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Announcements

The New EFMB regulation (AMEDDC&S Pam 350-10 dated TBD) will soon be released.  A copy of the Draft version of this regulation is being posted to assist organizations and candidates in preparing for EFMB Testing.  The current references and training material will remain on the website for a while longer.  After that  they will be removed, because they are no longer applicable for EFMB Testing.  While it remains the commander's responsibility to train their Soldiers for EFMB testing, the EFMB TCO has begun constructing a New EFMB Training Package to assist everyone.  However, it will take time to complete.  Items will be added as they are completed and ready for use.

Draft of New EFMB Regulation     New EFMB Slideshow

AMEDDC&S Pam 350-10 replaced DA Pam 40-20 effective  2 Jan 04. 

Supplemental Instructions to EFMB Host Units
25 February 2005

New Candidate Recommendation Letter Format

Evaluator Grade Sheets
25 February 2005

The following are the New References for the EFMB Written Test.

    STP 68W15-SM-TG (Soldier's Manual and Trainer's Guide, MOS 68W, Health Care Specialist) (Skill Level 1 Tasks Only); FM 4-25.12 (Unit Field Sanitation Team); ST 4-02.46 (Medical Support to Detainee Operations); STP 21-1-SMCT (Soldier's Manual of Common Tasks, Warrior Skill Level 1).  All four of these references are available below for viewing or downloading.

Medical Support to Detainee Operations   Unit Field Sanitation Team

Soldiers Manual of Common Tasks           68W Soldiers Manual STP

AMEDDC&S Pam 350-10 replaced DA Pam 40-20 effective  2 Jan 04. 

Supplemental Instructions to EFMB Host Units
25 February 2005

New Candidate Recommendation Letter Format

Evaluator Grade Sheets
25 February 2005

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 Meet the Instructor

Look in a mirror.  This is a totally self paced program.

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Course Description

This web site is your "electronic classroom". Your "teacher" is yourself with the help of the web master, which you can contact by email: Webmaster  Your "classroom" is your computer and printer. Please utilize this resource. "Click here" to suggest improvements or make comments.

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Course Objectives

Help you prepare for the Expert Field Medical Badge Testing

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Quizzes

Test your knowledge  with these quizzes, puzzles, games and simulations.

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Attendance

Self Paced

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Handbooks

Combat Trauma Treatment and Management Handbook
Core Skills Handbook
Evacuation Handbook
Force Health Protection Handbook
Invasive Procedures Handbook
Nuclear, Biological, Chemical Handbook
Supportive Care 1 Handbook
Supportive Care 2 Handbook
Supportive Care 3 Handbook
Supportive Care 4 Handbook

Required Publications

AR 25-55 The Department of the Army Freedom of Information Act Program

AR 40-66 Medical Record Administration and Health Care Documentation

AR 335-15 Managment Information Control System

AR 600-8-22 Military Awards

AR 600-9 The Army Weight Control Program

AR 670-1 Wear and Appearance of Army Uniforms and Insignia

CTA 50-900 Clothing and Individual Equipment

FM 3-3 Chemical and Biological Contamination Avoidance

FM 3-3-1 Nuclear Contamination Avoidance

FM 3-5 NBC Decontamination

FM 3-11.4 Multiservice Tactics, and Procedures for Nuclear, Biological and Chemical (NBC) Protection

FM 3-21.38 Pathfinder Operations

FM 3-22.9 Rifle Marksmanship M16A1, M16A2/3, M16A4 and M4 Carbine

FM 3-23.35 Combat Training with Pistols, M9 and M11

FM 3-25-26 Map Reading and Land Navigation

 

FM 4-02 Force Health Protection in a Global Environment

FM 4-25.11 First Aid

FM 5-0 Army Planning and Orders Production

FM 5-19 Composite Risk Management

FM 7-1 Battle Focused Training

FM 7-8 Infantry Rifle Platoon and Squad

FM 8-10-6 Medical Evacuation in a Theater of Operations Tactics, Techniques, and Procedures

FM 8-285 Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries

FM 21-20 Physical Fitness Training

FM 21-60 Visual Signals

FM 21-75 Combat Skills of the Soldier

FM 25-101 Battle Focused Training

FM 101-5 Staff Organization and Operations

GTA 03-06-008 NBC Warning and Reporting System (This graphic training aid may be downloaded off Reimer’s Digital Library on the Army Training Support Center’s website)

GTA 05-02-012 Coordinate Scale and Protractor (Simple Device) (This graphic training aid may be obtained from the installation Training Audiovisual Support Center.

