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    Hawaii Army National Guard soldiers take part in a mass casualty exercise during XCTC at Camp Roberts, California B-ROLL PKG

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    THE INJURIES IN THE VIDEO IS NOT REAL. IT IS ALL A SIMULATION AND FOR EXERCISE PURPOSES ONLY.

    More than 2,500 Soldiers assembled at Camp Roberts, California to participate in this year’s Exportable Combat Training Capability (XCTC). The 29th Infantry Brigade Combat Team is comprised of soldiers from Hawaii, Guam and Arizona to participate and engage in simulated deployment scenarios.

    In the B-Roll PKG, you will find soldiers from Charlie Company, 29th Brigade Support Battalion training to respond to a mass casualty situation during their first week at XCTC. You will also find an interview from a soldier in Charlie Co. and the Commander of Charlie Co.

    SOT: Sgt. Waylen Mendoza, Charlie Company, 29th Brigade Support Battalion.

    He discusses what goes through his mind during these scenarios.

    SOT: Capt. Alvie S. Thomas, Charlie Company, 29th Brigade Support Battalion.

    She discusses the exercises importance and how her soldiers performed.

    The soldiers arrive on the scene and react to any injured casualties. They are treated well enough to transport before being moved to the medical facility. From there, they are treated and categorized as one of four statuses: Immediate, Delayed, Minimal, and Expectant. The medical treatment they are receiving is to sustain them before being transported again. After that, they are transported to a hospital for advanced treatment (if necessary).

    Immediate: This group of injured requires attention within minutes to 2 hours on arrival to avoid death or major disability. The procedures in this category should focus on patients with a good chance of survival with immediate intervention. Injuries include: Airway obstruction or potential compromise. Tension pneumothorax, Uncontrolled hemorrhage, Torso, neck, or pelvis injuries with shock, Head injury requiring emergent decompression, Threatened loss of limb, retrobulbar hematoma, and Multiple extremity amputations.

    Delayed: This group includes those wounded who are in need of surgery, but whose general condition permits delay in treatment without unduly endangering life, limb, or eyesight. Sustaining treatment will be required (stabilization of fractures, and administration of antibiotics, bladder catheterization, gastric decompression, and relief of pain). Injuries include: Blunt or penetrating torso injuries without signs of shock, Fractures, Soft-tissue injuries without significant bleeding, Facial fractures without airway compromise. Globe injuries. Survivable burns without immediate threat to life (airway, respiratory) or limb.

    Minimal: This group has relatively minor injuries (minor lacerations, abrasions, fractures of small bones, and minor burns) and can effectively care for themselves or be with minimal medical care. These casualties may also provide a resource for manpower to assist with movement or potentially even care of the injured. When a mass casualty incident occurs in close proximity to a medical treatment facility (MTF), it is likely that these will be the last casualties to arrive, bypassing or circumventing the casualty evacuation chain. Such casualties may inundate the facility leading to early commitment and ineffective utilization of resources. To prevent such an occurrence, it is imperative to secure and strictly control access to the MTF immediately upon notification of a mass casualty event.

    Expectant: This group has injuries that overwhelm current medical resources at the expense of treating salvageable patients. The expectant casualty should not be abandoned, but should be separated from the view of other casualties and intermittently reassessed. These casualties require a staff capable of monitoring and providing comfort measures. Injuries include: Any casualty arriving without vital signs or signs of life, regardless of mechanism of injury, Transcranial gunshot wound (GSW) with coma, Open pelvic injuries with uncontrolled bleeding and class, IV shock, Burns without reasonable chance for survival or recovery, High spinal cord injuries.

    XCTC is a portable combat training center rotation that can be moved from any state or location that has the capability to support a brigade size element of 2,000 Soldiers and provide platoon and squad sized evaluations.

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    VIDEO INFO

    Date Taken: 06.10.2016
    Date Posted: 06.10.2016 19:30
    Category: B-Roll
    Video ID: 468453
    VIRIN: 160610-A-SM034-215
    Filename: DOD_103382601
    Length: 00:04:36
    Location: CA, US

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