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8/19/2019 C191W1TC CMAST - Point of Wounding Care
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Point of Wounding CarePoint of Wounding Care
COMBAT MEDIC ADVANCED SKILLS TRAINING (CMAST
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CMAST 2
Point of Wounding CarePoint of Wounding Care
!"# of a$$ %att$efie$d &a'ua$tie' die %efore!"# of a$$ %att$efie$d &a'ua$tie' die %efore
te) rea& definiti*e +edi&a$ &are,te) rea& definiti*e +edi&a$ &are,
Point of -ounding &are i' te re'.on'i%i$it)Point of -ounding &are i' te re'.on'i%i$it)
of teof te indi*idua$ 'o$dier/ teir %att$e %udd)indi*idua$ 'o$dier
/ teir %att$e %udd)//
te Co+%at Life'a*er/ and te So$dierte Co+%at Life'a*er/ and te So$dier
Medi&,Medi&,
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CMAST 3
Point of Wounding CarePoint of Wounding Care
Cau'e' of deat on te %att$efie$d0Cau'e' of deat on te %att$efie$d0
1 Penetrating ead trau+a 23#Penetrating ead trau+a 23#
1 4n&orre&ta%$e tor'o trau+a 56#4n&orre&ta%$e tor'o trau+a 56#
1 Potentia$$) &orre&ta%$e tor'o trau+a 3"#Potentia$$) &orre&ta%$e tor'o trau+a 3"#
1 77E8'anguination fro+ e8tre+it) -ound' !#E8
'anguination fro+ e8tre+it) -ound' !#
1 Muti$ating %$a't trau+a 9#Muti$ating %$a't trau+a 9#
1 77Ten'ion .neu+otora8 6#Ten'ion
.neu+otora8 6#
1 77 Air-a) .ro%$e+' 3# Air-
a) .ro%$e+' 3#
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CMAST 4
Penetrating :ead Trau+aPenetrating :ead Trau+a
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CMAST 5
Penetrating Tor'o Trau+aPenetrating Tor'o Trau+a
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CMAST 6
E8tre+it) :e+orrageE8tre+it) :e+orrage
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CMAST 7
Muti$ating B$a't Trau+aMuti$ating B$a't Trau+a
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CMAST 8
Ten'ion Pneu+otora8Ten'ion Pneu+otora8
Air pushes over
heart and collapses
lung
Air outside lung
from wound
Heart compressed not able
to pump well
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CMAST 9
Air-a) Trau+a Air-a) Trau+a
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CMAST 10
Cau'e' of Co+%at Wound'Cau'e' of Co+%at Wound'
(WWI, WWII, Korea, Vietnam, Midde !a"t#
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CMAST 11
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CMAST 12
8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 13
Point of Wounding CarePoint of Wounding Care
Pri+ar) &au'e' of .re*enta%$e deat0Pri+ar) &au'e' of .re*enta%$e deat0
1:e+orrage fro+ e8tre+it) -ound':e+orrage fro+ e8tre+it) -ound'
1 Ten'ion .neu+otora8Ten'ion .neu+otora8
1 Air-a) .ro%$e+' Air-a) .ro%$e+'
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CMAST 14
Point of Wounding CarePoint of Wounding Care
Tere need' to %e a 'ift in our tin;ing/ te da)' of notTere need' to %e a 'ift in our tin;ing/ te da)' of not
.ro*iding 'e$fui..ed and&a.a%i$it) at te .oint of -ounding/ -o i' e>ui..ed and
trained to de&rea'e .re*enta%$e %att$efie$d deat, Ti'trained to de&rea'e .re*enta%$e %att$efie$d deat, Ti'
