Wilderness Medical Society snowmass 2005 Page 286
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Why Hextend instead of Hespan?
Same hetastarch molecule
ONR Fluid Resuscitation Conference
June
2001
Less chance of bleeding problems with Hextend
Resuscitate uncontrolled hemorrhage if casualty has decreased state of consciousness
Tactical Field Care Treatment of Shock
- No shock
No IV fluids required
- PO fluids permissable if conscious
- If in shock
Hextend 500cc IV bolus
Repeat once after 30 minutes if still in shock.
TCCC in Iraq
"The adoption and implementation of the principles of TCCC
by the medical platoon of TF 1-15 IN in OIF 1 resulted in
overwhelming success. Over 25 days of continuous combat with
32 friendly casualties, many of them serious, we had 0 KIAs and
0 Died From Wounds, while simultaneously caring for a
significant number of Iraqi civilian and military casualties.
TCCC in Iraq (cont)
This success should serve as a model for other conventional
combat units throughout the army involved in Level 1 treatment.
The principles of TCCC are well-researched and proven
effective and should be the foundation of the treatment of
battlefield casualties.
CPT Michael Tarpey
Battalion Surgeon 1-15 IN
20 January 2005
Special Ops Medicine Areas for Improvement in TCCC - 2004
Get the word out to medics faster
Train all SOF operators in TCCC
Get the TCCC equipment out faster
User feedback from combat medics on how the gear worked downrange
