Enlisted initial entry training policies and administration

Appendix H Medical Support

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Appendix H
Medical Support

H-1. Medical support requirements

Commanders will ensure medical support requirements are addressed in the planning, preparation, and execution of all training activities. Medical support training provides emergency medical services (EMS) in accordance with AR 40-3, chapter 13 on the installation or in accordance with AR 420-1. See Table H-1 for High risk training support.

Table H-1

Medical support matrix to high-risk training

Training	Potential injury	Equipment	Response personnel	Overall event
RANGER SCHOOL
All				Evacuation plan ¹
				Medic ²
SAPPER LEADER COURSE
All				Medic
				Ambulance
TRAINING COMPONENTS
Mountain Operations	Environmental injury	Cooling/warming/fluids ³	CLS ⁴
Rappelling	Extremity trauma	Bandages/splints/fluids	CLS	Medic
Free climbing	Lacerations	Bandages/fluids	Medic
	Blunt trauma	Treatment as required	CLS	Non-standard evacuation vehicle (NSE) 6
	Head injury	Transport	CLS
	Spine Injury	Immobilization/transport	Medic

Situational training	Blunt trauma	Treatment as required	CLS
exercise/ field training	Crush injury	Bandages/splints/fluids	CLS
exercise	Extremity trauma	Bandages/splints/fluids	CLS	CLS
	Lacerations	Bandages/fluids	CLS	NSE
	Environmental injury	Cooling/warming/fluids	CLS
	Smoke inhalation	Removal	BA ⁵
	Burn	Fluids	Medic

Table H-1

Medical support matrix to high-risk training, continued

Training		Potential injury	Equipment	Response personnel	Overall event
Military operations in urban terrain		Blunt trauma	Treatment as required	CLS
		Penetrating trauma	Bandages/fluids	CLS
		Crush injury	Bandages/splints/fluids	CLS
		Extremity trauma	Bandages/splints/fluids	CLS
		Lacerations	Bandages/fluids	CLS
		Head injury	Transport	CLS	CLS
		Spine injury	Immobilization/transport	Medic	NSE
		Environmental injury	Cooling/warming/fluids	CLS
		Smoke inhalation	Removal	BA
		Eye injury	Protection	CLS
		Burn	Fluids	Medic

Hand grenades		Blunt trauma	Treatment as required	CLS
		Penetrating trauma	Bandages/fluids	CLS
		Extremity trauma	Bandages/splints/fluids	CLS
		Lacerations	Bandages/fluids	CLS	CLS
		Spine injury	Immobilization/transport	Medic	NSE
		Eye injury	Protection	CLS
		Burn	Fluids	Medic
		Multiple injured		Medic

Grenade launcher		Blunt trauma	Treatment as required	CLS
		Penetrating trauma	Bandages/fluids	CLS
		Extremity trauma	Bandages/splints/fluids	CLS
		Lacerations	Bandages/fluids	CLS	CLS
		Spine injury	Immobilization/transport	Medic	NSE
		Eye injury	Protection	CLS
		Burn	Fluids	Medic

Live fire	Penetrating trauma		Bandages/fluids	CLS	Evacuation plan
					CLS
					NSE

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