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Special Operations Forces Medical Handbook

(Chris Devlin) #1

  • First Edition 1 June Special Operations Forces Medical Handbook

  • Care Under Fire 1- PART 1: OPERATIONAL ISSUES

  • MedCAP (H/CA) Guide 1-

  • Hospital Survey Form 1-

  • General Medical Site Survey Checklist 1-

  • Site Survey, Veterinary Annex 1-

  • Pararescue Primary Medical Kit Packing List 1-

  • USAF SOF Trauma Ruck Pack List 1-

  • USAF SOF Trauma Vest Pack List 1-

  • Suggested M5 Packing List 1-

  • Naval Special Warfare Combat Trauma AMAL 1-

  • Patient Considerations 1-

  • 9 Line Medevac Request 1-

  • Helicopter Landing Sites 1-

  • Semi-Fixed Base Operations (Day) 1-

  • Semi-Fixed Base Operations (Night) 1-

  • Field Expedient Landing Zone (Day) 1-

  • Field Expedient (Y) LZ (Night) 1-

  • CASEVAC with Fixed Wing Aircraft 1-

  • Marking and Lighting of Airplane LZ (Day) 1-

  • Marking and Lighting of Airplane LZ (Night) 1-

  • Air Evacuation Telephone List 1-

  • Aircraft Patient Loads 1-

  • Medical History and Physical Examination 2- PART 2: CLINICAL PROCESS

  • Acute Abdominal Pain 3- PART 3: GENERAL SYMPTOMS

  • Anxiety 3-

  • Back Pain, Low 3-

  • Mastitis in a Lactating Mother 3- Breast Problems

  • Procedure - I & D of Breast Abscess 3-

  • Chest Pain 3-

  • Constipation 3-

  • Cough 3-

  • Depression and Mania 3-

  • Diarrhea, Acute 3-

  • Dizziness 3-

  • ENT Problems 3-

  • Acute Vision Loss without Trauma 3- Eye Problems

  • Acute Red Eye without Trauma 3- vii

  • Orbital or Periorbital Inflammation 3-

  • Eye Injury 3-

  • Fatigue 3-

  • Fever 3-

  • Pelvic Examination 3- Gynecologic Problems

  • Abnormal Uterine Bleeding 3-

  • Pelvic Pain, Acute 3-

  • Pelvic Pain, Chronic 3-

  • Vaginitis 3-

  • Vaginitis Chart 3-

  • Bacterial Vaginosis 3-

  • Candida Vaginitis/Vulvitis 3-

  • Pelvic Inflammatory Disease 3-

  • Bartholin’s Duct Cyst/Abscess and I & D Procedure 3-

  • Headache 3-

  • Jaundice 3-

  • Joint Pain 3-

  • Joint Dislocations 3-

  • Shoulder Pain 3-

  • Hip Pain 3-

  • Knee Pain 3-

  • Ankle Pain 3-

  • Male Genital Inflammation 3- Male Genital Problems

  • Testis/Scrotal Mass 3-

  • Prostatitis 3-

  • Testis Torsion 3-

  • Epididymitis 3-

  • Memory Problems 3-

  • Pregnancy 3- Obstetric Problems

  • Vaginal Delivery 3-

  • Preterm Labor 3-

  • Procedure: Shoulder Dystocia 3-

  • Procedure: Breech Birth 3-

  • Procedure: C-Section 3-

  • Procedure: Episiotomy and Laceration Repair 3-

  • Pre-eclampsia & Eclampsia 3-

  • Palpitations 3-

  • Rash with Fever 3-

  • Itching 3-

  • Shortness of Breath (Dyspnea) 3-

  • Syncope (Fainting) 3-

  • Acute MI 4- Chapter 1: Cardiac/Circulatory

  • Congestive Heart Failure (Pulmonary Edema) 4-

  • Hypertensive Emergency 4-

  • Pericarditis 4-

  • Cardiac Resuscitation 4-

  • Chapter 2: Blood 4- viii

  • Common Cold and Flu 4- Chapter 3: Respiratory

  • Pneumonia 4-

  • Pleural Effusion 4-

  • Thoracentesis 4-

  • Empyema 4-

  • Allergic Pneumonitis 4-

  • Asthma 4-

  • COPD 4-

  • Pulmonary Embolism 4-

  • Acute Respiratory Distress Syndrome 4-

  • Apnea 4-

  • Adrenal Insufficiency 4- Chapter 4: Endocrine

  • Diabetes Mellitus 4-

  • Hypoglycemia 4-

  • Thyroid Disorders 4-

  • Seizure Disorders and Epilepsy 4- Chapter 5: Neurologic

  • Meningitis 4-

  • Bell’s Palsy 4-

  • Introduction and Clinical Approach to Dermatology 4- Chapter 6: Skin

  • Disseminated Gonococcal Infection 4- Bacterial Skin Infections

  • Meningococcemia 4-

  • Erysipelas 4-

  • Staphylococcal Scalded Skin Syndrome 4-

  • Impetigo Contagiosa 4-

  • Cutaneous Tuberculosis 4-

  • Leprosy 4-

  • Ecthyma Contagiosum: Milker’s Nodules (MN)/Human Orf (HO) 4- Viral Skin Infections

  • Herpes Zoster (Shingles) 4-

  • Molluscum Contagiosum 4-

  • Warts 4-

  • Dermatophyte (Tinea) Infections 4- Superficial Fungal Infections

  • Pityriasis (Tinea) Versicolor 4-

  • Loiasis (loa loa) 4- Parasitic Infections

  • Myiasis 4-

  • Onchocerciasis 4-

  • Swimmer’s itch 4- Swimming Dermatitis - Seabather’s eruption (salt water), Seaweed dermatitis (salt water),

