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Combat Trauma Management (CTM)

Combat Trauma Management (CTM) is an advanced medical course designed for paramedics special forces and medics in private secuirty (PMC/PSD) teams in high risk regions in the case of delayed evacuations up to 72 hours.

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Initial Assessment of Wounded

• Massive hemorrhages control (CAT & SOFTT tourniquets)
• Junctional hemorrhage control (Croc, Jett, Sam Tourniquet, AAJT)
• Pressure dressings and wound packing (armpits, groins)
• Airway management (with equipment and without equipment, NPA, Igel, Emergency CRIC)
• Chest wounds sealing
• Hypothermia Prevention

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Rapid trauma examination

• Dressing and securing fractures
• Shock
• Fluid resuscitation (casualties in hemorrhagic shock, casualties with burns)
• IV/IO
• Analgesia & Antibiotics
• Fractures stabilization
• Pelvis trauma and pelvic and abdominal bleeding control
• Trauma examination
• Use of basic diagnostic devices: stethoscope, pulseoximeter and barometer

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Trauma care in MEDEVAC LZ

• 9 Line MEDEVAC Request
• MIST Report
• Monitoring in TACEVAC Phase

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