~ SSRsi's Advanced First Aid Page ~
These medical techniques are not for the beginner, requiring formal instruction and hands-on training to safely and correctly perform. Please remember that the first rule in medicine is: First, do no harm!

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Basic Suturing in the Emergency Room This video was produced by the US Army as a training aid for their medics. It demonstrates basic suturing techniques as might be applied in an emergency room setting. The video clip may be freely downloaded. A higher resolution version is available on DVD.

Fractures & Dislocations - The Basics ~ It is possible to treat major fractures and dislocations in isolated areas, without sophisticated surgery or radiography. Chap. 6 of Minor Surgical Procedures in Remote Areas (MSF, 1989, 172 p.)

Medical Clinical Diagnosis & Treatments Manual This clinical manual is a collective work, for daily field practice and is for doctors, nurses and other health professionals responsible for curative care in rural dispensaries and hospitals, as well as in displace people or refugee camps. It covers the curative and to a lesser extent the preventive aspects of the main conditions encountered in the field. It should function as a supportive tool towards the elaboration of an adapted health policy. The introduction of this manual will emphasize the basis of such a policy. See also: Medical Essential Drugs - Practical Guidelines

Minor Surgical Procedures In Remote Areas THIS MANUAL SHOULD BE USED BY MEDICALLY TRAINED PERSONS ONLY. THE GREATEST CARE HAS BEEN GIVEN TO ACCURATE REPORT BUT IT CAN NOT BE TOTALLY EXCLUDED SOMETIMES A TYPESETTING OR SCANNING ERROR HAS OCCURRED (ON AVERAGE 1 OUT OF 2000 TO 3000 CHARACTERS IN TEXT AND 1 OUT OF 200 to 300 DIGITS IN TABLES). This guide contains the most frequent and useful minor surgical procedures practices by doctors and nurses in remote areas with poor sanitation and no surgical or radiography equipment.

Where Women Have No Doctor - A Health Guide for Women (Hesperian Foundation, 1997, 600 p.) This book was written to help women care for their own health, and to help community health workers or others meet women’s health needs. We have tried to include information that will be useful for those with no formal training in health care skills, and for those who do have some training. Although this book covers a wide range of women’s health problems, it does not cover many problems that commonly affect both women and men, such as malaria, parasites, intestinal problems, and other diseases. For information on these kinds of problems, see Where There Is No Doctor

Survival Medicine -by Special Forces Maj Archer "The following are excerpts from notes on survival training that I used while an instructor at the Special Forces School (1983-1985) where I was fortunate enough to serve under LTC James N. (Nick) Rowe, and the US Army Ranger School (1986-1988). They reflect my opinions and understandings of first aid and survival medicine and in no way should they be accepted as "gospel." If you have a need or interest in survival medicine, I suggest you research the subject by reading any of the many excellent sources on the market to include: FM 21-76: Survival, Outdoor Survival Skills by Larry Dean Olsen, Bushcraft by Richard Graves, or Bernard Shanks' Wilderness Survival."

Medical FAQ by Craig Ellis This is a pretty comprehensive faq, with an amazing kits section, but alot of the info should be checked and double-checked by a friendly MD - especially as most of the drugs listed will be unavailable without a script. Kudos to Survival Primer for finding and hosting this file. You can also download this faq in pdf format from Survival Primer.

Rehydration techniques for adults and especially for children

Where there is no Doctor (May 2007ed.) & Where there is no Dentist Download these books as PDF files.

Where There is No Doctor Available online here. This handbook has been written primarily for those who live far from medical centers, in places where there is no doctor. But even where there are doctors, people can and should take the lead in their own health care. So this book is for everyone who cares. This book was written for anyone who wants to do something about his or her own and other people's health. However, it has been widely used as a training and work manual for community health workers. For this reason, an introductory section has been added for the health worker, making clear that the health worker's first job is to share her knowledge and help educate people.

