1. Trauma- Focused Individual Training
Revised and Updated
January 2005

2. Infantry Unit of Action DesignX
Numbers are adjusted as documentation is refined
Approved Infantry BCT
3,385
IN BCT
10/0/9/19
I I
BCT HHC
I I
I I
I I
FIRES
I I
SPT
I I
298
122
1,598
(799 X2)
471
405
491
RSTA
BTB
HHC
C2 Enhancements
Increased staff
Surg Sec 2/0/1/3
Deputy Cdr
MP PLT
JFIRES (ECOORD, NLEC, JTACP)
SUAV
HQ TX TM 1/0/4/5
SIG Co
TOC NODAL Plt
SIG SPT Plt
NET OPS Tm
MI Co
ISR Analysis Plt 0/0/1/1
ISR Integration Plt
HUMINT Sec
1 Common Ground Station
EN Co
EN Plt x 2
Equip Section
Surveillance Trp 0/0/4/4
TUAV Plt
Ground Support Radar Plt
Multi Sensor Plt (PROPHET, GSR)
CDR
Dep CDR
CP1
CP2
Chaplain
PAO
HHC
3 x Rifle Co
3 x Rifle Plt
Weapons Co
4 x Plt
Forward Support Co
3/0/47/50
HHT
Motorized Recon Trp (2)
Dismounted Recon Trp
Forward Support Co
3/0/34/37
HHB
TA PLT (1 Q36)
TUAV
Firing Btry x 2
(2x8) 105mm (T)
Forward Support Co
2/0/15/17
HHC
Enhanced Staff
Disto CO
Add drivers
Trans Plt
Maint CO
Med CO
2/0/2/4
11/0/69/80
Two Inf Bns used as start point
Provides LRAS3-equipped Recon Capability
Applied current systems to enable “Quality of Firsts”
ISR teams: Brigade TUAV, PROPHET, Ground Surveillance Radar, SUAV, Bde Recon Squadron w/2 Mounted Recce Trp, 1 Dismounted, 1 Surveillance Trp
Infantry Squads: 72 (54 Rifle, 18 Weapons) Sniper: 3 (10man Tms)
Infantry: 744 (72 squads x wheeled assault squads x 8)
Recon Tms: 30 ITAS/TOW: Javelin: MK19:60
105MM(T): MM Mortars: mm: 8

3. INF Brigade Combat Team RSTA Squadron Medical Platoon
HHT
MED PLT HQ
1/0/1/2
TREATMENT
SQUAD
EVAC
SECTION
CBT MEDIC
SECTION
2/0/6/8
0/0/18/18
0/0/9/9
3/0/34/37

4. INF Brigade Combat Team RSTA Squadron Medical Platoon HQs
MED PLT HQ 2
Fld Med
Asst
PLT
SGT
RSTA has same requirements as other aid stations. Therefore one Type IIIa will suffice.
1/0/1/2
MC4
AN/TYQ-105 (V)
AN/TYQ-108 (V)
PERSONNEL
70BO2 - FLD MED ASST 1
68W4O - PLATOON SGT 1
MAJOR EQUIPMENT
HMMWV, CARGO 1
VRC-89F FBCB2 1
BCIS 0 EPLRS 1
GPS 1 D

5. INF Brigade Combat Team RSTA Squadron Medical Platoon Treatment Squad
2x4=8
2/0/6/8
PERSONNEL
62BO3 – PLT LDR (SURGEON) 1
65DO3 - PHYSICIANS ASST 1
68W3O- TMT SQD LDR 1
68W2O- EMER TMT NCO 2
68W1O - MEDICAL SPC (E4) 1
68W1O - MEDICAL SPC (E3) 2
TREATMENT
TEAM
TREATMENT
TEAM
CBPS
CBPS
MAJOR EQUIPMENT
CBPS 2
MTV 1
TRL, 3/4T 2
TRL, MTV DROPSIDE 1
TRMT SQD should have 2 CBPS trmt platforms w/ trlr and 1 MTV w/trlr
Are the M51 shelters going to be removed by AMEDDC&S?
Surgeon
Med
NCO
Med
NCO PA
Med
NCO
Med
SPC
Med
SPC
Med
SPC
MC4
AN/TYQ-105 (V) 1 8
AN/TYQ-106 (V) 1 2 C4
VRC-92F GPS 3
FBCB2 3 D
VRC-90F EPLRS 3
BCIS 3

6. INF Brigade Combat Team RSTA Squadron Evacuation Section
NCO
Amb
Driver
SPC
MED
SPC
EVAC
SECTION 18
Two Evac Teams
(Area Support)
0/0/18/18
MED
SPC
RECON TROOP
RECON TROOP
DSMT RECON TROOP
HHT
EVAC TEAM
Amb
Driver
Evac
NCO
EVAC TEAM
Amb
Driver
Evac
NCO
EVAC TEAM
Amb
Driver
Evac
NCO
MAJOR EQUIPMENT
M997 6
EVAC TEAM C4
VRC-90F
EPLRS 6
BCIS 6
GPS 6
FBCB2 6 D
Evac
NCO
Amb
Driver
MED
SPC
MED
SPC
MED
SPC
MED
SPC
MC4
AN/TYQ-105 (V) 1 18
PERSONNEL
68W2O- AIDE/EVAC NCO 5
68W1O - AMB AIDE/DRIVER (E3) 7
68W1O – MED SPC

