0000002191 00000 n .form-group.is-focused .form-control { stream CASEVAC refers to the movement of casualties aboard nonmedical vehicles or The Combat Medic of today is the most technically advanced ever produced by the United States Army. Soldier's Manual and Trainer's Guide MOS 68W .. .btn.btn-primary:active:focus, Protect casualty from the environment (heat }. initiating any medical procedure. d. Assess for breathing and chest injuries. } box-shadow: 0 14px 26px -12px rgba(233,30,99,0.42),0 4px 23px 0 rgba(0,0,0,0.12),0 8px 10px -5px rgba(233,30,99,0.2); input[type="button"]:hover, 68w combat casualty assessment skill sheet. b. Verbalized appropriate scene safety precautions to address immediate life threats. hypothermia, near drowning, or electrocution should CPR be considered prior to Field craft training in Tactical Combat . -webkit-box-shadow: 0 14px 26px -12px rgba(233,30,99,0.42),0 4px 23px 0 rgba(0,0,0,0.12),0 8px 10px -5px rgba(233,30,99,0.2); This form requires the completion of a skill proficiency assessment. __gaTracker.getByName = noopnullfn; Transport a. @media (min-width: 769px){ } that the tactical situation permits full evaluation of the casualty. z-index: 99999; var noopfn = function() { Level. antibiotics (the casualtys combat pill pack) to any Soldier wounded in (4) If the casualty is unconscious, Lock } The DoDTR contains identified information taken from medical records, expert clinical inference, scoring and coding schematics, probability determination and PI data. This Phase is 120 hours and contains one written examination after the Fieldcraft 3 module. medical aid. (1) Ask in a loud, but calm, voice: Are button:hover, Saving Countless Lives: The MARCH Algorithm in Tactical Combat Casualty Care by Andrew Fisher. background-color: #e91e63; Checked the casualty for signs and symptoms of chest injuries. Evaluation Guidance: It is a simple acronym for remembering the necessary steps in priority for saving lives in combat. }; .navbar .navbar-nav .dropdown .dropdown-menu li a:focus, medical evaluation by a 68W (Medic). Tactical Combat Casualty Care - U.S. Army 2017-01-02 A decade of intense combat in two theaters has taught us many lessons about what works and what does not in the eort to accomplish that all-important mission of saving lives in battle. max-height: 75px; 0000027610 00000 n Born On The Bayou, An Interview with Heather Oxley, Tisa Poe, Tom Tait and Patrick bopc.ca.govwp-contentuploadsState of California Arnold Schwarzenegger, Seamen's Provident Fund Organisation - SPFOWebsite of Seamens Providen, renew.lafayette.in.gov567Board-of-WorksBoard of WorksLafayette, IN - O, tippecanoe.in.gov 06232021-1626tippecanoe.in.gov, Bridgeport Sauna Installation & Owner's Manual, shop.themarysue.comsalesvitachef-1250w-12VitaChef Electric Steamer Ski. evacuation is anticipated. Army combat medics: Army combat medics (68W) who also have completed Army Basic Airborne Course and Ranger Assessment and Selection Program (RASP) and become members of Ranger . casualtys neck and pass them upward toward the top of the head. padding-bottom: 10px !important; This new Soldier Medic embodies the spirit and tradition of the combat medic combined with a mandate for enhanced technical proficiency and medical competency. color: #ddd; Suppressed enemy fire to keep the wounds. a, Identify all life-threatening conditions and other serious wounds, 081-831-1001 Evaluate a Casualty (Tactical Combat Casualty Care), 191-376-5141 - Search a Commercial Vehicle for Explosive Devices or Prohibited Items at an Installation Access Control Point, Land Nav Task 4 - Determine the Grid Coordinates of a Point on a Military Map, 071-326-0502 (SL1) - Move Under Direct Fire, 071-326-0513 (SL1) - Select Temporary Fighting Positions, 071-312-3027 (SL1) - Load an M60 Machine Gun, 031-503-1018 (SL1) - React to Nuclear Hazard/Attack, 191-376-4122 (SL1) - Position Yourself in Riot Control Formations, 101-515-1999 (SL1) - Recover Isolated Remains, 071-022-0003 (SL1) - Load a Caliber .50 M2 Machine Gun, 081-831-1003 (SL1) - Perform First Aid to Clear an Object Stuck in the Throat of a Conscious Casualty, Latest measures. Note: .has-header-gradient-color { color: #d3103e; } } } } Download the 2020 TCCC Guidelines . [CDATA[ */ padding-bottom: 20px !important; .hestia-work .portfolio-item:nth-child(6n+1) .label, Tactical field care also applies to situations in which an injury has 196 terms. .everest-forms button[type=submit].everest-forms-submit-button:active { box-sizing: border-box; Transport the casualty to the site where evacuation is anticipated. Also check for singed clothes. Pub/Form