Peri kinetic medical

There are 3 workout programs, that I have come across that I feel are great for keeping you in check for those potential life threatening scenarios that can happen in life. These programs let you know if you would be an asset or liability. They all have workouts that push your cardio as well as your strength, endurance and mental toughness.

1.Hard To Kill Fitness: weights, running, rucking and swimming.
2.Iron Wolf (Active Duty Marine) high rep calisthenics, body armor, running, kettle bells.
3.The ATG program: Rehab, agility, flexability

As you do your social distancing, which should have already been in place. (i.e. no one inside your immediate space.) 😉 push yourself somehow physicaly and mentaly, dont get stuck inside. Get that go bag out, add some weight, hit the hills and test your gear.

What is MARCH and MIST? Can Civilians Use It?

INTRO: When we use methodical algorithms to identify an immediate treatment of life threatening wounds, countless lives are saved. It is widely known that civilian trauma and pre-hospital care advance greatly from military medicine….

What is MARCH? An algorithm developed initially for the battlefield. Something you will see in a tactical combat casualty setting. Highly effective in applying life saving skills. It starts with the most life threatening injury first, then goes down the line, perfect for when it hits the fan. This allows for effective treatment, quickly and efficiently in the pre-hospital setting, From military down to the civilian level.

MARCH Breakdown:
M- massive hemorrhage (bleeding)
A- airway
R- respiratory
C- circulation
H- hypothermia/head injuries

What Is MIST? It’s a quick simple way to assess the injured person, by finding out what caused the injury, what is the injury, what kind of signs and symptoms is the person showing. Finally what kind of treatment will be done. You will also use this to fill out your report, or to relay to advanced life support. Its quick and easy to remember, when you're under stress.

• Is this relevant to civilians? Yes, with the increase of shootings, bombings the need for learning trauma aid has increased. Even though its not a combat scenario, you're still dealing with trauma. There are some organizations that use the acronym C-A-B or A-B-C, its similar but a little behind on the times. There is Casualty care committee for civilians, its developed to teach the same skills from battlefield data, but without the focus on combat. Remember Tactical and Combat are not the same thing. That is why they took combat out of the algorithm so it would be relevant for civilian first responders, and bystanders. Also, its not always about tactics and shootings. Many people die from blood loss everyday, from construction crews, farmers, car accidents, to your kid finding the kitchen knife. The point is, its relevant and Its the matter of someone’s life or yours.

MIST breakdown
M- mechanism of injury: Rifle
I- injury sustained: Gunshot wound to the chest, legs, stomach, etc.
S- signs/symptoms: massive bleeding, shock, abnormal breathing, blocked airway, rapid
breathing etc.
T- treatment: direct pressure, gauze, tourniquet, pressure wrap, occlusive dressings etc.

Mindset and Gear
Other things that increase your chance of success is your mindset, do not be the one who gets in your own way, have the open mind to learn. Without the right mindset you will not be ready, you're not going to have the proper kit, or have it ready or worse not even know how to use it. Following mindset, considering you have it, will be your gear, it does not have to be fancy, just practical, and T.C.C.C suggested. The way you can set up the gear, is by using the MARCH algorithm. For every word, you will have a tool for treating.

Gear Setup
• Massive bleeding: Gloves, eye pro, TQ, hemostatic gauze, non hemostatic gauze, pressure dressing, trauma sheers, sharpie to record TQ time.
• Airway: NPA/OPA (Note: stay in scope of practice for airway adjuncts)
• Respirations: Any type of barrier for CPR, Pocket mask, BVM. (2)Chest seals.(Note: stay in scope of practice for airway management.)
• Circulation: Check previous interventions, treat any new conditions, check pulses, BP cuffs, stethoscope, pulse ox, skin conditions, start treating for shock. (Stay in scope of practice.) I.V.’s, TXA so on.
• Hypothermia/head injury: heat blanket, dressings for head injuries, cervical collar, Perl pen.

• Things to consider:
One TQ is none, 2 TQ's is One, and have a lot of gauze. Your gear needs to be easily accessible; you need to be familiar of where the contents are in your kit, and obviously how to use it. Don’t assume because you have the gear, you will know what to do. Take a class, and practice, practice, practice, even the best practice the basics over and over. We train and practice to make sure we are always in the proper mindset, and that we do not make mistakes when it counts. Train on yourself, your spouse or buddy, and train how you would communicate with emergency responders. Informing them with accurate professional information will help with the success of getting the person to the hospital quickly.

How do you Advance?

Challenge Yourself. Sign up for a Tactical Emergency Casualty Care or a basic trauma course offered for both first responders and civilians. This course challenges your knowledge, experience and perspective on any trauma emergency scenarios that you are not often exposed to. It provides insight on how a scenario may feel when you are providing medical care in an escalated emergency situation.

Practice. Practice. Practice. Practicing is essential to the outcome of a medical emergency. The more you practice the more confident and second nature each step and action becomes so you will be better prepared.

Continuing Education. Most medical careers require continuing education but even if you are not in the medical field, continuing to educate yourself allows you to keep up to date with any changes to standard care. Continuing education is a critical component to continued success in patient outcome.

Conclusion No matter your occupation, we know life is unpredictable. You could be anywhere, doing anything, and come across, or be in the worst scenario of your life. The complacent will fail; the ones who are prepared, and trained will succeed. Why? Because this could mean your life, your families, co-workers, or a bystander. The information covered is relevant for us today and needs to be taken seriously.

At Peri Kinetic Medical we can instruct and certify through AHA Approved stop the bleed courses and basic CPR/First aid courses that can be tailored for you.

Pre hospital care for life threatening conditions.