7. INF Brigade Combat Team RSTA Squadron Combat Medic Section
DSMT RECON
RECON
RECON
Platoon
Medics
CBT
Med
NCO
Platoon
Medics
CBT
Med
NCO
Platoon
Medics
CBT
Med
NCO
PERSONNEL
68W30 - EMER CARE SGT
68W1O - COMBAT MEDIC(E4) 6
MC4
AN/TYQ-105 (V) 1 9
0/0/9/9

8. Medical Task Organization as of 20041117

9. Trauma Focused Individual Training “T-FIT”
Instructor Name:
Title:
Unit:

10. Why Do We Give a Crap About This?
Who is the biggest life-saver on the battlefield?

11. Him?

12. YOU!

13. Why Do We Give a Crap About This?
What is the best medicine on the battlefield?

14. The Best Medicine is Superior Firepower!

15. Is this squad combat effective?

16. What this course IS about
Teaching basic, practical life-saving techniques that 11B infantrymen can use on the battlefield
Teaching not only the “what” but the “why”
Breaking some bad habits that we (the medical world) and the Army (i.e. JRTC) have taught you
Keeping you doing what infantrymen do best (i.e. killing people and breaking things)

17. What this course is NOT about
Making you an EMT
Making you a 91W
Making you comfortable starting IV’s

18. What do we want to do in the next 30 minutes?
At the end of this block of instruction, the student will be able to:
Identify the major sources and locations of combat injuries and the soldiers most affected.
Explain the value of training infantry soldiers to accomplish basic medical tasks.
List some examples of “bad habits” to avoid in combat casualty care.

19. Who gets wounded in war?

20. Distribution of Wounding in Vietnam by Occupation
Infantry % of those wounded
Artillery - 2.2% of those wounded
Direct Correlation between a Lack of Combat Experience and Increased Wounding

21. Vietnam - Marine Corps Wounded
Mean Age years old
Distribution by Pay Grade
E1 - E % of those wounded
E4 - E % of those wounded
Officers - 2.7% of those wounded

22. YOU are the most important person when it comes to treating wounded soldiers!

23. Because nobody else is there in enough time to make a difference!
Why?
Because nobody else is there in enough time to make a difference!

24. Time to death after initial wounding

25. What are the major sources of wounds in combat?

26. Fragments from exploding anti-tank weapon

27. M-16 assault rifle 5.56mm GSW (exit)

28. Causes of Combat Wounds
(WWI, WWII, Korea, Vietnam, Middle East)

29. Where do soldiers get hit?

31. War Wound Distribution
Extremities
Chest
13%
Upper
21%
Lower
35%
Abdomen 5%
Head & Neck
17%
Other 9%
Upper Extremities
Lower Extremities
Abdomen
Head & Neck
Chest
Other

32. Bottom Line on Wound Location: Extremities
Extremity wounds (arms and legs) are the most common.
Range from minor to life-threatening.
Are a place where you (the 11B) can have a significant impact.

33. Bottom Line on Wound Location: Head Wounds
Head wounds are the second most common combat wound.
They are a major source of combat deaths.
Generally they are either survivable or not (no matter what you – or your medics - do).

34. Bottom Line on Wound Location: Torso Wounds
Torso wounds are the third most common.
They are (like head wounds) a major source of combat deaths.
There are certain ones you can impact.

35. What can YOU do to keep yourself or your soldiers alive?

36. While on patrol, your arm is hit by an RPG11

37. What to do with a hole in your arm?
Sit down, pull out your MILES card and wait for the OC to come assess you.
Scream “medic, medic” and wait for your platoon medic to arrive.
Kiss your ass goodbye, you’re going to die.
Have a combat lifesaver start an IV.
Apply a tourniquet.

38. Answer: E. And the soldier lived.
Massive soft tissue injury from RPG
Indent from
Tourniquet
Answer: E. And the soldier lived. 11

39. Trans-Abdominal High Velocity GSW (fatal)

40. Summary The most common sources of combat wounds are:
Fragments
Bullets
Blast and burns and all other
The most common places to get hit are:
Arms and legs
Head
Torso

41. Summary Who primarily gets wounded/killed in combat
Young men ages 18 – 24
Predominantly infantrymen
Almost entirely enlisted men with 2nd Lieutenants being at highest risk of death among officers
Which wounds most commonly cause death?
Head and Chest Wounds
Where do most deaths occur?
On the battlefield (mostly at the point of wounding and within <5 minutes of wounding)
Relatively few die once reaching a hospital

42. Summary
Simple things that you can do to keep yourself or your buddies alive.
Stop bleeding – quickly.
Keep shooting (the “best medicine”)
We need to train and fight smarter
Combat is not MILES play
IV’s are NOT the bottom line

43. QUESTIONS?