PERFORM FIRST AID TO PREVENT OR CONTROL SHOCK

081-831-1005(SL1)

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CONDITIONS

You see a casualty who is breathing. There is no uncontrolled bleeding. The casualty has one or more of the symptoms of shock. Necessary equipment and materials: a field jacket and blanket or poncho.

STANDARDS

Attempted to prevent a casualty from going into shock by: correct positioning, loosening binding clothes, calming and reassuring, and providing shade from direct sunlight during hot weather or covering to prevent body heat loss during cold weather. Did not cause further injury to the casualty.

TRAINING AND EVALUATION

Training Information Outline

1. Position the casualty.

a. Move the casualty to cover if cover is available and the situation permits.

b. Lay the casualty on his or her back unless a sitting position will allow the casualty to breathe easier.

c. Elevate the casualty's feet higher than the heart using a stable object so the feet will not fall.

WARNING

DO NOT ELEVATE THE CASUALTY'S LEGS IF THE CASUALTY HAS A FRACTURED OR BROKEN LEG, AN ABDOMINAL WOUND, OR A HEAD WOUND.

2. Loosen clothing at the neck, waist, or anywhere it is binding.

WARNING

DO NOT LOOSEN CLOTHING IF IN A CHEMICAL AREA.

3. Prevent the casualty from chilling or overheating.

a. Cover the casualty to avoid loss of body heat and, in cold weather, place cover under as well as over the casualty. Use a blanket or clothing, or improvise a cover.

b. Place the casualty under permanent or improvised shelter in hot weather to shade him or her from direct sunlight.

WARNING

DO NOT GIVE THE CASUALTY ANYTHING TO EAT OR DRINK.

4. Calm and reassure the casualty.

a. Take charge and show self-confidence.

b. Assure the casualty that he or she is being taken care of.

WARNING

IF YOU MUST LEAVE THE CASUALTY, TURN HIS OR HER HEAD TO THE SIDE TO PREVENT CHOKING IF VOMITING OCCURS.

5. Seek medical aid.

NOTE: Watch the casualty closely for life-threatening conditions, check for other injuries, and seek medical aid.

Evaluation Preparation

Setup: You will need another soldier to play the part of the casualty. Have the casualty lie down. You can have a canteen of water available and have the casualty say that he or she is thirsty while testing step 3.

Brief Soldier: Tell the soldier to do all necessary first aid steps to prevent shock. You can vary the test by telling the soldier whether it is hot or cold or that the casualty has a broken leg or abdominal wound to see if the soldier knows what to do. Do not evaluate step 5 in the simulated mode.

Evaluation Guide

Performance Measure	Results

1. Position the casualty correctly.	P	F
2. Loosen tight/binding clothes.	P	F
3. Prevent the casualty from chilling or overheating.	P	F
4. Reassure the casualty.	P	F
5. Seek medical aid.	P	F

Feedback

Score the soldier GO if all performance measures are passed. Score the soldier NO GO if any performance measure is failed. If the soldier scores NO GO, show what was done wrong and how to do it correctly.