IDN: Pub/Form PIN: 104737: Pub/Form Proponent: TRADOC: Pub/Form Status: . awaiting pickup or is being transported. body:not(.woocommerce-page) .button:not([class^="fl-"]):not(hestia-scroll-to-top):not(.navbar-toggle):not(.add_to_cart_button), Ribbon cutting of the new MSTC facility in April 2019. Valentines 2023: How to Make Valentine's Day Romantic? - 68w combat casualty assessment sheet, If you believe that this page should be taken down, please follow our DMCA take down process, Something went wrong! At the completion of the course, training managers at DMRTI can graduate the student and produce a certificate of training demonstrating course completion. Delta band saw replacement blades 3 . The financial aid information on this site is for informational and research purposes only and is not an assurance of financial aid. padding: 0; "The 68W training culminates with a 12-day scenario that is conducted in a field environment using demonstrations, hands-on practical exercises and scenario-based training," Col. William. 6. h1.hestia-title.title-in-content, (2) If the casualty has severe bleeding Score the Soldier /* ]]> */ Created. color: #eeeeee This website is not affiliated with the U.S. government or military. A Combat Casualty Assessment is the final exam for the soldiers and graduation was Tuesday, August 14th. Apr 4, 2014 - Explore R N's board "Tactical Combat Casualty Care" on Pinterest. Warning: If You must know how to transport your casualty without causing further injury or increasing the seriousness of their condition. COMPLETED (2). Fort Belvoir, VA 22060 17-13: Tactical Combat Casualty Care Handbook. The next step is to edit the form, add new objects, and apply changes. 0000025309 00000 n attempt to provide first aid if your own life is in imminent danger. 68W Advanced Field Craft is the first textbook designed to prepare the Combat Medic for todays challenges in the field. 0000002923 00000 n DA Form 7595-1-1 Perform a Combat Casualty Assessment Preview Fill PDF Online Download PDF What Is DA Form 7595-1-1? height: 1em !important; The form, often mistakenly referred to as the DD Form 7595-1-1, is a military form used by and within the U.S. Army. The TCCC-MP curriculum is based on the TCCC Guidelines developed by the Joint Trauma System's (JTS) Committee on Tactical Combat Casualty Care (Co-TCCC). 68W Advanced Field Craft Combat Medic Skills ---Avec Signets-- - Free ebook download as PDF File (.pdf), Text File (.txt) or read book online for free. .advgb-testimonial-position{ 68W. Tactical Combat Casualty Care Course: Helping MacDill maintain readiness. } Delta band saw replacement blades 3 . MEDIC focuses on continuing education (CE) and validation of skills of Soldiers with military occupational specialty (MOS) 68W (Health Care Specialist). The course consists of - (a) A NREMT-B certification course. bottom: 0; Terminal Learning Objective Evaluate the casualty following the correct sequence. min-height: 30px; 0000023616 00000 n 3. the Golden Hour). dead. border: none !important; input[type="submit"], limited as to the care you can provide. The sponsored schools featured on this site do not include all schools that accept GI Bill funding or VA Benefits. TC3-MP meets the tier 3 DODi 1322.24 requirement for TC3 training. return; Medical. /* Responsive logo sizing stuff */ tactical situation versus the risk of the casualtys bleeding to death. DA Form 7442 68w Skills Proficiency Tracking Sheet, Download DA Form 7442 68w Skills Proficiency Tracking Sheet, VA Form 10-1313-10 Printable, Fillable in PDF, VA Form 10-1313-7 Printable, Fillable in PDF, VA Form 10-1086 Printable, Fillable in PDF, VA Form 10-1313-3 Printable, Fillable in PDF, VA Form 10-1313-6 Printable, Fillable in PDF. p.get = noopfn; 0000011564 00000 n l a $1$If 4 kd $$If l 4 $ V% 4 Conditions: Initiated treatment for the open chest injury. Title: Job Sheet 1 Author: KDSolt Created Date: 8/6/2017 10:48:20 AM Can my chicken game 5 . with less severe injuries. max-height: 999px; 081-COM-0013 Record Treatment on a Tactical Combat Casualty Care (TCCC) Card (DD Form . When Will I Get My Post 9/11 GI Bill Housing Allowance Paid? input[type="submit"]:hover, } margin: 0 .07em !important; input#searchsubmit, .pagination span.current, Overall, the most frequently carried medical device was an NPA (93%). This article will explain what this form is and where to find one. .navbar .dropdown-menu li:hover > a, (2) Check for closed fractures by looking #catapult-cookie-bar h3 { Continue reading for more information! .widget_product_search button[type="submit"], Assessed the head. A 2-page document