GTA 08-01-004 MEDEVAC Request Form (This graphic training aid may be downloaded off Reimer’s Digital Library on the Army Training Support Center’s website)

GTA 09-12-001 Unexploded Ordnance Procedures. (This graphic training aid may be downloaded off the General J. Reimer Training and Doctrine Digital Library on the Army Training Support Center's website, http://www.atdtl.army.mil.)

ST 4-02.46 Medical Support to Detainee Operations

STP 3-54B1-SM Chemical Operations Specialist, Skill Level 1, Soldier's Manual

STP 7-11B1-SM-TG Soldier's Manual and Trainer's Guide MOS 11B, Infantry Skill Level 1

STP 21-1-SMCT Soldier's Manual of Common Tasks Warrior Skills Levels 1 October 2006

STP 21-24-SMCT Soldier's Manual of Common Tasks Skill Levels 2-4

 

TB 11-5820-890-12 Operator and Unit Maintenance for AN/CYZ-10 Automated Net Control Device (ANCD) (NSN 5810-01-34301194) (EIC_ QSU) with the Single Channel Ground and Airborne Radio Systems (SINCGARS)

TC 25-20 A Leader’s Guide to After Action Reviews

TM 3-4230-229-10, Operator’s Manual for Decontaminating Kit, Skin: M291, (NSN 4230-01-251-8702).

TM 3-4230-235-10, Operator’s Manual for Decontamination Kit, Individual Equipment: M295 (NSN 6850-01-357-8456)

TM 3-4240-279-10, Operator’s Manual for Mask, Chemical-Biological: Field, ABC-M17 (NSN 4240-00-542-4450) Small; (4240-00-542-4451) Medium; (4240-00-542-4452) Large; M17A1 (4240-00-926-4199) Small; (4240-00-926-4201) Medium; (4240-00-926-4200) Large; M17A2 (4240-01-143-2017) X-Small; (4240-01-143-2018) Small;
(4240-01-143-2019) Medium; (4240-01-143-2020) Large.

TM 3-4240-280-10, Operator’s Manual for Mask, Chemical-Biological: Aircraft, ABC-M24 and Accessories and Mask, Chemical-Biological, Tank, M25A1 and Accessories.

TM 3-4240-300-10-2, Operator's Manual for Chemical-Biological Mask Combat Vehicle, M42 (NSN 4240-01-258-0064) Small, (4240-01-258-0065) Medium, (4240-01-258-0066) Large. (Cited in Table 2-2.)

TM 3-4240-346-10, Operator’s Manual for Chemical-Biological Mask: Field, M40A1 (NSN 4240-01-370-3821-Small) (4240-01-370-3822-Medium) (4240-01-370-3823-Large); Chemical-Biological Mask: Combat Vehicle, M42A2 (4240-01-4100-Small) (4240-01-413-4101-Medium) (4240-01-413-4102-Large).

TM 9-1005-249-10, Operator’s Manual for Rifle, 5.56-mm, M16 (NSN 1005-00-856-6885) Rifle, 5.56-mm, M16A1 (1005-00-073-9421).

TM 9-1005-317-10, Operator’s Manual for Pistol, Semiautomatic, 9mm, M9 (NSN 1005-01-118-2640).

TM 9-1005-319-10, Operator’s Manual for Rifle, 5.56mm, M16A2 W/E (NSN 1005-01-128-9936) (EIC: 4GM); Rifle, 5.56mm, M16A3 (1005-01-357-5112); Rifle, 5.56mm, M16A4 (1005-01-383-2872) (EIC: 4F9) ; Carbine, 5.56mm, M4 W/E (1005-01-231-0973) (EIC: 4FJ); Carbine, 5.56mm, M4A1 (1005-01-382-0953) (EIC: 4GC).

