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Battlefield First Aid: a simple, systematic approach for every soldier
T J Hodgetts1, C G Hanlan, C G Newey
1MDHU Frimley Park Hospital, Camberley, Surrey. tim.hodgetts@virgin.net
Journal of the Royal Army Medical Corps
|July 27, 1999
Summary
This updated military first aid training (ITD(A) 3) incorporates current evidence and experience. Soldiers learn a systematic approach to battlefield injuries, focusing on life-threatening conditions and utilizing new tools like the Asherman Chest Seal.
Area of Science:
- Military Medicine
- Trauma Care
- Emergency Medical Services
Background:
- Traditional soldier first aid training requires updates.
- Current clinical evidence and experience offer improved battlefield care protocols.
Purpose of the Study:
- To present the updated military first aid training directive (ITD(A) 3).
- To outline the revised systematic approach to battlefield incidents and soldier injuries.
Main Methods:
- Annual training requirement condensed into one day.
- Practical, hands-on training using models, supplemented by a pocket aide memoire.
- Introduction of the Asherman Chest Seal for open pneumothorax and a physiology-based triage system.
Main Results:
- Training emphasizes a MASTER DRILL for incident control and an INJURED SOLDIER DRILL for immediate threat management.
- Basic life support is removed from battlefield protocols for non-vital soldiers, aligning with current evidence.
- The Asherman Chest Seal replaces the three-sided dressing for treating open pneumothorax.
Conclusions:
- The revised training provides soldiers with evidence-based, practical battlefield first aid skills.
- Updated protocols enhance immediate care for life-threatening injuries in combat environments.
- The training is designed for efficient, one-day delivery, improving soldier readiness.