nomllc tccc equipment evaluation summary 111207

8/12/2019 NOMLLC TCCC Equipment Evaluation Summary 111207

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TCCC Equipment Evaluation

1. Have you treated combat casualties on the battlefield at or near the point of wounding

with significant injuries directly related to a combat action (such as blasts, gunshot,

shrapnel, etc.)?

Response

Percent

Response

Count

Yes, no previous evaluation

submitted electronically100.0% 264

Yes, resubmitting because

previous submission only partially

completed

0.0% 0

Yes, but already submitted a

completed evaluation electronically 0.0% 0

No 0.0% 0

If resubmitting, list reason why: 0

answered question 264

skipped question 0

2. Please provide the following information:

Response

Percent

Response

Count

Name:100.0% 263

Email Address:100.0% 263


skipped question 1


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3. What is your rate/rank?

Response

Percent

Response

Count

E1-E3 8.0% 21

E4-E5 38.8% 102

E6-E7 45.2% 119

E8-E9 8.0% 21


skipped question 1

4. What is your branch of service?

Response

Percent

Response

Count

Army 40.7% 107

Navy 47.5% 125

Air Force 11.8% 31


skipped question 1


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5. Which of the following best describes your combat medical qualifications?

Response

Percent

Response

Count

Army Combat Medic (68W) 34.5% 90

Ranger Medic 1.9% 5

Special Forces 18-D Medic 3.4% 9

Navy Corpsman (8404) 44.8% 117

Navy Corpsman (MARSOC

8403/8427)1.9% 5

Seal Operator with SOCM training 0.0% 0

Air Force Pararescueman 11.9% 31

Other 1.5% 4

Other (please specify)24


skipped question 3

6. In what countries have you treated combat casualties? (Check all that apply)

Response

Percent

Response

Count

Afghanistan 68.7% 178

Iraq 58.3% 151

Other 11.2% 29

Other (please specify)21


skipped question 5


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7. Please provide the following:

Response

Average

Response

Total

Response

Count

Estimated number of combat

casualties you treated ( eg. 5) 73.15 19,166 262

Over how many deployments (eg.

3) 2.50 654 262

Year you did/will return from

your most recent deployment

(eg. 2011)2,009.73 522,530 260


skipped question 2

8. Did you use a tourniquet to treat your casualties?

Response

Percent

Response

Count

Yes 81.4% 214

No 18.6% 49


skipped question 1


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9. Estimate the number of times you used the following tourniquets on your casualties (eg.

5). If item not used leave box blank.

Response

Average

Response

Total

Response

Count

Combat Application Tourniquet

(CAT) 12.86 2,661 207

SOF Tactical Tourniquet (SOFT-T)13.89 1,000 72

NATO Tourniquet4.17 75 18

MET Tourniquet3.00 3 1

Other (List)6.22 112 18


skipped question 51


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10. The tourniquet(s) I used was/were effective in stopping life-threatening extremity

bleeding (Note: Only rate items you used and leave rating blank for items not used)

Strongly

disagreeDisagree Neutral Agree

Strongly

Agree

Rating

Average

Response

Count

Combat Application Tourniquet

(CAT)3.9% (8) 2.9% (6) 1.4% (3) 47.8%

(99)

44.0%

(91)4.25 207

SOF Tactical Tourniquet (SOFTT) 1.4% (1) 0.0% (0) 2.8% (2)29.2%

(21)

66.7%

(48)4.60 72

NATO Tourniquet 0.0% (0) 5.6% (1) 11.1% (2) 27.8% (5)55.6%

(10)4.33 18

MET Tourniquet 0.0% (0) 0.0% (0) 0.0% (0)100.0%

(1)0.0% (0) 4.00 1

Other (List) 0.0% (0) 0.0% (0) 10.5% (2) 36.8% (7)52.6%

(10)4.42 19

Comments: (Ease of application, specific problems, strong points, performance in cold/heat/rain, etc.) Specify

item in your comments. 87


skipped question 51

11. Did you use a hemostatic agents (e.g. combat gauze) on your casualties?

Response

Percent

Response

Count

Yes 52.1% 136

No 47.9% 125


skipped question 3


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12. Estimate the number of times you used the following on your casualties (eg. 2). Leave

box blank for items not used.

