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t=1250190466_18553103-HandbookSupportive-Care-2 - 91W10...

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91W10 Advanced Individual Training Course Clinical Handbook Supportive Care 2 Department of the Army Academy of Health Sciences Fort Sam Houston, Texas 78234
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Academy of Health Sciences 91W10 Field Training Workbook - Index i Manage a Seizing Casualty ……………………………………………...………………..1-8 Determine type of seizure Assess the casualty and overview of differential diagnosis Provide emergency medical care Provide on-going management Assist in Vaginal Delivery …………………………………………………..……….……9-20 Stages of Labor Care for Normal Delivery Outside the Hospital Monitor for complications during labor Predelivery Emergencies Identify additional gynecological emergencies Perform Medical Screening ……………………………………………………...….……21-28 Screen medical records for accuracy and completeness Screen immunization records for accuracy and completeness Screen for personnel / administrative matters Screen Dental Records Ask and record the following Medical History information on the prescribed form Perform a patient examination Disposition Plan Immunization and Chemoprophylaxis …………………….……………………..…….29-36 Personnel subject to immunizations and required shots Chemoprophylactic Requirements Pre-administration Screening Vaccine Handling, Administrative, and Patient Care Procedures Reactions and possible side effects Documentation Specimen Collection …………..…………………...………………………………….….37-40 General principles for throat culture and sputum collection Stool specimens Urine specimens Blood specimens Blood Draw ……………………….………………………………………………… .... ……41-45 General Considerations Steps and Procedures to Perform a Venipuncture Appendix A Specimen Collection, Competency Skill Sheets Appendix B Blood Culture, Competency Skill Sheets
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Academy of Health Sciences 91W10 Manage a Seizing Casualty 1 TERMINAL LEARNING OBJECTIVE Given a standard fully stocked M5 Bag or Combat Medic Vest System, given a casualty displaying seizure activity. No other injuries are identified. IAW Emergency Care in the Streets , Prehospital Emergency Care , Trauma AIMS Types of seizure Identify cause of seizure (1) Failure to take prescribed anti seizure medication; most common cause of seizures in adults (2) Trauma - may occur following head injury (Has the casualty fallen? Has casualty been hit in the head?) (3) Congenital brain defect - most often seen in infants and children (4) Infection - causes swelling or inflammation of the brain (meningitis or encephalitis) (5) Fever - seen in children 6 months to 3 years of age usually with temperatures above 103 degrees; rarely in older children or adults (6) Metabolic disorders - irregularities in body chemistry (diabetes/hypoglycemia) (7) Drug toxicity - drug/alcohol use or abuse or withdrawal (8) Brain tumor - may manifest as a seizure (9)
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