OA Guide to General Emergency Procedures - excerpt from The Backpacker's Field Manual

First Aiders Guide to Alcohol by Rick Curtis, Director, Outdoor Action. "As Outdoor Action Leaders you are trained in first aid to be able to respond to emergencies on trips. With that training comes the responsibility to respond to other first aid scenarios you may witness on campus. Probably the most common dangerous situation you will have to treat on campus is severe intoxication or acute alcohol poisoning. You need to understand the physiology and the proper care for friends, acquaintances, and even strangers that you might come upon." See also:

HANDBOOK OF TRAUMA CARE The Liverpool Hospital Trauma Manual 6th Edition (pdf sections) View the 1994 (html) version of the Trauma Handbook on-line.

Rural-Remote Trauma Course Alice Springs, Northern Territory, Australia: In November 1996, the Liverpool Trauma Department held a rural trauma course in Alice Springs. Below you will find the course manual split up into sections to make it easier to read. To view the files below you will need Adobe™ Acrobat Reader.

Rural Trauma Manual Sections [All links below recovered as onsite pdf files 6/20/11]

Malaria Page of CASKE 2000: What is Malaria? Why do you need to be concerned about Malaria? Why is Malaria spreading?

The Clinical Toxinology Resources Website is a premier site for information on venomous animals and poisonous animals, plants and mushrooms. It covers the whole World, with both general information and information about particular organisms, located through a searchable database, that allows users to look for an animal, plant or mushroom, based on a common name, a scientific name or family, a country or region.

Bystander CPR Simulator- Simulator for the general public, and Pre-Hospital Care Simulator Awesome, truly incredible and even fun text based simulations. "A few notes before starting.... The simulation is a basic EMS emergency care scenario. A brief outline will precede the actual decision making process. Less Stress will try to publish a new EMS scenario every month as an invitation to check in with us occasionally. Please be patient, they look simple but they are a lot of work."

Active First Aid! The only ONLINE EMT manual on the net – and it’s a doosie! Take it from a certified EMT, this manual is loaded with good info! While it is not a substitute for medical training, it will certainly help the trained medic recall all that book learnin'! Similar to the EMT Pocket Handbook carried by EMT’s all over the world, a hardcopy version can be ordered through this site.

High Altitude: Acclimatization and Illnesses - information provided by Princeton University Outdoor Action Program.

Cooler Heads Prevail - Preventing heat exhaustion, dehydration, and, the potential killer, heat stroke.

Pediatric Burn Chart. Hope you never have to use this, but should print it out for reference. [Link recovered 6/20/11]

The 12-Lead Homepage. Everything on this site is worth inspection for anyone in the medical field. Best site yet for learning to identify and interpret ecg/ekg tapes. Lots of examples and descriptive texts. Updated regularly.

Virtual Body. Neat stuff, but you must have "Shockwave" loaded before you can use it. Don’t worry, you can load it up from here.

General Guidelines for Antibiotics All antibiotics are not alike. They do their job in different ways. Trying to remember what guidelines apply to which antibiotic can be confusing. There are, however, general guidelines which can be observed and will take the guesswork out of what to do.

MD0542-MANAGEMENT OF PATIENTS WITH RESPIRATORY DYSFUNCTION This subcourse presents a review of the respiratory system, devices such as the oralpharyngeal airway and bag-valve-mask (BVM) systems which are used to assist a patient's breathing efforts, procedures for supplying the patient with additional oxygen through the use of the face mask and nasal prongs, and procedures for removing secretions interfering with breathing through the use of suction. Successful completion of this subcourse does not mean that you are ready to begin managing patients with respiratory dysfunctions. You must still be trained under the supervision of a person who is qualified to instruct you in these processes, supervise your practice, and carefully evaluate your skills and abilities.