Response

Average

Response

Total

Response

Count

Combat Gauze15.50 1,845 119

ChitoGauze12.91 284 22

Celox Gauze8.89 80 9

Others (List)22.35 514 23


skipped question 127

13. The hemostatic agent(s) I used was/were effective at stopping severe external bleeding

(Note: Only rate items you used and leave rating blank for items not used )

Strongly

disagree

Disagree Neutral AgreeStrongly

Agree

Rating

Average

Response

Count

Combat Gauze 0.8% (1) 2.5% (3) 4.2% (5)42.9%

(51)

49.6%

(59)4.38 119

ChitoGauze 4.5% (1) 4.5% (1) 13.6% (3)45.5%

(10)31.8% (7) 3.95 22

Celox Gauze 0.0% (0) 0.0% (0) 0.0% (0) 55.6% (5) 44.4% (4) 4.44 9

Other 4.3% (1) 8.7% (2) 26.1% (6) 30.4% (7) 30.4% (7) 3.74 23

Comments: (Ease of application, specific problems, specific strong points, performance in cold/heat/rain, etc.)

Specify item in your comments. 58




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14. Did you use an elastic wound bandage to treat your casualties?

Response

Percent

Response

Count

Yes 85.6% 225

No 14.4% 38


skipped question 1

15. Estimate how many times you used the following on your casualties (eg. 4). Leave box

blank for items not used.

Response

Average

Response

Total

Response

Count

Israeli bandage21.96 2,811 128

Trauma Wound Dressing16.97 1,035 61

Emergency Trauma Dressing

(NARP IFAK) 20.72 1,264 61

H-Bandage10.00 760 76

Generic elastic bandage (ace wrap)22.18 3,083 139

Bandage Kit Elastic (standard

issue) 37.25 1,341 36

Others (List)11.52 265 23


skipped question 38


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16. The elastic wound bandage(s) that I used was/were effective at controlling the bleeding

(Note: Only rate items you used and leave rating blank for items not used)

Strongly


Strongly

Agree

Rating

Average

Response

Count

Israeli bandage 0.0% (0) 1.5% (2) 3.1% (4) 49.2%(64)

46.2%

(60)4.40 130

Trauma Wound Dressing 0.0% (0) 1.6% (1) 8.2% (5)60.7%

(37)

29.5%

(18)4.18 61

Emergency Trauma Dressing

(NARP IFAK)0.0% (0) 0.0% (0) 6.7% (4)

45.0%

(27)

48.3%

(29)4.42 60

H-Bandage 0.0% (0) 2.6% (2) 10.4% (8)40.3%

(31)

46.8%

(36)4.31 77

Generic elastic bandage (ace wrap) 1.4% (2) 2.2% (3) 9.4% (13)44.9%

(62)

42.0%

(58)4.24 138

Bandage Kit Elastic (standard

issue)2.7% (1) 8.1% (3) 16.2% (6)

45.9%

(17)

27.0%

(10)3.86 37

Others (List) 8.7% (2) 4.3% (1) 13.0% (3) 30.4% (7)43.5%

(10)3.96 23

Comments: (Ease of application, specific problems, specific strong points, persformance in cold/heat/rain,

etc.) Specify item in your comments. 75


skipped question 38


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17. Did you use an airway device to treat your casualties who did not have direct trauma to

the airway?

Response

Percent

Response

Count

Yes

58.2% 153

No 41.8% 110


skipped question 1

18. Estimate how many times you used the following on your casualties (eg. 2). Leave box

blank for items not used.

