Page 35 - JSOM Winter 2022

TABLE 2 Ranger First Responder Course Critical Task List
Trauma Assessment Primary and secondary survey
Massive Hemorrhage Control massive hemorrhage in care under fire
Control bleeding of an extremity with a tourniquet
Apply a tourniquet
Control bleeding using a hemostatic dressing
Control bleeding using a pressure dressing
Airway Management Open, clear, and maintain an airway
Insert a nasopharyngeal airway (NPA)
Place a casualty in the recovery position or position of comfortable breathing
Respiration/Breathing Management Assess and treat chest injuries
Assess respiration rate and efficacy
Perform a needle decompression of the chest
Seal an open chest wound
Circulation Management Assess pulse
Assess blood pressure
Initiate a saline lock
Initiate an intravenous (IV) infusion
Hypothermia Prevention Initiate hypothermia prevention
Apply hypothermia management system
Evacuation Appropriately complete a DD Form 1380 (TCCC Casualty Card)
Prepare casualties for evacuation
Set up a rigid litter and demonstrate litter carries
Set up a Skedco and prepare for hoist

TABLE 3 Advanced Ranger First Responder Course Curriculum
Block 1: Basic Life Support (BLS)
Time (didactic/practical) 8.0 hours (4.0 hours/4.0 hours)
Purpose Provides the ability to recognize several life-threatening emergencies and provide cardiopulmonary resuscitation
(CPR) for traumatic arrest and basic airway management.
Competency Selectees participate in didactic and practical instruction in the steps of CPR, signs, and actions for severe airway
obstruction in responsive and unresponsive victims, links in the chain of survival, and identifying signs of the four
common life-threatening emergencies in adults.
Standard Selectees will successfully identify the signs and perform the actions required for severe airway obstruction in
responsive and unresponsive casualties, demonstrate the set-up and use of a bag-valve-mask, and administer vital
signs.
Block 2: Review of Tactical Combat Casualty Care (TCCC) and Ranger First Responder (RFR)
Time (didactic/practical) 2.0 hours (2.0 hours/0.0 hours)
Purpose Provides baseline medical training for any deploying soldier to prevent combat casualty mortality.
Competency Selectees participate in didactic instruction of basic human anatomy and physiology, causes and mechanisms of
mortality in battlefield environment, patient assessment, and treatment of survivable and potentially survivable
injuries in order to mitigate preventable and potentially preventable death.
Standard Selectees are able to identify and render appropriate treatment for arterial extremity hemorrhage, tension pneumo-
thorax, airway occlusion, shock, and hypothermia.
Block 3: Massive Hemorrhage
Time (didactic/practical) 4.0 hours (2.0 hours/2.0 hours)
Purpose Provide understanding of the leading causes and mechanisms of death on the battlefield and how to treat survivable
and potentially survivable injuries using standard and non-standard equipment in order to mitigate preventable and
potentially preventable death.
Competency Selectees will be provided demonstration and practical exercises treating a trauma patient with massive hemorrhage
injuries and application of tourniquets, junctional devices, hemostatic devices, and hemostatic bandages.
Standard Selectees will be able to identify different types of hemorrhage, apply adequate direct pressure, hemostatic agents,
and tourniquets.
Block 4: Airway Management
Time (didactic/practical) 4.0 hours (2.0 hours/2.0 hours)
Purpose Provide knowledge and ability to assess and treat airway obstructions.
Competency Selectees will participate in didactic and practical exercise using mannequins and other training models in order to
perform basic and advanced airway interventions using maneuvers, nasopharyngeal adjuncts, cricothyroidotomy
techniques, supraglottic adjuncts, and bag-valve-masks.
Standard Selectees display proficiency with chin-lift and jaw-thrust maneuvers, apply airway adjuncts, and proper use of a
bag-valve-mask.
(continues)

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