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A.C. MARLENE DIETRICH



    75th RANGER MEDIC

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    75th RANGER MEDIC

    Mensaje por DOC el Mar Dic 18, 2012 5:59 pm

    Ranger Medics attend the Ranger Assessment and Selection Program either through the Ranger Indoctrination Program (RIP) or the Ranger Orientation Program (ROP) depending on their rank level. SGT and below attend RIP and SGT(P) and above attend ROP.
    Upon completion of RIP, a skill level 1 medic attends the Special Operations Combat Medic (SOCM) course at the Joint Special Operations Medical Training Center (JSOMTC) at Fort Bragg, NC. Incoming NCO Medics attend RIP or ROP, then Pre-Ranger, Ranger School and then the SOCM course. No medic is assigned to the Regiment without completing the SOCM course. SOCM is a 6-month course taught at Paramedic level with a heavy focus on trauma and military medicine. SOCM is the first half of the 18D SFMS course and is required for all medics assigned to USASOC units. Currently, SOCM graduates are certified as a USSOCOM State Advanced Tactical Practitioner (ATP). There are initiatives in the works to change the certification back to NREMT-Paramedic and/or a State certified Paramedic. Regardless, SOCM medics are trained at and above the DOT Paramedic standard. Ranger Medics owe the Regiment 2 years after SOCM graduation (unless otherwise decided by the Regt - i.e. the good old RFS).

    Ranger Medics are Rangers just like every other Ranger and undergo all of the training inherent to the mission of Ranger units. Medics are organic to Ranger companies and platoons and go with and do everything that the platoon does (training and combat). The Ranger Medic is on virtually every mission a Ranger unit undertakes as an assault force asset until he needs to perform his duties as a medic. Medics attend Ranger school just like everybody else based off of order of merit in the unit. Most medics have the opportunity to attend Ranger school within their first 12 months in the unit (just like everybody else). If a medic does not go to Ranger school in those first 12 months, then it is probably because of himself not being ready to go physically and mentally.

    Ranger Medic sustainment training is encompassed in a unit-regulated requirements-based training plan. Prior to every deployment, a medic must complete Ranger Medic Assessment & Validation (RMAV) which is divided into 4 components: Written Test on pharmacology and protocols, skill stations on key procedures, scenario/simulator-based objective evaluation and finally an oral board with the unit medical director (Battalion Surgeon). Medics attend the Special Operations Combat Medic Skills Sustainment Course (SOCMSSC) every 2 years to maintain ATP certifications as well as PHTLS, ACLS, TCCC, and PALS/PEPP. Medics attend a Combat Trauma Management (CTM) training block annually to enhance specific skills and joint interoperability with other SOF units. Every 2-3 years, Ranger Medics attend a trauma center rotation for a month at a major metropolitan trauma center (Currently, Grady Hospital in Atlanta). Monthly, medics attend classes instructed by unit medical officers on trauma management, tactical medical emergency protocols, and sick call management.

    Ranger Medics conduct sick call for their Rangers as Rangers do not go to an Army TMC unless coordinated by the unit for specific requirements such as labs or xrays. Part of being a Ranger Medic is taking care of our Rangers every single day and knowing the pertinent medical history of every Ranger in the platoon. This also covers the medical readiness of assigned Rangers through the SRP program (immunizations, etc…). The most important weapon system in the unit is the Ranger and he must be maintained better than any piece of equipment. The basic methodology of support is to have a healthy Ranger to assault a target, keep him healthy while on target, and bring a healthy Ranger home.

    Ranger Medics are also the primary instructors for medical training within the Regiment. The primary course for every Ranger in the Regt is the Ranger First Responder (RFR) course. This is the Ranger version of Combat Lifesaver (which, by the way, is based on RFR). Rangers receive RFR refresher training annually and the Ranger Medic teaches all of those classes.

    There are also a handful of enlisted medical support positions in the Regt for MOS 68J (Med Logistics), 68S (Preventive Medicine), and 68X (Mental Health Spec).

    Each unit in the Regiment is authorized a variety of medical officers. Medical officer specialties include physicians (61N, 62B, 61H, and 62H), physician assistants (65D), physical therapists (65A), and medical service corps (70B and 70H). Medical officers may apply for assignment at the same website above. Medical officers attend the ROP course and are eligible to attend Ranger school just like everybody else.

    Most Ranger Medics leave the unit to be bigger and better individuals. In the last 15 years, 24 medics have become physicians, 49 physician assistants, and many are working as licensed medical professionals in or out of the Army. Very few go to special forces or to the Big Army.