TM 10-8415-220-10, Operator Manual for Joint Service Lightweight Integrated Suit Technology (JSLIST) Chemical Protective Ensemble.

TM 11-5820-890-10-8, Operator's Manual for SINCGARS Ground Combat Net Radio, ICOM Manpack Radio, AN/PRC-119A (NSN 5820-01-267-9482) (EIC: L2Q), Short Range Vehicular Radio AN/VRC-87A (5820-01-267-9480) (EIC: L22), Short Range Vehicular Radio with Single Radio Mount AN/VRC-87C (5820-01-304-2045) (EIC: GDC), Short Range Vehicular Radio with Dismount AN/VRC-88A (5820-01-267-9481) (EIC: L23), Short Range/Long Range Vehicular Radio AN/VRC-89A (5820-01-267-9479) (EIC: L24), Long Range Vehicular Radio AN/VRC-90A (5820-01-268-5105) (EIC: L25) Short Range/Long Range Vehicular Radio with Dismount AN/VRC-91A (5820-01-267-9478) (EIC: L26), Short Range/Long Range Vehicular Radio AN/VRC-92A (5820-01-267-9477) (EIC: L27) used with Automated Net Control Device (ANCD) (AN/CYZ-10) Precision Lightweight GPS Receiver (PLGR) (AN/PSN-11) Secure Telephone Unit (STU) Frequency Hopping Multiplexer (FHMUX).

MILITARY EDITION PHTLS, Norman E McSwain, Jr (Editor), Basic and Advanced Prehospital Trauma Life Support, 5th Edition, Elsevier Mosby, 2005.

TACTICAL COMBAT CASUALTY CARE HANDBOOK, John Pennington (Editor), Tactics, Techniques, and Procedures, Number 06-18, Center for Army Lessons Learned, May 2006.
Section III

Prescribed Forms.

AMEDDC&S Form 1200-R, Expert Field Medical Badge Statistics. (Cited in paragraph 2-8d (15) and 2-16a (1).)

AMEDDC&S Form 1232-R, Expert Field Medical Badge Qualification Record. (Cited in paragraph 2-8d (18) and 2-16a (4).)

Referenced Forms.

DD Form 1380, US Field Medical Card.

Other Graphic Training Aids (GTA's)

Weapons of Mass Destructions (WMD) References

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Required Reading

FM 8-10-6, Medical Evacuation in a Theater of Operations Tactics, Techniques, and Procedures.

FM 21-10, Field Hygiene and Sanitation.

STP 8-91W15-SM-TG, Soldier’s Manual and Trainer's Guide, MOS 91W, Health Care Specialist, Skill Levels 1/2/3/4/5 (skill level 1 tasks ONLY).

STP 21-1-SMCT Soldier's Manual of Common Tasks Warrior Skills Levels 1 October 2006

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Suggested Reading Material

Field Manual 8-285 Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries
Chapter 1 The Threat of Chemical Warfare Agents to U.S. Forces

Field Manual 8-285 Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries
Appendix A Recognition of a Chemical Casualty  

Field Manual 8-285 Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries
Appendix E Procedures for Administering the Nerve Agent Antidotes

Field Manual 8-285 Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries
Chapter 4   Blister Agents( Vesicants)

Field Manual 8-285 Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries
Chapter 5  Lung-Damaging Agents ( Choking Agents)

Field Manual 8-285 Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries
Chapter 6   Blood Agents (Cyanogens)

Field Manual 8-285 Treatment of Chemical Agent Casualties and Conventional Military Chemical Injuries
Chapter 2  Nerve Agents

Field Manual 21-10 Field Hygiene and Sanitation Pages/Chapters: Chapter 3 Set Up, Construct, and Maintain Field Waste Disposal Devices

Resource:  Field Manual 21-10 Field Hygiene and Sanitation Chapter 3 Construct and Maintain Field Hand washing and Shower Devices

Field Manual 21-10 Field Hygiene and Sanitation           Chapter 3 Heat Injuries

Field Manual 21-10 Field Hygiene and Sanitation           Chapter 3 Cold Injuries

Field Manual 8-10-6 Medical Evacuation in a Theater of Operations Tactics, Techniques, and Procedures         Appendix C  Use of  DD Form 1380, US Field Medical Card

