WEBVTT

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of course . So today we are doing a

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mass casualty for CLR 37 for both our

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Corman and for the marines involved in

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the jump Cp is part of Iron Dragon ,

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the mass casualty what that is is it is

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any event medically that overwhelms our

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medical systems are simple B . A . S

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that's set up . Um the purpose of it is

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to work through a point of injury to

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the casualty , collection .2 RBS and

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then do a ground to air medevac of

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course . So this benefits not only our

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Corman , it's great training for the

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Corman who don't always get that

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casualty experience as we're practicing

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in clinic . It allows them to put their

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T triple C . Training to the test when

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it comes to treating a true casualty in

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a field type exercise . And also allows

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our marines to practice their T triple

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C . Training so that they know if

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they're out on the battlefield , what

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they're expected to do before Carmen is

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present . So air training is difficult

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to come by . So getting an aircraft and

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actually loading patients onto an

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aircraft while continuing the care is

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something that isn't practiced a lot .

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Especially here we are Okinawa within

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CLR 37 . So this is our first

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experience to take our training that

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we've done in clinic on that ground

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type training and really mobilize it

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from our humvee type patient movement

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to movement to an actual aircraft which

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is realistic in a true wartime scenario

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with how we would be moving patients .

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So this allows for Corman to use their

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T triple C . Training . Again there ,

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the tier two , tier three Treaty triple

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C training . Um So that's the specific

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training that they work through when

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treating a patient before they get to a

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provider for our marines . That allows

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them to use their tier one and tier two

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T triple C training that we've really

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been focusing on in order for them to

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know when they come up on a patient or

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a fellow marine that's injured what

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they are expected to know how to do in

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order to get them to a foreman in the

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best state possible . So at the

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beginning of our training will start at

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the point of casualties . So we'll have

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a simulated mass casualty event and

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we'll have four patients that all go

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down at the same time from there . The

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group of 3 to 4 marines will go and do

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their initial T triple C care on that

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marine carry them via letter to our

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casualty collection point , where the

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Corman will be waiting and then the

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Corman will go through their whole

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algorithm for treating that patient at

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which time we'll have a provider a CLR

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37 medical provider triage them through

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our B . A . S . Tent and then move them

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from there via humvee up to the

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helicopter . So our biggest time crunch

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are the first one that we tend to see

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is when the marine gets on scene and is

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taking care of the patient um in

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massive hemorrhages or things like

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amputations , the time to get the

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tourniquet on the faster that happens ,

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the less blood loss they have and the

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better hope for survival for the actual

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casualty themselves . And so that's our

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first time frame we're looking at is

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how quickly the marines evaluate the

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patient and realize that they need to

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have some type of hemorrhage control or

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airway type control . That is our first

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big time crunch the next time peace

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we're looking at is how quickly the

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marines get the patient to the Corman

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or to the casualty collection point ,

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which at that point then the Corman

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worked through a certain algorithm for

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their patient care treating them along

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the way , pending whatever injuries

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that they see when it comes to that

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depending on the injury , the

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timeframes differ a little bit for how

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quickly they'll be medevacked and what

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the casualty status of the patient is .

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So ideally the faster you can complete

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and medevac a patient to a higher ,

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higher level of care outside of the

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field would be better , which is why we

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do our reps and sets and practice over

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and over . Um a lot of things come into

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play when we're doing time , for

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example getting the ground medevac to

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the helicopter and the helicopter

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taking off . But essentially the faster

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you can get them through and treated ,

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the better . Yeah , so today we have a

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majority of our CLR 37 Corman

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participating . Um we had the

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CLR 37 regimental surgeon which is

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myself and then our assistant

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regimental surgeon providing care in

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the B . A . S . Tent . And then we had

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the marines from the jump cp that are

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coming from all the different companies

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within CLR 37 participating today of

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course . So when it comes to planning

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there are multiple steps . Biggest step

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is securing the range space , the

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landing zone , space and all of that

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from their coordinating between having

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the medical equipment and the tents and

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the vehicles to be able to move the

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patients is our next big planning step

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with the actual training of both the

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marines and the Corman . And so that

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was a few weeks process over the last

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few weeks , we've really focused on

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training our Corman and the marines on

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how to um give that T triple C . Care

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doing the litter bearer training and

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learning how to do two person verse

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four people litter bearing as well as

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what we expect them to be able to do in

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the field and what they can learn from

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us in the field and how they can assist

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in a true casualty typesetting . So a

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lot of that training piece , once you

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get the big things set up takes takes

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place over the next few weeks . Um

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which really we had three weeks leading

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up to this that we really tried to hit

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home with the training with today being

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our big culmination event . Yeah , so

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the un goal for today is to run a

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patient from the point of injury to get

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them onto a helicopter to a higher

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echelon of care and getting the marines

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involved and the Corman involved and

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grading and saying , hey , what are

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things that we need to improve on both

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within our unit so that when we go to a

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real life scenario and we're not doing

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our simulation , we're most prepared to

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take care of our marines and sailors .