Military Medicine

Hospital Corpsman Sickcall Screeners Handbook: The primary goal of the Military Sick Call Screener Program is to provide timely, quality care for active duty personnel with minor medical conditions. Screeners are not to function as independent providers. They must work under the direct supervision of a medical officer who is responsible for the care they provide. The Military Sick Call Screeners Course is divided into modules that cover specific areas of medicine. The topics include: Dermatology, Eye, ENT, Neurology, Cardiology, Pulmonary, Gastrointestinal, Orthopedics, Sexually Transmitted Diseases, Infectious Diseases, Endocrinology, and Pharmacology. Each module contains sections on anatomy and physical examination and a number of common medical problems presented in a SOAP format.

MD0552-ADMINISTER INTRAMUSCULAR, SUBCUTANEOUS, AND INTRADERMAL INJECTIONS This subcourse presents the basic concepts and knowledge required for administering medication through injections. Topics include choosing and assembling the correct needles and syringes, the three methods of injections, recording, and follow-up patient care. This subcourse will provide you with a basic understanding of the skills and knowledge required in order to administer injections. You can use this subcourse to refresh your skills or to learn background information. Successful completion of this subcourse will NOT qualify you to administer injections. You MUST be trained under the supervision of a person who is qualified to instruct you in these processes, supervise your hands-on practice, and evaluate your skills and abilities.

MD0564-BLOOD, ELECTROLYTES, AND INTRAVENOUS INFUSIONS This subcourse is concerned with knowledge that is vital in order to understand the "whys" and "hows" for using the intravenous route to administer the kinds of fluids that can save life and limb. You should possess the knowledge to correct and expand on the medical procedures used by the Combat Medical Specialist and also have the ability to interact with the physicians and physician assistants who will have the final responsibility for treating battle injuries and illnesses. Contained in the third chapter is the currently accepted method for starting and for discontinuing an intravenous infusion and a blood transfusion. Mastery of this section is not enough to begin giving infusions and transfusions. You must be trained under the supervision of a person who is qualified to instruct you in these processes, supervise your practice, and evaluate your skills and abilities very carefully.

MD0553- INTRAVENOUS INFUSIONS AND RELATED TASKS updated The medical soldier caring for patients provides a valuable service to his comrades. He must meet high standards with integrity, dignity, calm thinking, and careful study. The purpose of this subcourse is to provide you with a working knowledge of the procedures discussed herein; however, you must receive guidance and hands-on supervision to become proficient at the procedures described. See also: MD0553-IV INFUSIONS & RELATED TASKS

Emergency War Surgery Handbook: War surgery, and treatment of combat casualties at far forward locations and frequently under austere conditions, continue to save lives. Military medical personnel provide outstanding health support to those serving in harm’s way. As the face of war continues to evolve, so must the practice of medicine, to support those who so selflessly fight the global war on terrorism. Today, American military men and women face a new terrain of mobile urban terrorism and conflict. Despite advances in personal and force protection provided to our forces, they remain vulnerable to blast wounds, burns, and multiple penetrating injuries not usually encountered in the traditional civilian setting. This publication expertly addresses the appropriate medical management of these and other battle and nonbattle injuries. This edition contains new material that updates the management of war wounds and is filled with over 150 specially drawn illustrations. Equally important is the use of an outline, bulleted format that is so much more concise than the verbosity of the previous editions. Additionally, emphasis in this edition is on the all-important “Emergency” in Emergency War Surgery—surgery performed at levels II and III —that constitutes the raison d’être for military surgery. Our intent is that if given a choice of bringing a single book on a rapid or prolonged deployment, today’s military surgeon would choose this edition over any other trauma book.

Emergency War Surgery NATO Handbook This handbook should serve as a constant reminder that ours is a high calling We are here to save lives, not to destroy them. We are committed to the future, not the past, and to the primary mission of military medicine, which is to keep the soldiers, sailors, airmen and marines alive and whole: in the words of Abraham Lincoln, to minister to "him who has borne the brunt of battle." Also available in PDF Format (zipped) or Zipped HTML for download.

