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The US Army Combat Lifesaver Course is an official medical training course conducted by the
US Army The United States Army (USA) is the land service branch of the United States Armed Forces. It is one of the eight U.S. uniformed services, and is designated as the Army of the United States in the U.S. Constitution.Article II, section 2, c ...
. The course is intended to provide an intermediate step between the buddy aid-style
basic life support Basic life support (BLS) is a level of medical care which is used for patients with life-threatening illnesses or injuries until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians). It can be p ...
taught to every soldier and the
advanced life support Advanced Life Support (ALS) is a set of life saving protocols and skills that extend basic life support to further support the circulation and provide an open airway and adequate ventilation (breathing). Components These include: * Tracheal i ...
skills that are taught to US Army
Combat Medic A combat medic, or healthcare specialist, is responsible for providing emergency medical treatment at a point of wounding in a combat or training environment, as well as primary care and health protection and evacuation from a point of injur ...
s and to US Army Special Forces Medical Sergeants ( MOS 68W and MOS 18D respectively).


Course outline

* 40 hours theory & practical instruction * 50 question written exam (pass/fail), 70% minimum score * 20 minute practical exam (pass/fail), 100% minimum score While a CLS certification is technically permanent, soldiers in Priority 1 units (actively-deploying
brigade combat team The brigade combat team (BCT) is the basic deployable unit of maneuver in the U.S. Army. A brigade combat team consists of one combat arms branch maneuver brigade, and its assigned support and fire units. A brigade is normally commanded by ...
s, for example) must retake the course once a year to retain their certification. Tuesday, 15 December 2020


Scope of curriculum

Aside from basic first aid, Combat Lifesavers are also taught to identify and perform the correct pre-hospital treatment for: *
Tension pneumothorax A pneumothorax is an abnormal collection of air in the pleural space between the lung and the chest wall. Symptoms typically include sudden onset of sharp, one-sided chest pain and shortness of breath. In a minority of cases, a one-way valve ...
produced by a penetrating (bullet/frag) or non-penetrating (explosive
barotrauma Barotrauma is physical damage to body tissues caused by a difference in pressure between a gas space inside, or contact with, the body and the surrounding gas or liquid. The initial damage is usually due to over-stretching the tissues in tens ...
) lung injury * Vascular
hypovolemia Hypovolemia, also known as volume depletion or volume contraction, is a state of abnormally low extracellular fluid in the body. This may be due to either a loss of both salt and water or a decrease in blood volume. Hypovolemia refers to the lo ...
produced by uncontrolled external
hemorrhage Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethra, vag ...
* External
arterial An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pul ...
hemorrhage (especially from an extremity) * Destabilized
spinal cord injuries A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cor ...
* Sucking chest wound produced by a penetrating (bullet/frag) chest injury *
Respiratory failure Respiratory failure results from inadequate gas exchange by the respiratory system, meaning that the arterial oxygen, carbon dioxide, or both cannot be kept at normal levels. A drop in the oxygen carried in the blood is known as hypoxemia; a rise ...
produced by a non patent airway in an unconscious or semi-conscious casualty Combat Lifesavers are not, however, trained or permitted to perform (among other things)
laryngoscopy Laryngoscopy () is endoscopy of the larynx, a part of the throat. It is a medical procedure that is used to obtain a view, for example, of the vocal folds and the glottis. Laryngoscopy may be performed to facilitate tracheal intubation during ...
, single lumen
tracheal intubation Tracheal intubation, usually simply referred to as intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. It is frequently ...
or any kind of surgery (such as emergency cricothyrotomy)


References

{{Reflist Military education and training in the United States