'trateg) -i$$ in&rea'e te unit?' &o+%at effe&ti*ene'' and'trateg) -i$$ in&rea'e te unit?' &o+%at effe&ti*ene'' and
it?' 'ur*i*a%i$it), If -e &ou$d +a;e 'o+e +inor &ange' init?' 'ur*i*a%i$it), If -e &ou$d +a;e 'o+e +inor &ange' inour &o++on 'o$dier +edi&a$ ';i$$' training/ -e &anour &o++on 'o$dier +edi&a$ ';i$$' training/ -e &an
i+.ro*e te 'ur*i*a$ rate of 36# of a$$ %att$efie$d deat',i+.ro*e te 'ur*i*a$ rate of 36# of a$$ %att$efie$d deat',
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CMAST 15
Point of Wounding CarePoint of Wounding Care
Le*e$' of .reo'.ita$ &are on teLe*e$' of .reo'.ita$ &are on te
%att$efie$d0%att$efie$d0
1 Self-Aid/Buddy-Aid (SABA)Self-Aid/Buddy-Aid (SABA)
1 Combat Lifesaver (CLS)Combat Lifesaver (CLS)
1 91W Soldier Medic 91W Soldier Medic
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CMAST 16
Se$f
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CMAST 17
SABA A''e''+ent Ta';'SABA A''e''+ent Ta';'
Perfor+ a ra.id &a'ua$t) initia$ a''e''+ent0Perfor+ a ra.id &a'ua$t) initia$ a''e''+ent0
1 Air-a) Air-a)
1 BreatingBreating 1 Cir&u$ationCir&u$ation
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CMAST 18
SABA Air-a) Ta';'SABA Air-a) Ta';'
Pro*ide Air-a) 'u..ort in an un&on'&iou'Pro*ide Air-a) 'u..ort in an un&on'&iou'
&a'ua$t) u'ing an NPA,&a'ua$t) u'ing an NPA,
P$a&e te &a'ua$t) in te re&o*er)P$a&e te &a'ua$t) in te re&o*er)
.o'ition,.o'ition,
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CMAST 19
Na'o.ar)ngea$ Air-a)Na'o.ar)ngea$ Air-a)
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CMAST 20
SABA Breating Ta';'SABA Breating Ta';'
P$a&e an o&&$u'i*eP$a&e an o&&$u'i*e
dre''ing/ on adre''ing/ on a
.enetrating &e't.enetrating &e't
-ound,-ound,
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CMAST 21
SABA B$eeding Ta';'SABA B$eeding Ta';'
Contro$ e+orrage u'ing a tourni>uet orContro$ e+orrage u'ing a tourni>uet or
an E+ergen&) Trau+a Dre''ing (ETDan E+ergen&) Trau+a Dre''ing (ETD
I'rae$i %andage,I'rae$i %andage,
Co+%at A..$i&ation Tourni>uetCo+%at A..$i&ation Tourni>uet E+ergen&) Trau+a Dre''ingE+ergen&) Trau+a Dre''ing
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CMAST 22
:e+orrage Contro$:e+orrage Contro$
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CMAST 23
Current ir't Aid KitCurrent ir't Aid Kit
Te Ar+) a' +odified te +edi&a$ ta';' trainedTe Ar+) a' +odified te +edi&a$ ta';' trained
during Ba'i& Co+%at Training tat 'ou$d addre''during Ba'i& Co+%at Training tat 'ou$d addre''
te'e i''ue' o-e*er/ te 'o$dier +edi& +u't %ete'e i''ue' o-e*er/ te 'o$dier +edi& +u't %e
.ro*ided -it an u.graded.ro*ided -it an u.graded=ir't
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CMAST 24
Improved First Aid Kit
Combat Application
Tourniquet (CAT)
MOLL T!pe
"ouch
Weight: 1.08 lbs Cube: 128 ci
mergenc! Trauma #ressing
($sraeli %andage)&' erli
*&g +eedle
+asophar!ngeal
Airwa! (+"A)
,' Tape
am -loves (&)
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8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 26
Co+%at Life'a*er Ta';'Co+%at Life'a*er Ta';'