U.S. Naval Flight Surgeon’s Manual: The unique aspect of aerospace medicine as practiced by a U.S. Naval Flight Surgeon is the requirement to function independently at isolated duty stations. Whether at sea, on a small patch of land in mid-ocean, or at expeditionary airfield of the Fleet Marine Force, Flight Surgeons are often called upon to make medical and administrative decisions which affect the lives and careers of the most critical assets in the naval service - members of the Naval Aviation community. Not only must we treat the day to day medical problems but we must be prepared to deal with a vast array of casualties which all too frequently remind us of the danger inherent in Naval Aviation. This manual is both an introduction to the various aspects of Naval Aerospace Medicine and a guide for dealing with the other complex administrative procedures known as “the system.” This revision has evolved from questions most frequently asked, errors most commonly made, with a dash of seasoned advice passed down to the youngsters. The manual should stand between the Manual of the Medical Department and a current text on aerospace medicine. It is written to provide the Flight Surgeon with a reminder of the material presented in the formal course of aerospace medicine and as a reinforcement of the fact that the U.S. Naval Flight Surgeon stands at the apex of military operational medicine.

MD0554-TACTICAL COMBAT CASUALTY CARE AND WOUND TREATMENT When you have casualties on the battlefield, you must determine the sequence in which the casualties are to be treated and how to treat their injuries. This subcourse discusses the procedures for performing tactical combat casualty care; treating injuries to the extremities, chest, abdominal, and head; and controlling shock.

FM 4-25.12 UNIT FIELD SANITATION TEAM: The purpose of this field manual (FM) is to provide doctrine and training procedures for unit field sanitation teams (FST). In addition, a training program in the application of personal protective measures (PPM) is included for personnel appointed as members of the FST for each company, troop, or battery. This publication contains a proposed 20-hour master training schedule which may be adjusted as necessary; a text that may serve as reference material for the FST instructor; and supporting illustrations for the instructors assigned the training task. This publication provides guidance to the commanders, unit leaders, and soldiers for implementing unit field sanitation and preventive medicine (PVNTMED) measures in the field. This publication is written to further aid the commander and his unit leaders in the continuing effort of reducing the disease and nonbattle injury (DNBI) rates during deployments.

FM 4-02-17 PREVENTIVE MEDICINE SERVICES This field manual (FM) provides information on the mission, organization, and responsibilities for preventive medicine (PVNTMED) support operations throughout the operational continuum. It is directed toward the commanders at all levels of deployment, their staffs, the command surgeons, the PVNTMED planning staffs at the Army, joint, combined, allied, and coalition staff levels, and to the individual soldier and unit leaders on their role in the application of preventive medicine measures (PMM). It further defines each staff element of PVNTMED and lists the functions, capabilities, and management requirements associated with each. It provides procedures for directing, controlling, and managing PVNTMED assets within the area of operations (AO).

MD0535-COMMUNICABLE DISEASES AND FIELD SANITATION Disease has caused far greater losses of manpower during past military operations, than have direct combat deaths. During the Civil War 199,720 soldiers died of diseases compared to 138,154 battlefield deaths. World War II and the Korean, Lebanon, and Vietnam conflicts records show 15,828,940 disease casualties as opposed to 640,254 combat casualties. The control or prevention of disease is the responsibility of each soldier. By practicing proper personal hygiene, food and water sanitation, waste disposal, and control of insects and rodents, disease can be kept to a minimum.