Individual Protective Equipment
Chapter 1

Introduction to Shock

Obtain a Blood Specimen Using a Vacutainer

Epinephrine for Emergency Self-Administration

Vital Signs

Lacerations

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Grading Policy

Honor System.  You get what you put into the program.  Just taking the quizzes and not studying the material is a waste of time

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Schedule

Self Paced

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Sections

Written Test   Army Physical Fitness Test  (prerequisite)
Land Navigation   Weapons Qualification (prerequisite)
Communication Tasks   Cardiopulmonary Resuscitation  (prerequisite)
Warrior Skills Tasks   Foot March
Tactical Combat Casualty Care Tasks   Medical and Casualty Evacuation Tasks
Reference Material for Litter Carries   EFMB Packing List

Written Test

Candidates must pass a Written Test consisting of 100 questions. Two hours are allowed for administering the Written Test. To pass, candidates must correctly answer a minimum of 75 questions.

The following references are used to derive the Written Test questions:

(1) FM 4-25.12 , Unit Field Sanitation Team

 

(2) ST 4-02.46 , Medical Support Detainee Operations.

(3) STP 8-91W15-SM-TG, Soldier’s Manual and Trainer's Guide, MOS 91W, Health Care Specialist, Skill Levels 1/2/3/4/5 (skill level 1 tasks ONLY).

(4) STP 21-1-SMCT (Soldier's Manual of Common Tasks, Warrior Skill Level 1)

No study guide  will be issued. Candidates will utilize materials listed in the reference section

Only medical related questions on the written examination

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Army Physical Fitness Test  (prerequisite)

Score a minimum of 180 points on the Army Physical Fitness Test (APFT), with a minimum of 60 points in each event, within 6 months of the test-end date. Alternate events are not authorized.

Soldiers with medical profiles prohibiting participation in any of the three events are ineligible to compete.

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Land Navigation

a.
Day Course.

CONDITIONS: Given a standard topographic map, scale 1:50,000; a lensatic compass; GTA 05-02-012 (coordinate scale and protractor); a pencil; a score sheet; and the eight digit grid coordinates of the start point, three intermediate points, and end point.

STANDARDS: Plot the start point, intermediate points, and the end point on the map. Navigate from the start point, through each intermediate point, in order, to the end point, and correctly recorded at least three points within 3 hours.

b. Night Course.

CONDITIONS: Given a standard topographic map, scale 1:50,000; a lensatic compass; GTA 05-02-012 (coordinate scale and protractor); a pencil; a score sheet; a red-lens flashlight; a chemical light stick for emergency use; and the eight digit grid coordinates of the start point, three intermediate points, and end point.

STANDARDS: Plot the start point, intermediate points, and the end point on the map. Navigate from the start point, through each intermediate point, in order, to the end point, and correctly recorded at least three points within 4 hours.

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Weapons Qualification (prerequisite)

Qualify as marksman or higher with their assigned weapon within 1 year of the test-end date.

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Communications Tasks

The candidate is required to complete the performance measures in the five performance tasks listed below, and receive a GO in 4 of the 5. All tasks will be tested in a battlefield scenario with the required equipment.

(a)  Assembe and operate SINCGARS or SINCGARS (ASIP) without ANCD.

(b)  Load FH/COMSEC data and conduct radio check using SINCGARS/SINCGARS (ASIP).

(c)  Prepare and Transmit MEDEVAC request (All 9 lines) (Mandatory GO).

(d)  Submit NBC 1 Report

(e)  Submit Explosive Hazard Sport Report.

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Warrior Skills Tasks

The candidate is required to complete 13 tasks, as indicated below, and pass 10 of 13 to receive a GO. These tasks are tested in a simulated battlefield scenario with the required equipment

(a) Protect yourself from chemical/biological contamination with protective mask.

(b) Decontaminate yourself with chemical decontaminating kits.

(c) Protect yourself from CBRN injury/contamination with mission-oriented protective posture (MOPP) or JSLIST gear.

(d) Perform self-aid for mild nerve agent poisoning.

(e) Protect yourself from biological or chemical injury/contamination when removing MOPP or JSLIST gear.

