SOLDIER’S MANUAL AND TRAINER’S GUIDE - …

1 STP 8-68W13-SM-TG APRIL 2009 soldier S MANUAL AND TRAINER S GUIDE MOS 68W HEALTH CARE SPECIALIST SKILL LEVELS 1/2/3 HEADQUARTERS, DEPARTMENT OF THE ARMY DISTRIBUTION RESTRICTION: Distribution authorized to US Government agencies and their contractors only to protect technical and operational information from automatic dissemination under the International Exchange Program or by other means. This determination was made on 16 April 2003. Other requests for this documentation will be referred to Commander, US Army Medical Department Center and School, Department of Training Support (MCCS-HT), Fort Sam Houston, Texas 78234-5078. DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of contents or reconstruction of the document. This publication is available at Army Knowledge Online ( ) and General Dennis J. Reimer Training and Doctrine Digital Library at ( ). STP 8-68W13-SM-TG 15 April 2009 i 1 soldier TRAINING PUBLICATION HEADQUARTERS No.

2 8-68W13-SM-TG DEPARTMENT OF THE ARMY Washington, DC, 15 April 2009 soldier 'S MANUAL AND TRAINER'S GUIDE MOS 68W Health Care Specialist Skill Levels 1, 2 AND 3 TABLE OF CONTENTS PAGE Table of Contents .. i Preface .. iii Chapter 1. Introduction .. 1-1 1-1. General .. 1-1 1-2. Training Requirement .. 1-1 1-3. Battle-Focused Training .. 1-6 1-4. Task Summary Format .. 1-7 1-5. Training Execution .. 1-8 1-6. Training Assessment .. 1-10 1-7. Training Support .. 1-11 Chapter 2. Trainer s GUIDE .. 2-1 2-1. General .. 2-1 2-2. Part One, Section I. Subject Area Codes .. 2-3 2-3. Part One, Section II. Duty Position Training Requirements .. 2-3 2-4. Part Two. Critical Tasks List .. 2-4 DISTRIBUTION RESTRICTION: Distribution authorized to US Government agencies and their contractors only to protect technical and operational information from automatic dissemination under the International Exchange Program or by other means.

3 This determination was made on 16 April 2003. Other requests for this documentation will be referred to Commander, US Army Medical Department Center and School, Department of Training Support (MCCS-HT), Fort Sam Houston, Texas 78234-5078. DESTRUCTION NOTICE: Destroy by any means that will prevent disclosure of contents or reconstruction of the document. 1*This publication supersedes STP 8-91W15-SM-TG, 10 October 2001. STP 8-68W13-SM-TG ii 15 April 2009 Chapter 3. MOS/Skill Level Tasks .. 3-1 Skill Level 1 Subject Area 1: Vital Signs 081-831-0010 MEASURE A PATIENT'S RESPIRATIONS .. 3-1 081-831-0011 MEASURE A PATIENT'S PULSE .. 3-3 081-831-0012 MEASURE A PATIENT'S BLOOD PRESSURE .. 3-5 081-831-0013 MEASURE A PATIENT'S TEMPERATURE .. 3-8 081-833-0164 MEASURE A PATIENT'S PULSE OXYGEN SATURATION .. 3-11 Subject Area 2: Medical Treatment 081-831-0033 INITIATE A FIELD MEDICAL CARD .. 3-13 081-831-0035 MANAGE A CONVULSIVE AND/OR SEIZING PATIENT.

4 3-15 081-831-0046 ADMINISTER EXTERNAL CHEST COMPRESSIONS .. 3-18 081-833-0006 MEASURE A PATIENT'S INTAKE AND OUTPUT .. 3-22 081-833-0031 TREAT A CASUALTY FOR ANAPHYLACTIC SHOCK .. 3-25 081-833-0116 ASSIST IN VAGINAL DELIVERY .. 3-27 081-833-0143 TREAT A POISONED CASUALTY .. 3-29 081-833-0144 TREAT A DIABETIC EMERGENCY .. 3-32 081-833-0156 PERFORM A MEDICAL PATIENT ASSESSMENT .. 3-34 081-833-0159 TREAT A CARDIAC EMERGENCY .. 3-38 081-833-0160 TREAT A RESPIRATORY EMERGENCY .. 3-40 081-833-0187 INSERT AN OROGASTRIC TUBE .. 3-42 081-833-0201 TREAT A NEAR DROWNING VICTIM .. 3-45 081-833-0224 TREAT A PATIENT WITH AN ALLERGIC REACTION .. 3-47 081-833-3027 CARDIC ARREST USING AN AUTOMATED EXTERNAL DEFIBRILLATOR .. 3-49 081-835-3005 PERFORM A GASTRIC LAVAGE .. 3-52 081-835-3007 OBTAIN AN ELECTROCARDIOGRAM .. 3-55 Subject Area 3: Trauma Treatment 081-833-0045 TREAT A CASUALTY WITH AN OPEN ABDOMINAL WOUND .. 3-61 081-833-0046 TREAT A CASUALTY WITH AN 3-63 081-833-0047 INITIATE TREATMENT FOR HYPOVOLEMIC SHOCK.

