This training circular provides basic rappelling techniques to Soldiers and leaders for the conduct of rappelling operations. It serves as the primary reference for both resident and nonresident instruction presented to cadets, officer candidates, and commissioned or noncommissioned officers. Guidelines on how to conduct safe rappelling operations are also contained in this training circular. The safety notes and considerations presented provide only minimal acceptable standards. Rappelling is inherently dangerous; so commanders at all levels must analyze the complete training event to determine the degree of risk involved to men and equipment.

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Management of medical emergencies is best accomplished by appropriately trained physicians in an. Emergency Department setting. SOCM trained medics are not routinely authorized by the services to treat non-traumatic emergencies, in. The disorders. The SOCM medic is in an austere environment where a medical treatment facility or a unit sick.

If a medical treatment facility or a medic authorized to treat. Immediate evacuation may not be possible and, even if it is, may still entail significant delays to.

The medical problem may worsen significantly if treatment is delayed. Medications have been used for multiple conditions when feasible. Evacuation recommendations are based on the appropriate therapy per Protocol being initiated on.

The definitions of Urgent, Priority, and Routine evacuations are based on the times found in Joint. The changes in the combat pill pack Moxifloxacin Avelox and meloxicam , as recommended by the. The change in the IV antibiotics has also been changed to reflect medication availability. The following medication changes were made: the use of Zithromax was decreased; Keflex, Quinine,. All IV medications may be given slow IV push with the exception of antibiotics which should be in a drip,.

Remember to document dose and time of all medications so the receiving facility may be informed. When oxygen is called for in the Protocols, the authors realize that it is recommended, but may not be. Due to the high level of physical fitness of SOF personnel, there may be a prolonged period of mental.

Treat the injury, not the Operator! The standard format. At a minimum you need to. Objective: Vital signs and physical examination findings. At a minimum you need to document. Be as detailed as. Assessment: A brief summary of your medical decision making to include what you think it is and.

Plan: Your course of treatment to include any medications, additional studies, consultation,. Common causes in young healthy adults include appendicitis, cholecystitis, pancreatitis,. Keep NPO except for. History of allergies to cedar, mold, pollen, etc. Consider long term therapy with non-sedating. Diphenhydramine Benadryl 25 — 50mg PO q 6h if tactically feasible Drowsiness is a sideeffect.

Consider pretreatment with acetazolamide Diamox mg bid, when rapid ascent to altitudes. Can avoid onset by limiting initial ascent to no higher than 8,ft. Headache is common at altitude. Ataxia and altered mental status at altitude are HACE until. Caused by the hypoxia of altitude, HAPE is the most common cause of death from altitude illness. Usually occurs above 8,ft. Respiratory distress at high altitude is HAPE until proven.

Nifedipine Procardia , acetazolamide Diamox , sildenafil Viagra , tadalafil Cialis , salmeterol. Serevent , and albuterol Proventil may be used individually or in combination prophylactically. AMS is generally benign and self-limiting, but symptoms may become debilitating. HACE: Unsteady, wide, and unbalanced ataxic gait and altered mental status are hallmark signs. HAPE: Dyspnea at rest is the hallmark signs. Other symptoms may include cough, crackles upon.

Halt ascent. Treat per Pain Management Protocol, but avoid the use of narcotics since they may depress. Four or five sessions are. Most cases of AMS are relatively mild, resolve in 2 - 3 days, and do not require evacuation. Acute, widely distributed form of shock which occurs within minutes of exposure to an allergen.

Death can result from airway compromise, inability to ventilate, or cardiovascular collapse. Moreover, the. Intubate early if no response to epinephrine. Administer 1 - 2 liters normal saline bolus for hypotension; then titrate to establish systolic blood. Albuterol Ventolin metered dose inhaler — works best when used with spacer , 2 - 3 puffs q.

Return-To-Duty if there is no wheezing or dyspnea and normal oxygen saturation. Albuterol Ventolin 2 puffs q 6 h and re-evaluate in 24 hours. Continue Decadron 10mg IM. Motor weakness, saddle anesthesia, sensory loss, loss of bowel or bladder control in the setting of.

Trigger point injections with local anesthetic if trained. Lidocaine 1 — 2cc per trigger point. Minimize activity initially, but encourage gradual stretching and return to full mobility as soon as. Pulmonary barotrauma occurs when compressed air is breathed at depth followed by ascending.

Pulmonary over-inflation syndrome may present with chest pain, dyspnea, mediastinal emphysema,. If a tympanic membrane rupture is present or suspected, protect the ear from water or further. Urgent evacuation to recompression chamber. If an unpressurized airframe is used, avoid. Urgent Evacuation for cerebral arterial gas embolus or pneumothorax with respiratory distress,.

Mild to moderate middle ear, sinus, or pulmonary barotraumas without respiratory distress,. Etiologies are numerous and will often dictate the management; thus mental status changes could. Acute behavioral changes include withdrawal, depression, aggression, confusion, or other behavioral.

Psychosis is an acute change in mental status characterized by altered sensory perceptions that are. For acute agitation, combativeness, or violent behavior, restrain patient with at least four.

If sedated or restrained, maintain constant vigilance for a change in the hemodynamic status. All asymptomatic patients should be monitored for at least 6 hours after the event to rule out late. MACE examination needs to be accomplished on all personnel affected by the blast. Follow Local. Give high flow O2 if available. Use caution with high pressure ventilation, this may worsen. Consider pulmonary embolism PE and pneumothorax fever and productive cough are atypical.

Generally begins about 24 hours following a break in the skin, but more serious types of cellulitis. Rapidly spreading and very painful infections suggest the possibility of necrotizing fasciitis, a lifethreatening. Cellulitis in critical areas head, neck, hand, joint involvement, perineal requires Priority. Since the ATP does not have access in the field to tests required to accurately determine the.

The presence of one or more of the following risk factors increases the likelihood of coronary artery. The following are signs and symptoms suspicious for myocardial infarction as the etiology for chest. IV access with saline lock. Administer — cc normal saline boluses as needed to correct. Morphine sulfate 5mg IV initially, then 2mg q 5 — 15 min prn for pain unless hypotension is. Avoid all exertion. Allow the patient to rest in a position of comfort.

Frequently reassess the patient. A trial of antacids or Ranitidine Zantac mg PO bid may be useful if. Severe chest pain following forceful vomiting may indicate esophageal rupture. Administer IV. Auscultate the lungs; unilaterally diminished breath sounds suggest. Administer oxygen, establish IV access, administer.

The following signs and symptoms MAY suggest a musculoskeletal etiology: pain isolated to a. Chest pain with gradual onset and exacerbated by deep inspiration and accompanied by fever and.

Do not delay evacuation if unsure of chest pain etiology.


201021U. S. Special Operations Command (USSOCOM)

Please scroll through the questions and answers on this page, or click on a question immediately below in order to read the answer. If you have a question that is not available on this page, please contact A Co. Are they allowed? Can I visit my Soldier, or can my Soldier travel to visit me? Tier 0 Weeks : Use of company area facilities; dining facility; religious services; cell phones on Wednesday nights and weekends; personal electronics limited, only on weekends ; passes to visit the Fort Bragg Mini-Mall limited, only on Sundays ; weekend on-post pass only garrison facilities.







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