Posted on Jul 29, 2019
In the modern Army Combat Lifesaver Course, do students still have to have an IV performed on them as well as a nasogastric tube?
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Also, do they have to do them on other students?
Posted >1 y ago
Responses: 4
IV training is no longer a part of CLS training. The NG tube is still included. And yea, you are probably going to give each other an NG tube.
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SGT Joseph Cabra - I think it's probably guys that had 2 days of CLS training 6 months prior to deployment and no other real medical training. They're under extreme stress and just default back to the thing that sticks out the most from CLS. There are several case studies where soldiers died because a CLS was trying to place an IV instead of placing a tourniquet on an arterial extremity bleed.
IV-placement at the CLS level doesn't really make sense to me anyways. There is better use of CLS time when initially treating a casualty before a medic or higher level of care arrives. Plus, it's such a perishable skill.
IV-placement at the CLS level doesn't really make sense to me anyways. There is better use of CLS time when initially treating a casualty before a medic or higher level of care arrives. Plus, it's such a perishable skill.
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MAJ Byron Oyler
When I was a young medic I had this giant ass aid bag I would take to anything of grave concern and pretty much never used it. Most of those supplies in some shape or another are in my vehicle. In my bag is a 14ga needle for chest decompressions and a tourniquet, the two things killing the most these days.
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You are all confusing a Nasopharyngeal Tube with the Nasogastric Airway. There has NEVER been a Nasogastric tube as part of CLS.
The Nasogastric tube (AKA an NG Tube) goes through your nose and all the way down into your stomach (thus the gastric in the name) to help either suction stomach contents or decompress stomach gasses.
A Nasopharyngeal Airway (AKA an NPA) goes through your nose but stops just behind the tongue. It is use to help prevent your tongue from sliding into the back of your throat and blocking off your ability to breath and move air. It is used as a simple and easy way to help someone who is (usually) conscious but still having some difficulty maintaining their own airway.
Additionally the IV was removed for several reasons that I won't go into here but MAY find its way back into the CLS program in a few years due to the push for whole blood transfusions.
The Nasogastric tube (AKA an NG Tube) goes through your nose and all the way down into your stomach (thus the gastric in the name) to help either suction stomach contents or decompress stomach gasses.
A Nasopharyngeal Airway (AKA an NPA) goes through your nose but stops just behind the tongue. It is use to help prevent your tongue from sliding into the back of your throat and blocking off your ability to breath and move air. It is used as a simple and easy way to help someone who is (usually) conscious but still having some difficulty maintaining their own airway.
Additionally the IV was removed for several reasons that I won't go into here but MAY find its way back into the CLS program in a few years due to the push for whole blood transfusions.
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I remember all the apologies during IV initiation on fellow students, I never heard as many back to back apologies because each student that started an IV on his fellow student had to have that student start an IV on them. And you didn't get to pick who would be your partner. Good training
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MAJ Byron Oyler
At AIT my first IV I failed to place distal pressure and he ended up with a new stain on his BDUs. They it was my time and that did not go so well for me.
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This should be starting to be replaced by TCCC. It's been a policy now since 2018. I did NCOPD on it in SLC and could get all the policy and references if needed.
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There is no reason to have all soldiers go through TCCC, CLS is more than adequate for the avg. soldier.
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