5 3-65 081-833-0049 TREAT A CASUALTY WITH A CHEST INJURY .. 3-67 081-833-0052 TREAT A CASUALTY WITH AN OPEN OR CLOSED HEAD INJURY .. 3-71 081-833-0056 TREAT FOREIGN BODIES OF THE EYE .. 3-75 081-833-0057 TREAT LACERATIONS, CONTUSIONS, AND EXTRUSIONS OF THE EYE .. 3-77 081-833-0058 TREAT BURNS OF THE EYE .. 3-81 081-833-0070 ADMINISTER INITIAL TREATMENT FOR BURNS .. 3-83 081-833-0155 PERFORM A TRAUMA CASUALTY ASSESSMENT .. 3-88 081-833-0157 PROVIDE BASIC EMERGENCY MEDICAL CARE FOR AN AMPUTATION .. 3-94 081-833-0161 CONTROL BLEEDING .. 3-96 081-833-0194 PREPARE AN AID BAG .. 3-99 081-833-0209 TREAT A CASUALTY FOR CONTUSIONS OR ABRASIONS .. 3-102 081-833-0210 APPLY A TOURNIQUET TO CONTROL BLEEDING .. 3-104 081-833-0211 APPLY A HEMOSTATIC DRESSING .. 3-107 081-833-0212 APPLY A PRESSURE DRESSING TO AN OPEN WOUND .. 3-109 081-833-0213 PERFORM A TACTICAL CASUALTY ASSESSMENT .. 3-111 081-833-0229 APPLY KERLIX TO AN OPEN WOUND.

6 3-115 STP 8-68W13-SM-TG 15 April 2009 iii Subject Area 4: Airway Management 081-831-0018 OPEN THE AIRWAY .. 3-117 081-831-0019 CLEAR AN UPPER AIRWAY OBSTRUCTION .. 3-120 081-831-0048 PERFORM RESCUE BREATHING .. 3-123 081-833-0016 INSERT AN OROPHARYNGEAL AIRWAY (J TUBE) .. 3-127 081-833-0017 VENTILATE A PATIENT WITH A BAG-VALVE-MASK SYSTEM .. 3-129 081-833-0018 SET UP A D-SIZED OXYGEN TANK .. 3-132 081-833-0021 PERFORM ORAL AND NASOPHARYNGEAL SUCTIONING OF A PATIENT .. 3-136 081-833-0142 INSERT A NASOPHARYNGEAL AIRWAY .. 3-140 081-833-0158 ADMINISTER OXYGEN .. 3-142 081-833-0169 INSERT A COMBITUBE .. 3-145 081-833-0170 PERFORM ENDOTRACHEAL SUCTIONING OF A PATIENT .. 3-147 081-833-0230 INSERT A KING LT .. 3-150 081-833-3005 PERFORM A SURGICAL CRICOTHYROIDOTOMY .. 3-152 081-833-3007 PERFORM A NEEDLE CHEST DECOMPRESSION .. 3-155 Subject Area 5: Venipuncture and IV Therapy 081-833-0032 OBTAIN A BLOOD SPECIMEN USING A VACUTAINER.

7 3-157 081-833-0033 INITIATE AN INTRAVENOUS INFUSION .. 3-162 081-833-0034 MANAGE AN INTRAVENOUS INFUSION .. 3-167 081-833-0185 INITIATE A FAST 1 .. 3-172 081-835-3025 INITIATE A SALINE LOCK .. 3-174 Subject Area 6: Primary Care 081-831-0007 PERFORM A PATIENT CARE HANDWASH .. 3-176 081-833-0054 IRRIGATE EYES .. 3-178 081-833-0059 IRRIGATE AN OBSTRUCTED EAR .. 3-180 081-833-0125 TREAT SKIN DISORDERS .. 3-183 081-833-0139 TREAT ABDOMINAL DISORDERS .. 3-188 081-833-0145 DOCUMENT PATIENT CARE USING SUBJECTIVE, OBJECTIVE, ASSESSMENT, PLAN (SOAP) NOTE FORMAT .. 3-192 081-833-0165 PERFORM PATIENT HYGIENE .. 3-194 081-833-0193 PERFORM VISUAL ACUITY TESTING .. 3-199 081-833-0195 REMOVE A PATIENT'S RING .. 3-201 081-833-0203 TREAT COMMON EYE, EAR, NOSE, AND THROAT (EENT) DISORDERS .. 3-203 081-833-0208 TREAT SUBUNGUAL HEMATOMA .. 3-206 081-833-0220 MAINTAIN A HEALTH RECORD .. 3-208 081-833-0222 TREAT COMMON MUSCULOSKELETAL DISORDERS.