Ra.id &a'ua$t) a''e''+ent,Ra.id &a'ua$t) a''e''+ent,
Contro$ e+orrage,Contro$ e+orrage,
Treat .enetrating &e't trau+a,Treat .enetrating &e't trau+a,
Maintain air-a),Maintain air-a),
Initiate 'a$ine Lo&;,Initiate 'a$ine Lo&;,
Pa&;age &a'ua$t) for tran'.ort,Pa&;age &a'ua$t) for tran'.ort,
Initiate MC,Initiate MC,
Initiate nineue't,Initiate nineue't,
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CMAST 27
Need$e Ce't De&o+.re''ionNeed$e Ce't De&o+.re''ion
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CMAST 28
Need$e Ce't De&o+.re''ionNeed$e Ce't De&o+.re''ion
8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 29
Intra*enou' $uid'Intra*enou' $uid'
Initiate an IV infu'ion -it a 'a$ine $o&;,Initiate an IV infu'ion -it a 'a$ine $o&;,
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CMAST 30
SKED Litter SKED Litter
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CMAST 31
Ta$on II Litter Ta$on II Litter
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CMAST 32
!3W :ea$t Care S.e&ia$i't!3W :ea$t Care S.e&ia$i't
Te 'o$dier +edi& i' te .ri+ar) &areTe 'o$dier +edi& i' te .ri+ar) &are
.ro*ider in te .reui.+ent to
aug+ent te $o-er $e*e$' of &are andaug+ent te $o-er $e*e$' of &are andre'u..$) te CLS, Te) are trained inre'u..$) te CLS, Te) are trained in
Ta&ti&a$ Co+%at Ca'ua$t) Care .rin&i.$e',Ta&ti&a$ Co+%at Ca'ua$t) Care .rin&i.$e',
8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 33
TC
8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 34
TC
8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 35
TC
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CMAST 36
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CMAST 37
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CMAST 38
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CMAST 39
Warrior Aid and Litter KitWarrior Aid and Litter Kit
Atta&;' again't $igt$) ar+ored *ei&$e' Atta&;' again't $igt$) ar+ored *ei&$e'
&ontinue to %e a 'our&e of inur) and deat&ontinue to %e a 'our&e of inur) and deat
to our So$dier', Dire&t and indire&t fireto our So$dier', Dire&t and indire&t fire
-ea.on'/ i+.ro*i'ed e8.$o'i*e de*i&e'-ea.on'/ i+.ro*i'ed e8.$o'i*e de*i&e'and +ine' .rodu&e de*a'tating effe&t',and +ine' .rodu&e de*a'tating effe&t',
8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 40
Warrior Aid and Litter KitWarrior Aid and Litter Kit
Se*era$ initiati*e' ranging fro+ i+.ro*edSe*era$ initiati*e' ranging fro+ i+.ro*edar+or ;it'/ and 'and%agging *ei&$e f$oor'/ar+or ;it'/ and 'and%agging *ei&$e f$oor'/to i+.ro*ing So$dier %od) ar+or/ toto i+.ro*ing So$dier %od) ar+or/ to
&anging Ta&ti&' Te&ni>ue' and&anging Ta&ti&' Te&ni>ue' andPro&edure' a*e addre''ed i+.ro*ingPro&edure' a*e addre''ed i+.ro*ingSo$dier 'ur*i*a%i$it), :o-e*er/ notingSo$dier 'ur*i*a%i$it), :o-e*er/ noting'u%'tantia$ a' %een i+.$e+ented to'u%'tantia$ a' %een i+.$e+ented to
addre'' .ro*iding ade>uate &a'ua$t) &areaddre'' .ro*iding ade>uate &a'ua$t) &areat te .oint of -ounding in te'eat te .oint of -ounding in te'e'&enario','&enario',
8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 41