  • Bed Bug 4- Bug Bites and Stings

  • Centipede 4-

  • Millipede Exposure 4-

  • Hymenoptera (Bee, Fire Ant, Hornet, Wasp) 4-

  • Mites 4-

  • Spiders (Black Widow, Brown Recluse) 4-

  • Scabies 4-

  • Lice (Pediculosis) 4- ix

  • Yaws 4- Spirochetal Diseases

  • Pinta 4-

  • Psoriasis 4- Skin Disorders

  • Pseudofolliculitis Barbae 4-

  • Skin Cancer (Basal Cell, Squamous Cell, Malignant Melanoma) 4-

  • Seborrheic Keratosis 4-

  • Contact Dermatitis 4-

  • Appendicitis 4- Chapter 7: Gastrointestinal

  • Appendectomy 4-

  • Acute Cholecystitis 4-

  • Food Poisoning 4-

  • Acute Gastritis 4-

  • Pancreatitis 4-

  • Acute Peritonitis 4-

  • Acute Peptic Ulcer 4-

  • Acute Organic Intestinal Obstruction 4-

  • Urinary Tract Problems 4- Chapter 8: Genitourinary

  • Urinary Incontinence 4-

  • Urolithiasis (Urinary Stones) 4-

  • Urinary Tract Infection 4-

  • Heel Spur Syndrome 5- Chapter 9: Podiatry

  • Ingrown Toenail 5-

  • Plantar Warts 5-

  • Bunion 5-

  • Corns/Calluses 5-

  • Stress Fractures 5-

  • Friction Blisters 5-

  • General Information 5- Chapter 10: Dentistry

  • Dental Caries 5-

  • Tooth/Crown Fractures 5-

  • Acute Periapical Abscess 5-

  • Untreated Acute Periapical Abscess 5-

  • Luxated (Dislocated) Tooth 5-

  • Avulsed (Completely Removed/Loss) Tooth 5-

  • Periodontal Abscess 5-

  • Acute Necrotizing Ulcerative Gingivitis 5-

  • Herpetic Lesions 5-

  • Aphthous Ulcers 5-

  • Pericoronitis 5-

  • Localized Osteitis (Dry Socket) 5-

  • Dislocation of the Temporomandibular Joint(s) 5-

  • Dental Antibiotics 5-

  • Thermal Test for Caries 5-

  • Dental Anesthesia 5-

  • Temporary Restorations 5-

  • Tooth Extraction 5- x

  • Draining Abscess 5-

  • Preserving/Transporting Avulsed Tooth 5-

  • Urethral Discharge 5- Chapter 11: Sexually Transmitted Diseases

  • Genital Ulcers 5-

  • Vaginal Trichomonas 5-

  • Chapter 12: Zoonotic Diseases Chart 5-

  • Amebiasis 5- Parasitic Infections

  • Ascariasis (Roundworm) 5-

  • Babesiosis 5-

  • Clonorchiasis 5-

  • Cyclosporiasis 5-

  • Enterobiasis (Pinworms) 5-

  • Fasciolopsiasis 5-

  • Fascioliasis 5-

  • Filariasis 5-

  • Giardiasis 5-

  • Hookworm and Cutaneous Larvae Migrans 5-

  • Leishmaniasis 5-

  • Malaria 5-

  • Paragonimiasis 5-

  • Schistosomiasis 5-

  • Strongyloidiasis (Cutaneous Larva Currens) 5-

  • Taeniasis (Tapeworm) 5-

  • Trichinellosis (Trichinosis) 5-

  • Trichuriasis (Whipworm) 5-

  • Trypanosomiasis, African (Sleeping Sickness) 5-

