Page 38 - JSOM Winter 2022

TABLE 5 Advanced Ranger First Responder Medical Kit Standard Contents
Requirement Name Qty
As approved by the Regimental medical section (e.g. Combat Application Tourniquet, CAT; Special 2
Tourniquet Operations Forces Tactical Tourniquet Wide, SOFTT-W).
Junctional tourniquet *mission dependent 1
Hemostatic Agent As approved by the Regimental medical section (e.g. Combat Gauze). 2
Trauma Dressing Emergency Trauma Dressing or equivalent 2
Nasopharyngeal airway (NPA) 28-Fr 2
Airway Management Supraglottic airway 1
*Bag-valve-mask (BVM) *mission dependent 1
Occlusive Chest Seal Vented chest seal 2
Needle Decompression 10 or 14-gauge 3.25-in needle 2
Pulse Oximetry Pulse ox device (e.g. Nonin 9550) 1
Intravenous Access IV starter kit 1

program that provides a grading system within a linear and Didactic instruction provides the doctrinal and foundational
spot-check progression through objective and subjective as- knowledge of the RMAV. Lectures from Regimental and bat-
sessments as the program ensures an objective assessment talion medical leadership, and from other subject matter ex-
of mastery of the basics and advanced skills while validating perts, incorporate knowledge and experiences from previous
performance expectations, and (4) ensure each Ranger medic medical rotations, past training and combat deployments, ca-
performs as expected to the unit, adjacent units and receiving sualty vignettes, and medical guidelines endorsed by the Regi-
medical facilities, and “meets performance expectations.” mental medical section. A written examination is administered
to assess the Ranger medic’s comprehensive medical knowl-
The core objectives of each RMAV are dictated by the Reg- edge and cognitive abilities. The primary focus of the written
imental medical section. Units can incorporate additional test includes functional knowledge of TCCC, Trauma Proto-
training in conjunction with mandated training requirements cols, Tactical Medical Emergency Protocols, pharmacology,
validated by the Regimental medical section (Table 6). The to- and Ranger medical operations. The minimum passing score
tal academic RMAV training time requirement is 76 hours (28 on the RMAV written test is 70%, however specific questions
hours didactic time, 48 hours practical time) over six blocks of may be tagged as “no-fail” criteria.
instruction. The teaching model utilized for RMAV is designed
to assess baseline knowledge and skills in a controlled tactical The culmination of RMAV includes graded skills stations uti-
environment, in which students receive continuous real time lizing simulation models. Hands-on procedures and anatomy
feedback. All Ranger medics are evaluated and ranked against review are provided in a controlled tabletop setting using a
their peers based on performance metrics. process that validates individual procedural skills and trauma

TABLE 6 Ranger Medic Assessment and Validation Course Curriculum
Terminal Learning Objective Enabled Learning Objective
Block 1: Review Tactical Combat Conditions: Any Special Operations Forces (SOF) Environment.
Casualty Care Standards: Review the concepts of Tactical Combat Casualty Care (TCCC). The training events
Time (didactic/practical): should start the student at basic level, and through a structured process, advance the Ranger Medic’s
20.0 hours (20.0 hours/0.0 hours) confidence and capabilities at managing a multi-systems trauma casualty in a tactical setting. Blocks
of instruction will include at a minimum: pathophysiology of shock, massive hemorrhage, airway,
circulation, hypothermia prevention, prolonged field care considerations, nursing skills, pharmacol-
ogy, and clinical management.
Block 2: Understand Combat Trauma Conditions: Any SOF Environment.
Management Standards: Demonstrate competency in the knowledge and skills of trauma management and TCCC
Time (didactic/practical): to effectively treat and manage a simulated multi-system trauma casualty through a simulated trauma
16.0 hours (0.0 hours/16.0 hours) lane, moulage casualties, and/or role players in both high and low-visibility combat environments.
Block 3: Review Trauma Surgical Skills Conditions: Any SOF Environment.
Time (didactic/practical): Standards: Demonstrate competency in the basic mechanical skills required for procedures used in
8.0 hours (0.0 hours/8.0 hours) TCCC and operational environment. Surgical skills as dictated by the Ranger Medic Handbook.
Block 4: Elective Medical Topics of Conditions: Any SOF Environment.
Operational Relevance Standards: Demonstrate an understanding of topics of operational relevance. These topics will be
Time (didactic/practical): identified through the assessment of operational after-action reports. Battalions may review or in-
8.0 hours (8.0 hours/0.0 hours) troduce new topics including, but not limited to, new technologies; animal care and use; medical
intelligence; orthopedic physical exam; field blood transfusions; dental emergencies; and canine
medical emergencies.
Block 5: Ranger Medic Validation Conditions: Any SOF Environment.
Time (didactic/practical): Standards: Demonstrate understanding of the guidelines, procedures, and conduct of military triage;
16.0 hours (0.0 hours/16.0 hours) effectively treat and manage multiple patients with limited resources in a simulated trauma lane,
moulage casualties, and/or role players in both high and low visibility.
Block 6: Formal Board and Counseling Conditions: Any SOF Environment
Time (didactic/practical): Standard: Demonstrate an understanding of trauma protocols and procedures, operational knowl-
8.0 hours (0.0 hours/8.0 hours) edge, problem solving, and individual attributes of a Ranger medic.

36 | JSOM Volume 22, Edition 4 / Winter 2022