An Experimental Predeployment Training Program Improves Self-Reported Patient Treatment Confidence andPreparedness of Army Combat Medics

Abstract

Objective. To develop andassess impact of a focused review of International Trauma Life Support (ITLS) andcombat casualty care with hands-on procedure training for U.S. Army medics deploying to Iraq. Methods. The setting was a U.S. Army Medical Department Center andSchool andCamp Eagle, Iraq. Investigators developed andimplemented a command-approved prospective educational intervention with a post hoc survey. Subjects completed a three-day course with simulator andlive-tissue procedure laboratories. At deployment's end, medics were surveyed for experience, confidence, andpreparedness in treating various casualty severity levels. Investigators used two-tailed t-test with unequal variance for continuous data andchi-square for categorical data. Results. Twenty-nine medics deployed. Eight completed the experimental program. Twenty-one of 25 (84%) available medics completed the survey including six of the eight (75%) experimental medics. The experimental group reported significantly greater levels of preparedness andconfidence treating “minimal,” “delayed,” and“immediate” casualties at arrival in Iraq. These differences dissipated progressively over the time course of the deployment. Conclusions. This experimental program increased combat medic confidence andperceived level of preparedness in treating several patient severity levels. Further research is warranted to determine if the experimental intervention objectively improves patient care quality andtranslates into lives saved early in deployment.

Key words:

• combat casualty care
• emergency medical services
• allied health education
• tactical EMS
• military medicine