelve man SF team Figure 16 Underwater Explosion on Ship Attack (2)
– Interdiction operation for weapons convoy – Ship attack
– Night parachute jump from a C-130 – Launch from PC 12 miles out
– 4-mile patrol over rocky terrain to the objective – One hour transit in two Zodiacs
– Planned helicopter extract near target – Seven swim pairs
– One jumper sustains an open fracture of his left tibia and – Zodiacs get in to a mile from the harbor
fibula on landing – Turtleback half mile, then purge and go on bag
– Swim pair approaching target ship
Figure 11 Multiple Trauma from Parachute Collapse – Underwater explosion
– 16 man SEAL patrol – Both swimmers experience ear pain without other symptoms
– Interdiction operation on a weapons convoy
– Night static line jump from C-130 Figure 17 Chance Contact on Parachute Insertion
– 4 mile patrol over rocky terrain to objective – Twelve man SF team
– Planned helicopter extraction near target – Interdiction operation for weapons convoy
– One jumper has canopy collapse 40 feet above the drop zone – Night parachute jump from a C-130

132 | JSOM V olume 21, Edition 1 / Spring 2021
132 | JSOM Volume 21, Edition 1 / Spring 2021