Response

Average

Response

Total

Response

Count

Nasopharyngeal airway12.42 1,577 127

LMA3.44 31 9

Intubating LMA 3.18 35 11

King LT8.95 591 66

Endotracheal tube12.67 773 61




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19. The airway device(s) that I used was/were effective in establishing an airway in

casualties who did not have direct trauma to the airway (Note: Only rate items you used and

leave rating blank for items not used)

Strongly


Strongly

Agree

Rating

Average

Response

Count

Nasopharyngeal airway 0.8% (1) 3.2% (4)19.8%

(25)

45.2%

(57)

31.0%

(39)4.02 126

LMA 0.0% (0) 0.0% (0) 11.1% (1) 55.6% (5) 33.3% (3) 4.22 9

Intubating LMA 0.0% (0) 0.0% (0) 8.3% (1) 41.7% (5) 50.0% (6) 4.42 12

King LT 0.0% (0) 1.5% (1) 10.8% (7)46.2%

(30)

41.5%

(27)4.28 65

Endotracheal tube 1.6% (1) 1.6% (1) 3.3% (2) 31.1%(19)

62.3%(38)

4.51 61

Comments: (Ease of use, most difficult aspect of airway, performance in cold/heat/rain, etc.) Specify items in

your comments. 45



20. Did you perform a surgical airway to treat your casualties?

Response

Percent

Response

Count

Yes 25.6% 67

No 74.4% 195


skipped question 2


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21. Estimate how many times you used the following to perform a surgical airway on your

casualties (eg. 2). Leave box blank for items not used.

Response

Average

Response

Total

Response

Count

TAC MED Surgical Airway Kit1.29 9 7

CricKit2.33 84 36

No Kit - individual items packed

together 3.70 163 44

Other3.00 9 3



22. The surgical airway kit(s) that I used was/were effective in establishing a patent airway

(Note: Only rate items you used and leave rating blank for items not used.)

Stronglydisagree

Disagree Neutral Agree StronglyAgree

RatingAverage

ResponseCount

TAC MED Surgical Airway Kit 0.0% (0) 0.0% (0) 14.3% (1) 42.9% (3) 42.9% (3) 4.29 7

CricKit 5.6% (2) 0.0% (0) 2.8% (1)50.0%

(18)

41.7%

(15)4.22 36

No Kit - individual items packed

together2.3% (1) 0.0% (0) 4.5% (2)

25.0%

(11)

68.2%

(30)4.57 44

Other (List in comment box) 33.3% (1) 0.0% (0) 0.0% (0) 0.0% (0) 66.7% (2) 3.67 3

Comments: (Ease of use, most difficult aspect of airway, performance in cold/heat/rain, etc.) Specify items in

your comments. 30




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23. Did you perform a needle decompression on your casualties for a suspected tension

pneumothorax?

Response

Percent

Response

Count

Yes 43.0% 113

No 57.0% 150


skipped question 1

24. Estimate how many times did you used the following on your casualties for needle

decompression (eg. 2). Leave box blank for items not used.

Response

Average

Response

Total

Response

Count

14 gauge 3.25 inch needle5.41 606 112

Other4.08 49 12




14/2314 of 23

25. The needle(s) that I used was/were effective in performing a needle decompression for

a suspected tension pneumothorax (Only rate items you used). (Note: Needle

decompression does not benefit all casualties with suspected tension pneumothorax even

if performed correctly)

Strongly

disagree Disagree Neutral Agree

Strongly

Agree

Rating

Average

Response

Count

14 gauge 3.25 inch 1.8% (2) 0.9% (1)11.6%

(13)

32.1%

(36)

53.6%

(60)4.35 112


Comments: (Ease of use, specific problems, etc.)36



26. Did you use a chest seal to treat a sucking chest wound (open pneumothorax) in your

casualties?

Response

Percent

Response

Count

Yes 52.9% 139

No 47.1% 124


skipped question 1


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27. Estimate how many time you used the following chest seals on your casualties (eg. 2).