  • Trypanosomiasis, American (Chagas’ Disease) 5-

  • Tuberculosis 5- Mycobacterial Infections

  • Non-tuberculosis Mycobacterial Disease 5-

  • Introduction 5- Fungal Infections

  • Candidiasis 5-

  • Blastomycosis (North American Blastomycosis, Gilchrist Disease) 5-

  • Coccidioidomycosis (Valley Fever) 5-

  • Histoplasmosis (Darling’s Disease) 5-

  • Paracoccidioidomycosis (South American Blastomycosis) 5-

  • Introduction 5- Viral Infections

  • Adenoviruses 5-

  • Dengue Fever 5-

  • Arboviral Encephalitis (TBE, JE, WN, St Louis) 5-

  • Hantavirus 5-

  • Yellow Fever 5-

  • Hepatitis A 5-

  • Hepatitis B & D 5-

  • Hepatitis C 5-

  • Hepatitis E 5-

  • Hepatitis Chart 5-

  • Human Immunodeficiency Virus 5-

  • Infectious Mononucleosis 5- xi

  • Poliovirus 5-

  • Rabies 5-

  • Rickettsial Infections 5-

  • Q Fever 5-

  • Leptospirosis 5- Spirochetal Infections

  • Lyme Disease 5-

  • Relapsing Fever 5-

  • Anthrax 5- Bacterial Infections

  • Bartonellosis 5-

  • Brucellosis 5-

  • Ehrlichiosis 5-

  • Plague 5-

  • Rat-bite Fever 5-

  • Acute Rheumatic Fever 5-

  • Streptococcal Infections 5-

  • Tetanus 5-

  • Tularemia 5-

  • Typhoid Fever 5-

  • Introduction 5- Chapter 14: Preventive Medicine

  • Immunizations 5-

  • Surveillance for Illness and Injury 5-

  • Field Sanitation 5-

  • Waste Disposal 5-

  • Field Water Purification 5-

  • Malaria Prevention and Control 5-

  • Pest Control 5-

  • Rabies Prevention and Control 5-

  • Landfill Management 5-

  • Antemortem Exam 5- Chapter 15: Veterinary Medicine

  • Humane Slaughter & Field Dressing 5-

  • Postmortem Exam 5-

  • Food Storage & Preservation 5-

  • Physical Exam & Restraint 5-

  • Large Animal OB 5-

  • Administer IV Infusion to an Animal 5-

  • Bloat in Bovine 5- Animal Diseases

  • Colic in Equine 5-

  • Foot Rot in Caprine 5-

  • Equine Lameness 5-

  • Mastitis 5-

  • Diarrhea in Porcine 5-

  • Conjunctivitis 5-

  • Vitamin and Mineral Chart 5- Chapter 16: Nutritional Deficiencies

  • Poisoning: General 5- Chapter 17: Toxicology

  • Venomous Snake Bites 5-

  • Introduction/Suspected Biological Exposure 6-

  • Inhalational Anthrax 6-

  • Botulism 6-

  • Pneumonic Plague 6-

  • Smallpox 6-

  • Tularemia 6-

  • Viral Hemorrhagic Fevers 6-

  • Radiation Injuries 6- Chapter 27: Radiation

  • Primary and Secondary Survey 7- Chapter 28: Trauma Assessment

  • Primary and Secondary Survey Checklists 7-