"FM 8-9 : NATO Handbook On The Medical Aspects of NBC Defensive Operations" Folks, this is the ultimate NBC Manual. You simply won't find more info in one place – anywhere! Includes chapters – Nuclear [ Gen. Impact of nuclear weapons, conventional & nuclear weapons – energy production & atomic physics, definition of explosion, conventional chemical explosion, nuclear detonations, elements & atomic structure, isotopes, AMUs, fission & fusion, radiation & radioactivity, general effects, formation of fireball, types of bursts, blast wave dynamics, thermal radiation, nuclear radiation, biological effects, blast injuries, thermal injuries, basic biophysical action of ionizing radiation, cellular effects, whole body effects, gen. Medical effects – diagnosis, treatment & prognosis, public health & psychological aspects]; Biological [ Factors influencing use of Bio weapons, epidemiology, recognition, sample collection, diagnosis & identification, psychological effects, defense, sanitation protection, immuno/chemoprophylaxis, management, casualty decon & treatment, protection of health care personnel, mass casualty management, potential bio-agents w/clinical data sheets & operational data charts, patient management charts]; Chemical; [definitions, historical use, employment of, characteristics, terminology, routes of absorption, nerve agents, blistering agents, lung agents, blood agents, incapacitants, cns stimulants & hallucigens, riot control agents, smokes, fuels & incendiary agents, herbicides, recognition of a chemical casualty, treatment, signs & symptoms, prognosis, med support in chem ops, casualty management phases, combined injuries, persistent & non-persistent agents, effects on food & water, disposition of contaminated effects, protection, monitoring & decon]

"FM 3-21 : Chemical Accident Contamination Control" This manual provides guidance for training, equipping, and utilizing teams for contamination control during accidents/incidents involving chemical surety material. Specific guidance is provided for nuclear, biological, chemical (NBC) teams and decontamination teams, but the general principles presented apply to all special teams and personnel concerned with chemical accident/incident control (CAIC). Explosive ordnance disposal (EOD) unit operations for CAIC are specified in FM 9-15.

"FM 8-285 : Treatment of Chemical Agent Casualties & Conventional Military Chemical Injuries" This manual serves as a guide and a reference for trained members of the Armed Forces Medical Services and other medically qualified personnel on the recognition and treatment of chemical agent casualties and conventional military chemical injuries. Additionally, this manual provides information on first aid (self-aid, buddy aid, and combat lifesaver (CLS) aid) for these casualties. [PDF File Downloads]

MD0568-RESPIRATORY DISEASES AND DISORDERS The respiratory tract has defense mechanisms that prevent most microorganisms and foreign objects from entering the lungs of a healthy person. Sometimes these defense mechanisms cannot resist invasion, and infection occurs. The person's defenses may be weakened, damaged, or the invading agent may be too strong for the person's body to resist. As a Medical NCO, it is extremely important that you become aware of the characteristics and treatments for respiratory problems that you may encounter. With the awareness of respiratory diseases and their general characteristics, you may be alert for signs and symptoms of such diseases in the soldiers in your care.

MD0569-CHEST AND AIRWAY PROBLEMS In this subcourse, you will study chest and airway problems. Chest trauma refers to general information about chest injuries as well as information about specific chest injuries. Airway problems includes information on devices--the esophageal obturator airway (EOA), the esophageal gastric tube airway (EGTA), and the endotracheal tube (ET)--that can be used to open and maintain an airway. If other life-saving methods are not successful in opening and maintaining an airway, an opening is made in the trachea to bypass the site of an upper airway obstruction. This subject matter is of vital importance in saving lives.

MD0584-OBSTETRICS-PEDIATRICS The birth of a child is usually a wonderful and exciting event. Despite the occasional magazine or newspaper article extolling the virtues of having a child at20home with an experienced midwife in attendance, we are still generally conditioned to having the baby in a hospital complete with attending physician. Sometimes, however, the baby decides to be born before the mother can get to the hospital. In such a case, you may be called upon to assist in the birth. Birth is a natural process with the mother doing the delivering and someone else, perhaps you, assisting in the delivery. Also, as much as children are wanted, there are times when some adults lose control and abuse a child. You need to know something about child abuse in case you find yourself examining a child you suspect has been abused. This sub course deals with childbirth outside a medical treatment facility, pediatric emergencies, and child abuse. A lesson on the female and male reproductive systems is included to allow you to review these systems. Your attention to learning the material given in this sub course will prepare you to deal with situations involving childbirth and children.