Leave box blank for items not used.

Response

Average

Response

Total

Response

Count

Halo5.68 216 38

Hyfin6.48 350 54

H+H11.00 44 4

Asherman6.03 525 87

Bolin6.31 303 48

Other5.88 141 24




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28. The chest seal(s) I used was/were effective at sealing the sucking chest wound (Note:

Only rate items you used and leave rating blank for items not used)

Strongly


Strongly

Agree

Rating

Average

Response

Count

Halo 0.0% (0) 0.0% (0) 2.6% (1) 23.1% (9) 74.4%(29)

4.72 39

Hyf in 1.9% (1) 3.7% (2) 3.7% (2)46.3%

(25)

44.4%

(24)4.28 54

H+H 25.0% (1) 25.0% (1) 0.0% (0) 25.0% (1) 25.0% (1) 3.00 4

Asherman16.3%

(14)

27.9%

(24)

16.3%

(14)

31.4%

(27)8.1% (7) 2.87 86

Bolin 8.2% (4) 6.1% (3) 16.3% (8) 42.9%(21)

26.5%(13)

3.73 49

Other (List in comment box) 0.0% (0) 4.0% (1) 20.0% (5) 32.0% (8)44.0%

(11)4.16 25

Comments: (Ease of use, adhesion, specific problems, performance in cold/heat/rain/sand, etc.) Specify items

in your comments. 81



29. Have you used an intraosseous device in treating combat casualties?

Response

Percent

Response

Count

Yes 30.4% 80

No 69.6% 183


skipped question 1


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30. Estimate how many times did you used the following IO device on your casualties (eg.

2). Leave box blank for items not used.

Response

Average

Response

Total

Response

Count

Pyng Fast-14.69 253 54

EZ-IO - Sternal2.20 44 20

EZ-IO - Tibial (Manual)4.11 37 9

EZ-IO - Tibial (Drill)4.85 97 20

EZ-IO - Humeral (Manual)1.00 2 2

EZ-IO - Humeral (Drill)4.80 72 15

Bone Injection Gun1.80 9 5

Other18.50 37 2




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31. The intraosseous device (s) I used was/were effective in establishing IO vascular

access (Note: Only rate items you used and leave rating blank for items not used )

Strongly


Strongly

Agree

Rating

Average

Response

Count

Pyng Fast-1 1.8% (1) 5.5% (3) 5.5% (3)29.1%

(16)58.2%

(32)4.36 55

EZ-IO - Sternal 0.0% (0) 5.3% (1) 15.8% (3) 36.8% (7) 42.1% (8) 4.16 19

EZ-IO - Tibial (Manual) 0.0% (0) 12.5% (1) 0.0% (0) 50.0% (4) 37.5% (3) 4.13 8

EZ-IO - Tibial (Drill) 0.0% (0) 14.3% (3) 4.8% (1)47.6%

(10)33.3% (7) 4.00 21

EZ-IO - Humeral (Manual) 0.0% (0) 0.0% (0) 0.0% (0) 50.0% (1) 50.0% (1) 4.50 2

EZ-IO - Humeral (Drill) 0.0% (0) 0.0% (0) 7.1% (1) 57.1% (8) 35.7% (5) 4.29 14

Bone Injection Gun 33.3% (2) 16.7% (1) 16.7% (1) 16.7% (1) 16.7% (1) 2.67 6

Other 0.0% (0) 0.0% (0) 0.0% (0)100.0%

(2)0.0% (0) 4.00 2

Comments: (Ease of use, time to insert, reliability of access, specific problems, performance in cold/heat/rain,

etc.) Specify items in your comments. 27



32. Did you administer narcotic pain medications or ketamine to treat your casualties'

severe pain in the prehospital setting?

Response

Percent

Response

Count

Yes 70.3% 185

No 29.7% 78


skipped question 1


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33. Estimate how many times you used the following in the prehospital setting on your

casualties (eg. 2). Leave box blank for items not used.