8 3-210 081-833-0223 TREAT COMMON RESPIRATORY DISORDERS .. 3-215 Subject Area 7: Musculosketeal 081-831-1052 APPLY A SAM SPLINT .. 3-218 081-833-0060 APPLY AN ELASTIC BANDAGE .. 3-221 081-833-0062 IMMOBILIZE A SUSPECTED FRACTURE OF THE ARM OR DISLOCATED SHOULDER .. 3-224 081-833-0064 IMMOBILIZE THE HIP .. 3-227 081-833-0141 APPLY A TRACTION SPLINT .. 3-230 081-833-0154 PROVIDE BASIC EMERGENCY TREATMENT FOR A PAINFUL, SWOLLEN, DEFORMED EXTREMITY .. 3-233 081-833-0176 TREAT A CASUALTY WITH A SUSPECTED SPINAL INJURY .. 3-235 STP 8-68W13-SM-TG iv 15 April 2009 081-833-0177 APPLY A CERVICAL COLLAR .. 3-240 081-833-0178 APPLY A KENDRICK EXTRICATION DEVICE .. 3-242 081-833-0180 APPLY A KENDRICK TRACTION DEVICE .. 3-245 081-833-0181 APPLY A LONG SPINE BOARD .. 3-247 081-833-0182 APPLY A REEL SPLINT .. 3-250 Subject Area 8: Chemical Agent Injuries 081-833-0083 TREAT A NERVE AGENT CASUALTY IN THE FIELD .. 3-252 081-833-0084 TREAT A BLOOD AGENT (HYDROGEN CYANIDE) CASUALTY IN THE FIELD.

9 3-256 081-833-0085 TREAT A CHOKING AGENT CASUALTY IN THE FIELD .. 3-258 081-833-0086 TREAT A BLISTER AGENT CASUALTY (MUSTARD, LEWISITE, PHOSGENE OXIME) IN THE FIELD .. 3-260 081-833-0095 DECONTAMINATE A CASUALTY .. 3-263 081-833-0137 TREAT A BIOLOGICAL EXPOSED CASUALTY .. 3-270 081-833-0202 TREAT A RADIATION CASUALTY .. 3-277 Subject Area 9: Triage and Evacuation 071-334-4001 GUIDE A HELICOPTER TO A LANDING POINT .. 3-278 071-334-4002 ESTABLISH A HELICOPTER LANDING POINT .. 3-287 081-831-0101 REQUEST A MEDICAL EVACUATION .. 3-290 081-833-0080 TRIAGE CASUALTIES ON A CONVENTIONAL BATTLEFIELD .. 3-295 081-833-0082 TRIAGE CASUALTIES ON AN INTEGRATED BATTLEFIELD .. 3-299 081-833-0151 LOAD CASUALTIES ONTO GROUND EVACUATION PLATFORMS .. 3-301 081-833-0152 ESTABLISH A CASUALTY COLLECTION POINT .. 3-313 081-833-0171 LOAD CASUALTIES ONTO NONSTANDARD VEHICLES, 1 1/4 TON, 4X4, M998 .. 3-315 081-833-0172 LOAD CASUALTIES ONTO NONSTANDARD VEHICLES, 2 1/2 TON, 6X6 OR 5 TON, 6X6, CARGO TRUCK.

10 3-318 081-833-0173 LOAD CASUALTIES ONTO NONSTANDARD VEHICLES, 5 TON M-1085, M-1093, 2 1/2 TON M-1081 .. 3-320 081-833-0214 LOAD CASUALTIES ONTO A UH-60 SERIES HELICOPTER .. 3-323 081-833-0226 LOAD CASUALTIES ONTO A STRYKER ARMORED AMBULANCE .. 3-326 081-833-0227 COORDINATE CASUALTY TREATMENT AND EVACUATION .. 3-328 Subject Area 10: Medication Administration 081-833-0088 PREPARE AN INJECTION FOR ADMINISTRATION .. 3-332 081-833-0089 ADMINISTER AN INJECTION (INTRAMUSCULAR, SUBCUTANEOUS, INTRADERMAL) .. 3-337 081-833-0174 ADMINISTER MORPHINE .. 3-342 081-833-0179 ADMINISTER MEDICATIONS .. 3-345 Subject Area 11: Force Protection 081-831-0037 DISINFECT WATER FOR DRINKING .. 3-351 081-831-0038 TREAT A CASUALTY FOR A HEAT INJURY .. 3-352 081-831-0039 TREAT A CASUALTY FOR A COLD INJURY .. 3-356 081-831-9018 IMPLEMENT SUICIDE PREVENTION MEASURES .. 3-360 081-833-0072 TREAT A CASUALTY FOR INSECT BITES OR STINGS .. 3-362 081-833-0073 TREAT A CASUALTY FOR SNAKEBITE.