Warrior Aid and Litter KitWarrior Aid and Litter Kit
Te'e &on*o)'@.atro$' +a) or +a) notTe'e &on*o)'@.atro$' +a) or +a) not
a*e a So$dier Medi& or e*en a Co+%ata*e a So$dier Medi& or e*en a Co+%at
Life'a*er organi& to te e$e+ent, Te)Life'a*er organi& to te e$e+ent, Te)
+u't re$) on e>ui.+ent &arried on te+u't re$) on e>ui.+ent &arried on te*ei&$e' and on te indi*idua$ to .ro*ide*ei&$e' and on te indi*idua$ to .ro*ide
&are and &ondu&t e*a&uation,&are and &ondu&t e*a&uation,
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CMAST 42
Current Vei&$e ir't aid KitCurrent Vei&$e ir't aid Kit
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CMAST 43
Warrior Aid and Litter KitWarrior Aid and Litter Kit
A need e8i't' for a *ei&$e $ife
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CMAST 44
Warrior Aid and Litter KitWarrior Aid and Litter Kit
Ti' ;it 'ou$d .ro*ide a 'ing$e unit ofTi' ;it 'ou$d .ro*ide a 'ing$e unit of
i''ue tat -i$$ &ontain a 'u..$) of $ifei''ue tat -i$$ &ontain a 'u..$) of $ife
'a*ing +edi&a$ e>ui.+ent a' -e$$ a' a'a*ing +edi&a$ e>ui.+ent a' -e$$ a' a
&o+.a&t $itter to fa&i$itate &a'ua$t)&o+.a&t $itter to fa&i$itate &a'ua$t)e*a&uation -itout &au'ing furter inur)/e*a&uation -itout &au'ing furter inur)/
uti$iing an) *ei&$e of o..ortunit),uti$iing an) *ei&$e of o..ortunit),
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CMAST 45
.A//$O/ A$# A+# L$TT/ $T
Item $S$
1%Taon II &itter 90C 6530%01%504%9051
1%&itter Carrier 6530%01%504%9056
6% Cra'at" 6510%00%201%17554% Keri 6510%00%058%3047
4% !mer)en*+ Trama -re""in) 6510%01%492%2275
2% Com.at A//i*ation Torniet" 6515%01%521%7976
2% etroatm )ae 6510%00%202%0800
1%anet eatin) 4 /ane 6532%01%525%4062 1%anet iard Wra/ 6532%01%524%6932
1% $a"o/ar+n)ea Aira+ 6515%00%300%2900
2% 6in A*e Wra/" 6510%00%935%5823
2%10%14 )a)e 25%3 in *ateter" 6510%01%521%0910
2%Sam S/int" II 6515%01%494%19512% o" 2 in $+on Ta/e 6510%00%926%8883
1%-re""in), !a"ti* A.domina 6510%01%532%6656
2%Stra/, Tie -on :ni'er"a &itter 6530%01%530%3860
1% ane Marer, Sr'i'a 8345%00%140%4232
Wei)t 22." 8 o it Taon II itter in Carrier; tota *.e "/a*e < 23=12= 12=
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CMAST 46
Warrior Aid and Litter KitWarrior Aid and Litter Kit
8/19/2019 C191W1TC CMAST - Point of Wounding Care
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CMAST 47
Warrior Aid and Litter KitWarrior Aid and Litter Kit
=WALK
'tored on %a&;
';id of GMV
u'ing interna$'ou$der 'tra.'
and >ui&;
re$ea'e rat&et,
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CMAST 48
Su++ar)Su++ar)
Te on$) .$a&e in te &ontinuu+ ofTe on$) .$a&e in te &ontinuu+ of
%att$efie$d &are -ere -e &an dire&t$)%att$efie$d &are -ere -e &an dire&t$)
inf$uen&e 'ur*i*a%i$it) i' at te .oint ofinf$uen&e 'ur*i*a%i$it) i' at te .oint of
-ounding, B) training e*er) 'o$dier to-ounding, B) training e*er) 'o$dier to.ro*ide .oint of -ounding &are -e &an.ro*ide .oint of -ounding &are -e &an
'a*e +ore $i*e' on toda)F' %att$efie$d,'a*e +ore $i*e' on toda)F' %att$efie$d,
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ue'tion'Hue'tion'H