Page 37 - JSOM Winter 2022

TABLE 3 Cont.
Block 14: Written Exam
Time (didactic/practical) 2.0 hours (2.0 hours/0.0 hours)
Purpose Evaluate selectee’s medical knowledge and decision-making processes for deployment validation.
Competency Selectees will be administered a 50-question multiple choice written exam to be completed within the designated
time standard.
Standard Selectees will obtain a score of 80% or above and obtain medical validation as an Advanced Ranger First Responder.

TABLE 4 Advanced Ranger First Responder Course Critical Task List
Basic Life Support Cardiopulmonary resuscitation (CPR) for traumatic arrest
Assess for analgesic administration
Demonstrate knowledge of pain medication indications, contraindications, and routes of administration
Assess for antibiotic administration
Calculate drug dose and concentration
Pharmacology
Administer Combat Wound Medication Pack (CWMP)
Administer IV antibiotics, e.g. Ertapenem (Invanz)
Administer tranexamic acid (TXA)
Administer freeze dried plasma (FDP)
Demonstrate proficiency in anatomical terminology
Anatomy and Physiology
Demonstrate proficiency in the pathophysiology of shock
Control massive hemorrhage in care under fire
Control bleeding of an extremity with direct pressure
Apply a tourniquet
Massive Hemorrhage Control junctional bleeding with a junctional device
Control bleeding with a hemostatic device
Control bleeding using a hemostatic dressing
Control bleeding using a pressure dressing
Open, clear, and maintain an airway
Insert a nasopharyngeal airway (NPA)
Place a casualty in the recovery position or position of comfort
Assist with a surgical cricothyroidotomy
Airway Management
Insert a supraglottic airway
Perform ventilation with a bag-valve-mask (BVM)
Perform oral airway suctioning (manual and mechanical)
Assess and treat chest Injuries
Assess respiratory rate and efficacy
Perform a needle thoracostomy (dual sites)
Respiration Management Perform a finger thoracostomy
Manage penetrating trauma to the chest
Apply a chest seal
Assess pulse and blood pressure
Initiate a saline lock
Initiate an intravenous (IV) infusion
Circulation Management
Initiate an intraosseous (IO) infusion
Apply a pelvic binder to a suspected pelvis fracture
Draw and administer blood products
Initiate hypothermia prevention
Hypothermia/Hyperthermia
Prevention Apply hypothermia management system
Initiate intravenous fluid (IVF) warming
Head Injuries Perform a head injury evaluation
Appropriately complete a DD Form 1380 (TCCC Casualty card)
Evacuation Set up a rigid litter and demonstrate litter carries
Set up a Skedco and prepare for hoist

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