01 December 2003
SUBJECT: Trauma Treatment Provider Course
1. Purpose: To provide information about the Trauma Treatment Provider Course (TTPC) which enhances soliders’ capabilities to provide life-saving medical treatment as far forward as possible, ensuring that infantry fire teams and squads retain maximum combat power.
a. 80% of soldiers who sustain fatal wounds in combat die within 30 minutes of wounding, often before they are treated by medical personnel. Many of these soldiers could be saved if they received basic life-saving care immediately after sustaining their wounds.
b. Early control of blood loss is the most significant intervention that can decrease deaths on the battlefield, and aggressive use of these skills should be taught to front line soldiers. This will serve to both maintain available combat power and increase the survivability of severely wounded soldiers.
c. Current doctrine has infantry soldiers trained as Combat Life Savers (CLS) providing this type of immediate care to wounded soldiers. While the CLS course teaches basic skills like first aid, CPR, and IV therapy, it does not teach many essential skills in basic trauma management that can save lives on the battlefield. Other battalions have trained infantry soldiers using the Emergency Medical Technician Basic (EMT-B) curriculum. That course is designed to teach the essentials of pre-hospital care to ambulance crews in a well-equipped civilian emergency medical system. Many of those skills do not translate to keeping wounded soldiers alive and fighting in the austere conditions encountered on the battlefield. Soldiers need to know how to manage severe blood loss, maintain an open airway, stabilize trauma due to fragments and gunshots, treat for shock, and judiciously managing IV therapy – all using the limited equipment and supplies available in combat. Soldiers also need to know certain military-unique topics, such as the medical effects of severe environmental conditions (e.g. high altitude, heat, and cold), and nuclear, biological and chemical (NBC) medical issues.
d. The goal of the TTPC is to combine elements of the CLS and the EMT-B curricula into a cost effective course that teaches infantry soldiers the critical skills needed to keep casualties alive and fighting on the battlefield. The course is designed to be sustainable over time, and can be taught by medics (91Ws), Physician Assistants (PA), and physicians within each unit.
e. The TTPC curriculum was jointly developed by medical personnel from 1-32 IN, the 1st BDE surgeon, and faculty from the Uniformed Services University of the Health Sciences (USUHS) Department of Military and Emergency Medicine. The course is accredited by USUHS, and soldiers receive a certificate for 40 hours of training, with associated promotion points.
f. USUHS intends to review the AARs from 10th MTN and refine the curriculum into a package that will be exported for use by combat units throughout the Army and the Department of Defense.
3. Conclusion: This course is designed specifically for the infantry soldier in combat. It takes out the unnecessary skills taught in EMT-B and CLS, and focuses on the skills soldiers need to keep themselves and their comrades in the fight to the greatest extent possible while minimizing the loss of life in severely injured soldiers.
THOMAS U.MOODY,MPAS, RPA-C