(f) Store the protective mask with or without hood.

(g) Correct malfunction of an M4 carbine or M16-series rifle.

(h) Disassemble and assemble an M9 pistol and perform a function check.

(i) React to indirect fire

(j) Move under direct fire.

(k) Move over, through, or around obstacles.

(l) React to an UXO or possible IED.

(m) Candidates issued an M16-series rifle will be tested on

(a) Disassemble and assemble an M16-series rifle.

(b) Perform a function check on an M16-series rifle.

(3) Candidates issued an M4 or M4A1 carbine will be tested on

(a) Disassemble and assemble an M4 or M4A1 carbine.

(b) Perform a function check on an M4 or M4A1 carbine.

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Foot March

Candidates must complete a 12-mile (19.3 kilometers) foot march, in 3 hours, carrying their individual field equipment. This event is the last event tested during test week.

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Tactical Combat Casualty Care Tasks

The candidate is required to complete the 15 tasks listed in paragraph 4-13c, below, within time limit established by the EFMB test board chairperson, and pass 12 of the 15. The tasks are tested in a simulated battlefield scenario with the required equipment IAW paragraphs 4-5 and 4-6.

The candidates' aid bags will contain the items on a packing list provided by the EFMB test board. The candidate is placed in a scenario with numerous simulated casualties (minimum of 4) incurred in the negotiation of the CTL. At the end of the time established by the test board chairperson, the tasks not completed will be scored a NO GO. This includes performing a casualty assessment for each casualty.

c. Tasks. The following tasks are tested in a lane using reaction-style testing.

(1) Perform TCCC procedures.

(2) Triage casualties.

(3) Perform a tactical combat casualty assessment.

(4) Control bleeding using a tourniquet.

(5) Control bleeding using hemostatic device.

(6) Control bleeding usng dressings.

(7) Initiate a saline lock and IV.

(8) Initate treament for hypovolemic shock and prevent hypothermia.

(9) Insert nasopharyngeal airway.

(10) Treat a penetrating chest wound.

(11) Perform needle chest decompression.

(12) Treat an open abdominal wound.

(13) Treat a casualty with an open head injury.

(14) Immobilize a suspected fracture of the arm.

(15) Treat eye lacerations/contusions/extrusions.

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Medical and Casualty Evacuation Tasks

The candidate is required to complete 10 performance tasks listed below and pass 8 of the 10.  The test board chairperson will determine which vehicle or aircraft is tested if there are more than one option (i.e., The test board chairperson will determine if paragraph 4-14c(4a) or 4-14c(4b) is tested.The tasks are tested in a simulated battlefield scenario with the required equipment IAW paragraphs 4-5 and 4-6.

a. Evacuate a casualty using a SKED litter.

b. Evacuate casualties using one-person carries or drags.

c. Evacuate casualties using two-person carries or drags.

d. Evacuate a casualty using litter carries.

e. Extricate a casualty from a vehicle.

f. Establish a helicopter landing point.

g. Load casualties onto a helicopter (UH-60 or HH-60L helicopter)

h. Load casualties onto ground evacuation platform (M996, M997, M113, or M1113 Stryker MEV).

i. Load casualties onto nonstandard vehicle (1 1/4 ton, 4x4, M998)

j. Load casualties onto nonstandard vehicle (5-ton M-1085, M-1093, or 2 1/2-ton M-1081) or 2 1/2-ton, 6x6 or 5-ton, 6x6, cargo truck)


Reference Material for Litter Carries

(1) Surmount a low wall obstacle.

(2) Surmount a high wall obstacle.

(3) Cross a trench obstacle.

(4) Transport a casualty through a narrow obstacle.

(5) Transport a casualty over rough terrain.

(6) Transport a casualty through a barbed wire obstacle.

(7) Transport a casualty uphill.

(8) Transport a casualty downhill.

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Cardiopulmonary Resuscitation  (prerequisite)

Candidate possess a current American Heart Association (AHA) cardiopulmonary resuscitation (CPR) certification. The certification must be valid through the test-end date.