    For those interested in the Ranger Medic Handbook, it can be purchased from North American Rescue Products at the following website: http://www.narescue.com/Ranger-Medic-Ha ... 3C144.aspx. All proceeds are donated to the Wounded Warrior Foundations. The cost is $30 but keep in mind we are supporting our wounded brothers and families through this cause. The Regiment purchases issued handbooks from the same vendor as it is actually cheaper than using the installation publications center. Any electronic versions out there should be considered bootleg pirated copies and are not the official handbook. These electronic copies are also not the finished product as it was a draft version that got out on the internet before the handbook was finished. The Handbook was copyrighted by a civilian publisher as it was a 50/50 military and civilian authored publication.

    The basic tenant of medical care in the Regiment is based on Tactical Combat Casualty Care (TCCC). The Regiment was the first military organization to tailor unit medical training on TCCC over 10 years ago. The Regiment has also maintained voting membership on the DOD Committee for Tactical Combat Casualty Care (CoTCCC) since its inception.

    Application packets for all medical positions can be downloaded from the Ranger Medic AKO page: https://www.us.army.mil/suite/page/136399
    This page also includes the recruiting brief, current TCCC information, RFR Course files, as well as significant trauma medical literature.

    Dominatus Comminus Rememdium
    “Mastery in Close Combat Medicine”

    RANGER MEDICAL KIT

    The packing lists below are intended to be minimum stockage lists for the typical Ranger combat mission. Medics are authorized the flexibility to ADD components to their equipment as based on the mission requirements. Medics are not authorized to deviate from the minimum packing list unless approved by the unit medical director.

    RANGER MEDIC RBA/RLCS (Ranger Body Armor/Ranger Load Carriage System) MINIMUM STOCKAGE LIST

    The RMED RBA/RLCS packing list are items that the medic carries on his body without opening an aid-bag or rucksack. All items are to be carried in a manner that provides ease of access. The intent of this packing list is to provide all immediate initial care for a trauma casualty without opening external bags and equipment.