  • Chapter 29: Human and Animal Bites 7-

  • Introduction 7- Chapter 30: Shock

  • Anaphylactic Shock 7-

  • Hypovolemic Shock 7-

  • Fluid Resuscitation Tables 7-

  • Routes of Fluid Administration Table 7-

  • Burns 7- Chapter 31: Burns, Blast, Lightning, & Electrical Injuries

  • Blast 7-

  • Lightning & Electrical 7-

  • Laser 7- Chapter 32: Non-Lethal Weapons Injuries

  • Airway Management 8- Chapter 33: Basic Medical Skills

  • Intubation 8-

  • Cricothyroidotomy, Needle and Surgical 8-

  • Thoracostomy, Needle and Chest Tube 8-

  • Pulse Oximetry Monitoring 8-

  • 3 Lead EKG 8-

  • Pericardiocentesis 8-

  • Apply & Remove Pneumatic Anti Shock Garment 8-

  • Assess and Perform Blood Transfusion 8-

  • Field Blood Transfusion 8-

  • Blood Transfusion Reactions 8-

  • Intraosseous Infusion 8-

  • Suturing 8-

  • Wound Debridement 8-

  • Surgical Treatment of Skin Masses 8-

  • Joint Aspiration 8-

  • Compartment Syndrome Management 8-

  • Splint Application 8-

  • Common External Traction Devices 8-

  • Straight Urinary Bladder Catheterization 8-

  • Suprapubic Bladder Aspiration (Tap) 8-

  • Portable Pressure Chamber 8-

  • Pain Assessment and Control 8-

  • Specimen Transportation 8- xiv

  • Urinalysis 8-

  • Wet Mount and KOH Prep 8-

  • Gram’s Stain 8-

  • Brucellosis Test 8-

  • Wright’s Stain using Cameco Quick Stain 8-

  • Ziehl-Neilson Stain 8-

  • Giemsa Stain for the Presence of Blood Parasites 8-

  • Tzanck Stain 8-

  • Culture Interpretation 8-

  • Macroscopic Exam of Feces 8-

  • Feces for Ova & Parasites 8-

  • Concentration Techniques for Ova & Parasites 8-

  • Microhematocrit Determination 8-

  • RBC Count/Morphology 8-

  • WBC Count on Whole Blood 8-

  • WBC Differential Count 8-

  • ABO Grouping and Confirmation Tests 8-

  • Rh Typing 8-

  • Crossmatch Procedure 8-

  • Anatomical Plates A-1 to A- APPENDICES

  • Color Plates A-21 to A-

  • Identification of Cellular Blood Components A-27, A-

  • Antibiotic Chart A-29 to A-

  • Photosensitivity Drugs A-

  • IV Drip Rates A-

  • Glasgow Coma Scale A-

  • Mini Mental Status A-

  • Neurological Examination Checklist A-

  • Dermatomes of Cutaneous Innervation A-36, A-

  • Wind Chill Chart A-

  • Temperature Guidelines for Physical Activity A-

  • Fluid Replacement Guidelines for Warm Weather A-

  • WBGT A-

  • Do Not Resuscitate Guidelines A-

  • Lab Values A-

  • Abbreviations A-44 to A-

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