Response

Average

Response

Total

Response

Count

Oral Transmucosal Fentanyl Citrate

(OFTC) Lozenges 800 mcg 7.06 381 54

IV Morphine14.63 1,419 97

IM Morphine9.47 1,278 135

Ketamine12.57 528 42

Other23.85 644 27


skipped question 79


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34. The pain medication(s) that I administered to my casualties in the prehospital setting

was/were effective at providing rapid relief of severe pain (Note: Only rate items you used

and leave rating blank for items not used)

Strongly


Strongly

Agree

Rating

Average

Response

Count

Oral Transmucosal Fentanyl

Lozenges3.8% (2) 5.8% (3) 11.5% (6)

38.5%

(20)

40.4%

(21)4.06 52

IV Morphine 2.1% (2) 2.1% (2) 5.2% (5)46.4%

(45)

44.3%

(43)4.29 97

IM Morphine 0.7% (1) 6.7% (9) 9.6% (13)43.0%

(58)

40.0%

(54)4.15 135

Ketamine 0.0% (0) 0.0% (0) 0.0% (0)29.3%

(12)

70.7%

(29)

4.71 41

Other (list in comment box) 0.0% (0) 0.0% (0) 7.4% (2)37.0%

(10)

55.6%

(15)4.48 27

Comments: (Side effects noted, time to effective pain relief, ease of use, etc.) Specify items in your

comments. 69


skipped question 79

35. Did you use devices, blankets, or other equipment to treat or prevent hypothermia?

Response

Percent

Response

Count

Yes 71.1% 187

No 28.9% 76


skipped question 1


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36. Estimate how many times you used the following on your casualties (eg. 2). Leave blank

for items not used.

Response

Average

Response

Total

Response

Count

Ready Heat Blanket26.07 1,408 54

Blizzard Survival Blanket29.29 1,230 42

Heat Reflective Shell23.24 2,022 87

Wool Blanket33.38 3,738 112

Poncho19.00 570 30

Poncho Liner9.27 473 51

Human Remains Pouch17.75 497 28

Other11.36 250 22


skipped question 77


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37. The device(s), blanket(s) or other equipment that I used was/were well-suited for use on

battlefield casualties (Only rate items you used and leave rating blank for items not used).

(Note: Actual core temperature measurement is not routinely performed on the battlefield

and is difficult for the provider to judge.)

Strongly

disagree Disagree Neutral Agree

Strongly

Agree

Rating

Average

Response

Count

Ready Heat Blanket 0.0% (0) 3.6% (2) 10.9% (6)36.4%

(20)

49.1%

(27)4.31 55

Blizzard Survival Blanket 2.4% (1) 7.3% (3) 7.3% (3)34.1%

(14)

48.8%

(20)4.20 41

Heat Reflective Shell 1.1% (1) 3.4% (3)13.8%

(12)

49.4%

(43)

32.2%

(28)4.08 87

Wool Blanket 2.7% (3) 6.3% (7)15.2%

(17)

47.3%

(53)

28.6%

(32)3.93 112

Poncho 0.0% (0) 6.7% (2) 20.0% (6)53.3%

(16)20.0% (6) 3.87 30

Poncho Liner 0.0% (0) 3.9% (2)31.4%

(16)

43.1%

(22)

21.6%

(11)3.82 51

Human Remains Pouch 0.0% (0) 3.7% (1) 22.2% (6) 33.3% (9)40.7%

(11)4.11 27


Comments: (Durability, patient reaction, ease of use, carriage weight, performance in cold/heat/rain, etc.)

Specify items in your comments. 65


skipped question 77


23/23

38. Is there other battlefield trauma care equipment that you used and would like to

comment on?

Response

Count

81



39. Is there other battlefield trauma care equipment, medication, or devices that you

needed and did not have?

ResponseCount

72



40. Additional comments?

Response

Count

53



nomllc tccc equipment evaluation summary 111207

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