Page 36 - JSOM Winter 2022

TABLE 3 Cont.
Block 5: Respiration Management
Time (didactic/practical) 4.0 hours (2.0 hours/2.0 hours)
Purpose Provide knowledge and ability to assess and identify hemothorax, and treat pneumothorax and subsequent tension
pneumothorax injuries.
Competency Selectees will participate in didactic and practical exercises for the assessment and treatment of chest injuries.
Standard Selectees will demonstrate the capability to properly assess and treat chest injuries, assess respiratory rate and effi-
cacy, perform a needle thoracostomy, seal an open chest wound, perform a finger thoracostomy, manage penetrating
trauma, and apply occlusive dressings.
Block 6: Circulation Management
Time (didactic/practical) 6.0 hours (2.0 hours/4.0 hours)
Purpose Provide adjunct skill for administration of medications, blood, and treatment of shock.
Competency Selectees will participate in didactic and practical exercise for intravenous and intraosseous infusion. Selectees will
participate in didactic and practical exercise for medication use and blood collection and administration.
Standard Selectees successfully gain intravenous access and demonstrate proper indications for saline lock, fluid, and blood
administration.
Block 7: Hypothermia, Hyperthermia, and Head Injury
Time (didactic/practical) 2.0 hours (1.0 hour/1.0 hour)
Purpose Provide adjunct therapy for treatment of shock and identifying and treating head injuries.
Competency Selectees will participate in didactic instruction and demonstration of various basic hypothermia management sys-
tems and performing head injury evaluations.
Standard Selectees understand principles for application of hypothermia systems carried by assault forces, how to recognize
and treat hyperthermia, and how to identify traumatic brain injuries.
Block 8: Environmental Injuries
Time (didactic/practical) 2.0 hours (1.0 hour/1.0 hour)
Purpose Train selectees to utilize all medical training for treatment of trauma patients considering operational environment
Competency Selectees will be given 1–2 casualties in a practical exercise for treatment in an increased stress environment.
Standard Selectees will demonstrate the ability to prevent, identify, and treat a variety of environmental injuries.
Block 9: Evacuation
Time (didactic/practical) 2.0 hours (1.0 hour/1.0 hour)
Purpose Provide knowledge for methods of patient packaging and preparation for evacuation.
Competency Selectees will be provided demonstration and practical exercises for the use of manual carries and litter systems
used by the assault force.
Standard Selectees demonstrate proper assembly and configuration of rigid litters, tubular nylon, and Skedco systems.
Block 10: Pharmacology
Time (didactic/practical) 2.0 hours (1.0 hour/1.0 hour)
Purpose Provide knowledge of pain medication indications, contraindications, and routes of administration.
Competency Selectees will be provided didactic and practical exercises to assess for analgesic administration, antibiotic adminis-
tration, calculating drug dosages, and administration of the combat wound medication pack (CWMP).
Standard Selectees demonstrate the ability to identify and treat patients using appropriate medications and routes of
administration.
Block 11: Trauma Lanes
Time (didactic/practical) 18.0 hours (0.0 hours/18.0 hours)
Purpose Train selectees to utilize all medical training for treatment of trauma patients.
Competency Selectees will be given 1–2 casualties in a practical exercise for treatment in an increased stress environment.
Standard Selectees will demonstrate the ability to correctly identify and effectively treat all life-threatening injuries within the
appropriate time constraints. Selectees will demonstrate proficiency in all phases of casualty care.
Block 12: Mass Casualty (MASCAL) Operations
Time (didactic/practical) 6.0 hours (0.0 hours/6.0 hours)
Purpose Train selectees to utilize all medical training for treatment of trauma patients.
Competency Selectees will be provided demonstration of multiple CCP configurations and practical exercises for treatment of
4–6 casualties in an increased stress environment.
Standard Selectees will demonstrate the ability to treat, consolidate, organize, prioritize, and evacuate multiple casualties.
Block 13: Chemical Biologic Radiologic Nuclear (CBRN)
Time (didactic/practical) 8.0 hours (2.0 hours/6.0 hours)
Purpose Provides baseline CBRN training for all deploying Rangers in order to prevent CBRN exposure.
Competency Selectees participate in didactic instruction of skill level I CBRN task to include proper application of protective
mask and Joint Service Lightweight Integrated Suit Technology (JSLIST). Decontamination of self and buddy. Per-
forming first aid for nerve agent using Antidote Treatment Nerve Agent Autoinjectors (ATNAAs) and Convulsant
Antidote for Nerve Agents (CANAs). Casualty cut-outs and wound decontamination.
Standard Selectees are able to identify a CBRN threat while properly protecting themselves while conducting decontamina-
tion and performing first aid.
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34 | JSOM Volume 22, Edition 4 / Winter 2022