CPR
In casualties of blast or penetrating injury found to be without pulse, respiration, or other signs of life, CPR on the battlefield will generally not be successful and should not be attempted. Attempts to resuscitate trauma patients in arrest have been found to be futile even in urban settings where victims are in close proximity to trauma centers. On the battlefield, the cost of performing CPR on casualties with what are inevitably fatal injuries will result in additional lives lost as care is withheld from casualties with less severe injuries. Also, these attempts expose rescuers to additional hazards from hostile fire. Prior to the tactical evacuation care phase, rescuers should consider CPR only in the cases of nontraumatic disorders such as hypothermia, near drowning, or electrocution.
Altered Mental Status Immediately disarm any casualty with an altered mental status, including secondary weapons and explosive devices. An armed combatant with an altered mental status is a significant risk to himself and those in his unit.
The four main reasons for an altered mental status are traumatic brain injury (TBI), pain, shock, and analgesic medication (for example, morphine).
In casualties of blast or penetrating injury found to be without pulse, respiration, or other signs of life, CPR on the battlefield will generally not be successful and should not be attempted. Attempts to resuscitate trauma patients in arrest have been found to be futile even in urban settings where victims are in close proximity to trauma centers. On the battlefield, the cost of performing CPR on casualties with what are inevitably fatal injuries will result in additional lives lost as care is withheld from casualties with less severe injuries. Also, these attempts expose rescuers to additional hazards from hostile fire. Prior to the tactical evacuation care phase, rescuers should consider CPR only in the cases of nontraumatic disorders such as hypothermia, near drowning, or electrocution.
Altered Mental Status Immediately disarm any casualty with an altered mental status, including secondary weapons and explosive devices. An armed combatant with an altered mental status is a significant risk to himself and those in his unit.
The four main reasons for an altered mental status are traumatic brain injury (TBI), pain, shock, and analgesic medication (for example, morphine).
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