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EFMB Packing List

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Vocabulary

ACCP The Army Correspondence Course Program

AED automatic external defibrillator

Army Training and Evaluation Program (ARTEP).
The Army's collective training program that establishes unit training objectives critical to unit survival and performance in combat. They combine the training and the evaluation process into one integrated function. The ARTEP is a training program and not a test. The sole purpose of external evaluation under this program is to diagnose unit requirements for future training.

AVPU alertness, responsiveness to vocal stimuli, responsiveness to painful stimuli unresponsiveness

BAS battalion aid station

Battle focus A process to guide the planning, execution, and assessment of the organization's training program to ensure they train as they are going to fight.

BDU battle dress uniform

BSA body surface area

BVM bag-valve-mask

CAM chemical agent monitor

CANA convulsant antidote for nerve agents

cc cubic centimeter

cc/hr cubic centimeters of fluid per hour

cm centimeter

cm H2O centimeter of water

CMS Centralized Materiel Service/Section (depends on use)

CNS central nervous system

Collective training Training, either in institutions or units, that prepares cohesive teams and units to accomplish their missions on the battlefield and in operations other than war.

Common task A critical task that is performed by every soldier in a specific skill level regardless of MOS.

COPD chronic obstructive pulmonary disease

CPR cardiopulmonary resuscitation

Critical task A collective or individual task determined to be essential to wartime mission, duty accomplishment, or survivability. Critical individual tasks are trained in the training base and/or unit, and they are reinforced in the unit.

Cross training The systematic training of soldiers on tasks related to another duty position.

CSF cerebrospinal fluid

DCS division clearing station

DTR deep tendon reflex

EKG electrocardiogram/electrocardiograph

ET endotracheal/endotracheal tube/event template (depends on use)

F Fahrenheit

FMC field medical card

FROPVD flow-restricted oxygen-powered ventilation device

gtts drops

HTH high test hypochlorite

I & O intake and output

IAW in accordance with

ID identification; infantry division

IM intramuscular

Individual training Training which prepares the soldier to perform specified duties or tasks related to assigned duty position or subsequent duty positions and skill level.

Integration training The completion of initial entry training in skill level 1 tasks for an individual newly arrived in a unit, but limited specifically to tasks associated with the mission, organization, and equipment of the unit to which the individual is assigned. It may be conducted by the unit using training materials supplied by the school, by troop schools, or by in-service or contract mobile training teams. In all cases, this training is supported by the school proponent.

IV intravenous

JVD jugular vein distention

KED Kendrick Extrication Device

kg kilogram(s)

KVO keep the vein open

LPM liters per minute

LZ landing zone

MD medical doctor

MDI metered dose inhaler

MEDEVAC medical evacuation

MES medical equipment set (s)

METL mission essential task list is a compilation of collective mission essential tasks which must be successfully performed if an organization is to accomplish its wartime mission (s).

ml milliliter

mm Hg millimeters of mercury

mm/sec millimeters per second

MOPP mission-oriented protective posture

MOS military occupational specialty

MOSC military occupational specialty code

MRE meal, ready to eat

MTF medical treatment facility

MVA motor vehicle accident

NATO North Atlantic Treaty Organization

NBC nuclear, biological, and chemical

NCO noncommissioned officer

NPO nothing by mouth

PA physician assistant

PASG pneumatic anti-shock garments

PEA pulseless electrical activity

ppm parts per million

prn as necessary

psi pounds per square inch

PVC premature ventricular contraction

ROM range of motion

RTO radio/telephone operator

Self-Development Is a planned, progressive, and sequential program followed by leaders to enhance and sustain their military competencies. Self-development consists of individual study, research, professional reading, practice, and self-assessment.

SL skill level

SM soldier's manual

SMCT soldier's manual of common tasks

SOP standing operating procedures

SQ subcutaneous

SSN social security number

STAT immediately

STB supertropical bleach

Sustainment training.
The provision of training to maintain the minimum acceptable level of proficiency required to accomplish a critical task.

TG trainer's guide

TKO to keep open

Train-up
The process of increasing the skills and knowledge of an individual to a higher skill level in the appropriate MOS. It may involve certification.

Unit training
Training (individual, collective, and joint or combined) conducted in a unit.

WP white phosphorus

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Technical Requirements and Student Support

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Last Updated: 01/19/07