Aeromedical Evacuation - A Guide for Healthcare Providers: NAVMED P-5115, US Navy (PDF) [Link updated 6/20/11]

Textbook of Military Medicine: Medical Aspects of Harsh Environments - Volume 1, US Army  - PDF Only

Textbook of Military Medicine: Medical Aspects of Harsh Environments - Volume 2, US Army - PDF Only

Medical Aspects of Cold Weather Operations: A Handbook for Medical Officers, USARIEM (PDF)  [Link updated 6/20/11]

Sustaining Health & Performance in The Cold: Environmental Medicine Guidance for Cold Weather Operations, USARIEM

Textbook of Military Medicine: Military Dermatology, US Army

Medical Problems in High Mountain Environments: A Handbook for Medical Officers, USARIEM (PDF) [Link updated 6/20/11]

Textbook of Military Medicine: Medical Aspects of Harsh Environments - Volume 1, US Army and
Textbook of Military Medicine: Medical Aspects of Harsh Environments - Volume 2, US Army

Heat Illness: A Handbook for Medical Officers, USARIEM  [Link updated 6/20/11]

Heat Stress Control and Heat Casualty Management, USARIEM (PDF)  [Link updated 6/20/11]

Famine-Affected, Refugee, and Displaced Populations: Recommendations for Public Health Issues, CDC

HA Multiservice Procedures for Humanitarian Assistance Operations: FM 100-23-1, US Army  [Link updated 6/20/11]

Handbook for the Soldier in Operations Other Than War: NO. 94-4, US Army (PDF) [Link updated 6/20/11]

Military Medicine Humanitarian Assistance Course, USUHS  [Link updated 6/20/11]

Initial Management of Irradiated or Radioactively Contaminated Personnel: BUMEDINST 6470.10B, US Navy (PDF)  [Link updated 6/20/11]

Medical Management of Radiological Casualties 2nd Edition, AFRRI (PDF)  [Link updated 6/20/11]

NATO Handbook on the Medical Aspects of NBC Defensive Operations: NAVMED P-5059 | AFJMAN 44-151 | FM 8-9, US DOD - Part I, Part II, Part III

Pocket Guide to Terrorism With Ionizing Radiation, AFRRI (PDF)  [Link updated 6/20/11]

Radiation Health Protection Manual: NAVMED P-5055, US Navy (PDF)  [Link updated 6/20/11]

Operational Obstetrics & Gynecology 2nd Edition, US Navy and Textbook

Surgical Emergencies in Obstetrics and Gynecology, US Navy  [Link updated 6/20/11]

Pocket Guide to Chemical Hazards, NIOSH - also in PDF (as a ZIP file)

Disabled Children Unlike most handbooks for village workers and families, this book was not written by ‘professionals’ and then ‘field tested’. Instead, it grew out of the practical experience of a team of disabled village health workers as we looked for information to help meet the most common problems we face. From our experience of trying to help disabled children and their families to meet their needs, we have developed many of the methods, aids, and ideas in this book. We have also gathered ideas from books, persons, and other programs, and have adapted them to fit the limitations and possibilities of our village area. We hope this book will be useful to village people in many parts of the world.

Insulin Insulin is a hormone that regulates the amount of glucose (sugar) in the blood and is required for the body to function normally. Insulin is produced by cells in the pancreas, called the islets of Langerhans.

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Essentials:

Celox Hemostatic Granules 15g Packet

Celox

CELOX First Aid Temporary Traumatic Wound Treatment 2g, 10-Pack

quiclot

Quik-Clot Sport Brand Advanced Clotting Sponge, Stop Bleeding Fast, 50 Gram Packages
medickit
Military Surgical Kit with Instruments and Sutures

samsplint
SAM Combo SPECIAL - (2) 36-inch w/wraps
adulttor
ADC Velcro Tourniquet, Adult (Pack of 2)

Child Velcro Tourniquet

certkit
CERT First Responder's Kit by Rescue Essentials

steth

Graham Field Home Blood Pressure Kit w/ Separate Stethoscope