    1 EA – Ranger Load Carriage System

    AIRWAY

    1 EA – Cricothyroidotomy Kit

    1 EA – Nasophayrngeal Airway 28FR w/ Lubricant

    BREATHING

    1 EA – 14G, 3.5” Needle

    2 EA – HyFin Chest Seal, 6”

    2 EA – Asherman Chest Seal

    CIRCULATION/BLEEDING

    2 EA – Combat Applications Tourniquet (CAT)

    2 EA – Emergency Trauma Dressing, 6”

    2 EA – Hemostatic Dressing (Chitosan)

    1 EA – Hemostatic Bandage (Chitoflex)

    4 EA – Kerlex, Vacuum Sealed

    FLUIDS/IV ACCESS

    2 EA – Saline Lock Kit

    1 EA – Sharps Shuttle

    MONITORING & DIAGNOSTIC

    1 EA – Pulseoximeter, Finger

    MISCELLANEOUS

    1 EA – Exam Light (Tactical Green)

    1 EA – Headlamp

    6 PR – Gloves, Exam (Black Talon)

    1 EA – Trauma Shears, 7.25”

    1 EA – Scissor Leash/Gear Keeper

    ____________________________________________________________

    RANGER MEDIC ASSAULT AID-BAG MINIMUM STOCKAGE LIST

    1 EA – AidBag, M-9 (TSS-M-9-RG)

    AIRWAY

    1 EA – Nasopharyngeal Airway, 28FR w/ Lubricant

    1 EA – Cricothyroidotomy Kit

    1 EA – King LT-D Supralaryngeal Airway Size 4

    1 EA – Suction, Hand-Held (Suction Easy or Squid)

    BREATHING

    1 EA – 14G, 3.5” Needle

    2 EA – HyFin Chest Seal, 6”

    2 EA – Asherman Chest Seal

    1 EA – Bag-Valve-Mask

    CIRCULATION/BLEEDING

    2 EA – Combat Applications Tourniquet

    3 EA – Emergency Trauma Dressing, 6”

    1 EA – Emergency Trauma Dressing, Abdominal

    2 EA – Hemostatic Dressing (Chitosan)

    2 EA – Hemostatic Bandage (Chitoflex)

    3 EA – Kerlex, Vacuum Sealed

    1 EA – Tactical Compression Wrap

    DISABILITY/IMMOBILIZATION

    2 EA – Cravat Bandage, Muslin (or ACE Wrap)

    1 EA – Traction Splint (KTD or TTS)

    2 EA – SAM Splint II

    FLUIDS/IV ACCESS

    2 EA – Saline Lock Kit

    2 EA – Hextend IV, 500cc

    1 EA – Sodium Chloride Flush, 50cc

    3 EA – IV Kit

    1 EA – FAST-1 Sternal Intraosseous

    1 EA – BOA Constricting Band

    3 EA – Raptor IV Securing Device

    1 EA – Sharps Shuttle Container w/Locking Mechanism

    MONITORING & DIAGNOSTIC

    1 EA – Stethoscope (Mission Dependent)

    1 EA – Pulseoximeter, Finger

    MEDICATIONS

    1 EA – RMED Medications Kit

    EVACUATION EQUIPMENT

    1 EA – Hypothermia Kit (Mission and Aid Bag Dependent)

    MISCELLANEOUS

    1 EA – Exam Light (Tactical Green)

    6 PR – Gloves, Exam (Black Talon)

    2 RO – Tape, 2”

    1 EA – Trauma Shears, 7.25”

    1 EA – Scissor Leash/Gear Keeper

    MISSION DEPENDENT AID BAG ITEMS

    1 EA – Chest Tube Kit

    1 EA – SAM Pelvic Sling

    1 EA – ACE Cervical Collar

    1 EA – Field Otoscope/Opthalmoscope Set

    1 EA – Minor Wound Care Kit

    1 EA – Glucometer

    1 EA – Thermometer, Oral

    1 EA – Thermometer, Rectal

    ____________________________________________________________

    RANGER MEDIC MEDICATIONS KIT MINIMUM STOCKAGE LIST (Proficient & Always Carried)

