Kotwal Russ S - Ranger Medic Handbook

Original edition dedicated to the memory of SFC Marcus V. Muralles and PFC James M. Markwell.

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Library of Congress Cataloging-in-Publication Data is available on file. Cover design by Rain Saukas

ISBN: 978-1-63450-332-7

Ebook ISBN: 978-1-63450-959-6

Printed in China

FOREWORD

Historically in warfare, the majority of all combat deaths have occurred prior to a casualty ever receiving advanced trauma management. The execution of the Ranger mission profile in the Global War on Terrorism and our legacy tasks undoubtedly will increase the number of lethal wounds.

Ranger leaders can significantly reduce the number of Rangers who die of wounds sustained in combat by simply targeting optimal medical capability in close proximity to the point of wounding. Survivability of the traumatized Ranger who sustains a wound in combat is in the hands of the first responding Ranger who puts a pressure dressing or tourniquet and controls the bleeding of his fallen comrade. Directing casualty response management and evacuation is a Ranger leader task; ensuring technical medical competence is a Ranger Medic task.

A solid foundation has been built for Ranger leaders and medics to be successful in managing casualties in a combat environment. An integrated team response from non-medical personnel and medical providers must be in place to care for the wounded Ranger. The Ranger First Responder, Squad EMT, Ranger Medic Advanced Tactical Practitioner, and Ranger leaders, in essence all Rangers must unite to provide medical care collectively, as a team, without sacrificing the flow and violence of the battle at hand.

An integrated team approach to casualty response and care will directly translate to the reduction of the died of wounds rate of combat casualties and minimize the turbulence associated with these events in times of crisis. The true success of the Ranger Medical Team will be defined by its ability to complete the mission and greatly reduce preventable combat death. Rangers value honor and reputation more than their lives, and as such will attempt to lay down their own lives in defense of their comrades. The Ranger Medic will do no less.

I will never leave a fallen comrade...

Harold R. Montgomery

MSG, USA

Regimental Senior Medic

1997-Present

RHHC Senior Medic

1995-1997

1/75 Plt, Co, BAS NCOIC

1990-1995

Russ S. Kotwal, MD

LTC, MC

Regimental Surgeon

2005-Present

3/75 Battalion Surgeon

1999-2003

Table of Contents

SECTION ONE

GENERAL OVERVIEW

MISSION STATEMENT

The mission of the 75 th Ranger Regiment Trauma Management Team (Tactical) is to provide medical care and training in accordance with the tenets of Tactical Combat Casualty Care, Tactical Medical Emergency Protocols, and Pre-Hospital Trauma Life Support; in order to provide optimal health care to a Joint Special Operations Task Force conducting missions in support of U.S. policies and objectives.

RANGER MEDIC CHARTER

SOCM ATP

( S pecial O perations C ombat M edic A dvanced T actical P ractitioner)

S hoot and engage targets to defend casualties and self.

O perate relatively independently with highly-dispersed highly-mobile combat formations in an austere environment.

C ommunicate via secure and non-secure means.

M ove tactically through unsecured areas.

A bsolute master of the basics through pre-hospital trauma life support and tactical combat casualty care.

T imely, consistent, and competent provider of advanced trauma management within scope of practice.

P ractitioner who assists licensed medical providers with medical emergencies and routine care encountered while in garrison, training, and during deployments.

REVIEW COMMITTEES

2001

MAJ Kotwal (3/75 Battalion Surgeon)

MAJ Meyer (3/75 Battalion PT)

CPT Detro (3/75 Battalion PA)

SFC Miller (3/75 Battalion Senior Medic)

SFC Montgomery (Regimental Senior Medic)

SSG Flores (3/75 Company Senior Medic)

SSG Gentry (3/75 Company Senior Medic)

SSG Muralles (3/75 Company Senior Medic)

SSG Odom (3/75 Company Senior Medic)

SSG Rothwell (3/75 Company Senior Medic)

2003

MAJ Wenzel (Regimental Surgeon)

MAJ Cain (1/75 Battalion Surgeon)

MAJ Kotwal (3/75 Battalion Surgeon)

MAJ Sassano (Regt Med Ops Officer)

SFC Montgomery (Regimental Senior Medic)

SFC Miller (Regt Med Plans & Trng NCO)

SFC Swain (2/75 Battalion Senior Medic)

SFC Flores (3/75 Battalion Senior Medic)

SSG Odom (3/75 Senior Medic)

SSG Williamson (2/75 Company Sr Medic)

2004

MAJ Wenzel (Regimental Surgeon)

CPT Pairmore (1/75 Battalion PA)

CPT Nieman (2/75 Battalion PA)

CPT Kelsey (Regt Med Ops Officer)

MSG Montgomery (Regt Senior Medic)

SFC Crays (2/75 Battalion Senior Medic)

SFC Flores (3/75 Battalion Senior Medic)

SSG Odom (3/75 Battalion Senior Medic)

SSG Williamson (Regt Med Training NCO)

SSG Medaris (1/75 Company Senior Medic)

SSG Garcia (2/75 Company Senior Medic)

SSG Severtson (2/75 Company Sr Medic)

2005

LTC Kotwal (Regimental Surgeon)

MAJ Matthews (1/75 Battalion Surgeon)

MAJ McCarver (2/75 Battalion Surgeon)

CPT Sterling (Regimental PA)

CPT Detro (3/75 Battalion PA)

CPT Reedy (1/75 Battalion PA)

CPT Slevin (2/75 Battalion PA)

CPT Grenier (2/75 Battalion PT)

CPT Soliz (3/160 Battalion PA)

MSG Montgomery (Regimental Senior Medic)

SFC Crays (2/75 Battalion Senior Medic)

SFC Warren (1/75 Battalion Senior Medic)

SSG Williamson (Regt Med Plans & Tng NCO)

SSG Gillaspie (2/75 Company Senior Medic)

SGT Kindig (2/75 Company Senior Medic)

SGT Robbins (3/75 Company Senior Medic)

SGT Slavens (3/75 Company Senior Medic)

SGT Morissette (3/75 Platoon Medic)

SPC Kacoroski (2/75 Platoon Medic)

SPC Ball (2/75 Platoon Medic)

SPC Lewis (3/75 Platoon Medic)

SPC Guadagnino (3/75 Platoon Medic)

SPC Drapeau (3/75 Platoon Medic)

2006

LTC Kotwal (Regimental Surgeon)

CPT Redman (1/75 Battalion Surgeon)

CPT Cunningham (2/75 Battalion Surgeon)

CPT Miles (3/75 Battalion Surgeon)

CPT Sterling (Regimental PA)

CPT Detro (Regimental PA)

CPT Fox (3/75 Battalion PA)

CPT Speer (Regt Med Ops Officer)

CPT Pollman (3/75 Battalion PT)

MSG Montgomery (Regimental Senior Medic)

SFC Odom (Regimental Medical Training NCO)