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Powdered High Strength Calcium Hypochlorite (Ca(ClO)₂) is essential for a medic to keep in the team house or aid station in an austere environment. It can easily be bought, transported and reconstituted for many purposes… Instrument Disinfection: Autoclaving instruments with high pressure steam is the industry standard for sterilization. This is why the SF Medical TACSET includes the infamous portable pressure sterilizer more commonly known to the rest of the team as the lobster pot. If you find yourself in a situation without the lobster pot there are some other techniques for high level disinfection which will get your surgical instruments cleaner than just wiping them on your pants. These techniques include using dry heat, boiling, microwave, UV exposure and chemical dips. To use Calcium Hypochlorite for “sterilization” of surgical instruments be sure to grossly decontaminate with a wire or stiff bristle brush first. Then mix 75g of 70% strength Ca(ClO)₂ into a liter bottle to make a household 5.25% strength bleach solution. Contact time is 5-10mins. Once you have scrubbed in and made yourself as sterile as possible, remove the instruments drom the bleach bath and irrigate with sterile irrigation fluid before use. This solution contains approx 52,500ppm Hypochlorite. One of the weaker solutions described below can also be used as long as contact time is increased. Soaking any longer than recommended will damage the instruments as it is a powerful oxidizer. Do not store in a metal container or in a container with a metal cap. Water Purification: 5 drops of this 5.25% solution can be used to purify a liter of suspect water in order to remove bacteria and viruses to make safe for drinking. This will not kill Giardia or Cryptosporidium cysts. Those must be filtered or purified in another manner. This also will not remove other pollutants such as chemicals or heavy metals. Surface disinfectant: To make a strong disinfecting solution for surfaces exposed to bodily fluids such as patient litters and other non-sterile equipment, mix 100mLs of the 5.25% solution with 900mL of clean water... Read the rest at www.prolongedfieldcare.org

After lifesaving MARCH-E-PAWS-B interventions are complete, our RAVINES mnemonic can be used to transition priorities of patient care for prolonged patient care. When does HITMAN come into play? What other nursing or trauma mnemonics do you use? What checklists do you use to preclude the need for a mnemonic? RAVINES Blog link in BIO https://prolongedfieldcare.org/2015/03/15/ravine-mnemonic-for-prolonged-field-care/ #PFCWG #prolongedfieldcare #nursing #criticalcarenurse #cotccc #SOMSA18 #SOMA #sfmedic #sfms #soidc #socm #remotemedic

There are many lessons to be learned by those NGOs who went when no one else would. Stay tuned for podcast 37 with Alex Potter of GRM... #NGOGRM #SFMS #AustereMedicine #remotemedicine #combatmedic

You know I love me some pool noodle! Add saran wrap and coban and now you have a cheapo DIY surgical procedure trainer. Fasciotomy, Escharotomy, Debridement... What else can you use it for? How can you customize or improve upon the idea. Wound care podcast link in bio. @raggededgesolutions @northamericanrescue @nextgenerationcombatmedic @precisiontacmed @joel_ddey @combatmedical @ppa.int.medical @thetourniquetproject @SOMA #SFMS #SOIDC #SOCM #SARC #ICRC #SCCC #TCCC #CombatMedic #SOMSA18 #SOMA #JSOM

What barriers remain in getting blood back where it belongs in time to make a difference? Who should be pushing blood on the battlefield? How late is too late? What solutions do you bring to the table? #NGCM #rdcr #PFCare #sfms #socmed #976toomany

How would you handle this wound after 12 hours? How does the exposed bone alter your care plan? What about pain out of proportion especially on passive extension, pallor, pulselessness, parasthesia??? High quality, simulated wounds will help keep medics' heads in the game. Another amazing job by the artists during the recent PFC exercise by Ragged Edge Medical and 3rd SFG(A) DARK WOODS experience which tested multiple ODAs in both the medical and operational issues associated with long range CASEVAC situations. Check out our new wound care guidelines at ProlongedFieldCare.org #darkwoods #mountainpath #3rdsfg #18D #SFMS #SOIDC 68w #SOCM #SOCAMS #ICRC #JSOMTC #JSOM #NGCM #SOMA #SOMSA #pfc #prolongedfieldcare

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October 12, 2015March 11, 2017Leave a commentArticles, education, Journal, Medicine, Research

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