    1 EA – Drug case (Otter or Armadillo)

    2 EA – Combat Wound Pill Pack

    1 EA – Diphenhydramine HCL Inj 50mg (Benadryl)

    1 EA – Dexamethasone Inj, 4mg/ml (5ml) (Decadron)

    1 EA – Epi-Pen Anaphylaxis Auto-Injector

    4 EA – Fentanyl Transmuccosal Lozenge, 800 mcg

    2 EA – Ertapenem Inj, 1gm (Invanz)

    5 EA – Morphine Sulfate Inj, 5mg

    5 EA – Nalaxone Inj, 0.4mg (Narcan)

    5 EA – Promethazine Inj, 25mg (Phenergan)

    2 EA – Ketorolac Inj, 30mg (Toradol)

    25 EA – Acetaminophen Tabs, 500mg (Tylenol)

    2 EA – Diazepam Inj, 5mg (Valium)

    1 EA – Tubex Injector, Cartridge Unit

    5 EA – Syringe, 10cc Luer-Lok Tip

    5 EA – Needle, Hypothermic 18G/1.5”

    ____________________________________________________________

    COMBAT WOUND PILL PACK (CWPP) – Carried by Every Ranger

    2 EA – Acetaminophen Tabs, 500mg (Tylenol)

    1 EA – Moxifloxacin HCL Tab, 400mg (Avelox)

    1 EA – Meloxicam, 15mg Tab (Mobic)

    _______________________________________________________

    SALINE LOCK KIT

    2 EA – 18G X 1.5” Catheter/Needle

    2 EA – Alcohol Pad

    1 EA – Constricting Band, Penrose

    1 EA – 2X2 Sponge, Sterile

    1 EA – Saline Plug, Locking

    1 EA – Syringe, 10cc Luer-Lok Tip

    1 EA – 18G X 1.5” Needle, Hypodermic

    1 EA – Raptor IV Securing Band

    1 EA – Tega-Derm

    1 EA – Pill Bag

    ____________________________________________________________

    CHEST TUBE KIT

    1 EA – Forceps, 9” Peans

    1 EA – Scalpel, #10

    1 EA – 36FR Chest Tube

    1 EA – Heimlich Valve

    4 EA – Sponge, Sterile 4X4

    1 EA – Asherman Chest Seal

    1 EA – Chux

    1 EA – Lidocaine Inj, 1%

    1 EA – Syringe, 10cc Luer-Lok Tip

    1 RO – Tape, 2”

    1 PR – Sterile Gloves

    2 EA – 1-0 Armed Suture

    2 EA – Petrolatum Gauze

    1 EA – Betadine Solution 0.5 oz.

    ____________________________________________________________

    CRICOTHYROIDOTOMY KIT

    1 EA – Scalpel, #10

    2 EA – Gloves, Exam (Black Talon)

    1 EA – Syringe, 10cc Luer-Lok Tip

    1 EA – Tracheal Hook (North American Rescue Products)

    1 EA – Alcohol Prep Pad

    1 EA – Povidone-Iodine Pad

    1 EA – Tube, 6mm Bore-Cuffed Cricothyroidotomy

    ____________________________________________________________

    IV KIT

    1 EA – IV Solution Set, 10 Drops/ml

    1 EA – Saline Lock Kit

    1 EA – Tegaderm 4.75” X 4”

    ____________________________________________________________

    MINOR WOUND CARE KIT

    4 EA – Pad, Non-Adherent (Telfa)

    2 EA – Betadine 0.5 oz.

    1 EA – Moleskin, 12”

    10 EA – Band-Aids 3” X .75”

    5 EA – Steri-Strips

    5 EA – Sponge, 4X4 Sterile

    2 EA – Scalpel, #10

    5 EA – Pad, Povidone

    5 EA – Pad, Alcohol

    5 EA – Compeed Dressing

    5 EA – Tincture of Benzoin Ampule 0.6ml

    2 EA – Applicator, Povidone-Iodine


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    Re: 75th RANGER MEDIC

    Mensaje por DOC el Mar Dic 18, 2012 6:25 pm

    Aqui un Kit list de un perico de USA:

    EI RRV - RG



    General Purpose Pouch



    IFAK w/ Insert



    IFAK Open



    EI M4 Medical



    Airway Panel / TQ's



    Blow Out Panel



    Blow Out Panel Cont.



    Blow Out Panel Cont.



    Storage / Ortho / Non "High Speed" Stuff



    Storage Close Up, Gauze and Tape



    Otho Close Up



    Tactical Tailor First Responder Bag



    TT FRB - Top



    TT FRB - Top, Open



    TT FRB - Med Supplies


    IFAK Contents:
    x1 Nasalpharyngeal Airway
    x1 4" Emergency Trauma Dressing
    x1 H&H PriMed Compressed Gauze
    x1 Medical Tape
    x1 Pair, Latex Free Gloves
    x1 C.A.T TQ

    EI M4 Medical Bag
    x2 6" Emergency Trauma Dressing
    x2 Field Dressings
    x6 Sterile Compressed Gauze Rollers
    x3 Ace Bandages
    x1 Ascherman Chest Seal
    x5 Oropharyngeal Airway's
    x1 C.A.T TQ
    x1 SOF-T TQ
    x3 Pair, Latex Free Gloves
    x2 Muslin Bandages
    x3 Triangle Bandages
    x1 36" SAM II Splint
    x6 5x9" Sterile Gauze Pad
    x12 3x3" Sterile Gauze Pads
    x12 4x4" Sterile Gauze Pads
    x1 Coflex Wrap, 2"
    x1 Waterproof Tape, 1"
    x6 Chemsticks (2 Green, 2 Red, 2 High Intensity Orange)

    TT FRB Contents:
    x1 EMT Sheers
    x2 Chemsticks (Red)
    x3 Pair Latex Free Gloves, Black
    x2 6" Emergency Trauma Dressings
    x2 Field Dressings (1 OD, 1 White)
    x2 ACE Bandages
    x1 Ascherman Chest Seal
    x1 Petrolatum Gauze Dressing
    x1 C.A.T TQ
    x6 Sterile Gauze Rollers
    x2 Triangle Bandages
    x1 36" SAM II Splint
    x5 4x4" Gauze Pads
    x5 3x3" Gauze Pads
    x1 Medical Tape, 2"
    x1 Coflex Wrap, 2"
    x2 Red Sharpies


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    Re: 75th RANGER MEDIC

    Mensaje por DOC el Mar Dic 18, 2012 6:48 pm

    En cuanto a bolsas medicas:
    Es muy frecuente llevar en la cadera la TT MFR bag.
    La mayoria de los medicos del Army no SOF usan ala bolsa medica TSSI M9 con el kit North American Rescue Squad Casualty Kit o bien la versión de Tactical tailor. La mayoria llevan en la pierna tambien un pouch medico. Si la cosa se pone muy chunga, entonces usan una mochila mayor que suelen dejar en el Humvee/ASV:
    - Blackhawk STOMP II o SOF Bag


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    Re: 75th RANGER MEDIC

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      Fecha y hora actual: Dom Nov 19, 2017 12:06 pm