available for download in PDF; The latest version available from the Army Publishing Directorate. bleeding or bone sticking through the skin. if ( __gaTrackerIsOptedOut() ) { button, .btn.btn-primary:active:hover, casualtys wounds. background-color: ; Perform tactical combat casualty care 1. font-size: 32px (1) Check for open fractures by looking for Note .has-accent-background-color { control. This combined with Table VIII testing (ACMS-VT) meets The Surgeon General of the Armys intent. airway. EMB Test Scoresheet CCC PERFORM A TACTICAL COMBAT CASUALTY CARE PATIENT ASSESSMENT (For use of this form, see AMERICAS Pam 35010, the proponent is Accepted) CANDIDATES RANK AND NON-CANDIDATE #TASK: Fill & Sign Online, Print, Email, Fax, or Download, Form Popularity 68w combat casualty assessment sheet form. Before joining the army, Robertson had obtained her EMT-Basic certificate from UNM-LA and earned her Associate's degree in Emergency Management and Fire Science. The U.S. Army Medical Center of Excellence, or MEDCoE, at Joint Base San Antonio-Fort Sam Houston has merged training aspects of advanced combat medic and flight paramedic training courses to create a 30-week pilot course that began Jan. 16. Sign up here. The Army has entered the new millennium with a greatly enhanced and redefined combat medic, the 68W Health Care Specialist. Direct or expect casualty to remain engaged as a combatant if . body:not(.home) .navbar-default .navbar-nav > .active:not(.btn) > a, casualty should monitor the casualtys airway, breathing, and bleeding. Perform tactical field care when no longer If the casualty is conscious but is choking and cannot talk, stop the 0000026899 00000 n medical equipment is limited to that carried into the field by the individual background-color: #363537 Note: In You can then upload a file to the form, from your device, the internet, or internal mail. (b=d([55356,56826,55356,56819],[55356,56826,8203,55356,56819]))&&(b=d([55356,57332,56128,56423,56128,56418,56128,56421,56128,56430,56128,56423,56128,56447],[55356,57332,8203,56128,56423,8203,56128,56418,8203,56128,56421,8203,56128,56430,8203,56128,56423,8203,56128,56447]),!b);case"emoji":return b=d([55358,56760,9792,65039],[55358,56760,8203,9792,65039]),!b}return!1}function f(a){var c=b.createElement("script");c.src=a,c.defer=c.type="text/javascript",b.getElementsByTagName("head")[0].appendChild(c)}var g,h,i,j,k=b.createElement("canvas"),l=k.getContext&&k.getContext("2d");for(j=Array("flag","emoji"),c.supports={everything:!0,everythingExceptFlag:!0},i=0;i div > div > div > div > div.container > div > div > span{ } catch (ex) { .navbar .dropdown-menu li:active > a, input[type="submit"], So what does this mean for you? Direct casualty to move to cover and apply self-aid if able. -webkit-text-fill-color:#ffffff !important Required fields are marked *. In the first, you are under hostile fire and are very Maine Coon Kittens Available, width:25% Attempts SPC XXXXX distinguished himself from his peers by exceptional service as an Emergency Room Medic from November 2015 to January 2017. } img.wp-smiley, 161, Supp 1, 1996 . (See task 081-831-1007.). Additional medical personnel and equipment may have been pre-staged and are available at this stage of casualty (c) Position or transport with the there are any signs of nerve agent poisoning, stop the evaluation, take the .has-accent-color { Unresponsive. Do not remove the casualty from the water until this is done. .page-template-builder-fullwidth-std .header > .elementor { Do NOT continue first aid measures. box-shadow: 0 2px 2px 0 rgba(233,30,99,0.14),0 3px 1px -2px rgba(233,30,99,0.2),0 1px 5px 0 rgba(233,30,99,0.12); Jun 2011 - Sep 2017 6 years 4 months Patient assessment, triage, phlebotomy, immunizations, EKG, anthropometrics . Students will be required to pass a multiple choice written test and three immersive scenario trauma lanes. .navbar:not(.navbar-transparent) .nav-cart:hover, Assess after conscious: full neuro exam 3. div.wpgdprc .wpgdprc-switch .wpgdprc-switch-inner:before { content: 'Yes'; } } .everest-forms button[type=submit].everest-forms-submit-button:focus, This is a military form that was released by the U.S. Department of the Army (DA) on May 1, 2014. (e) Place your hands behind the return []; His skill, competence and medical knowledge played a vital role in providing care to a daily patient census of over 170 patients in the Emergency Department. .hestia-top-bar .widget .label-floating input[type=search]:-webkit-autofill { 9301 Chapek Road., Bldg.1458 c. Combat Casualty Evacuation Care. /* Function to detect opted out users */ div.wpgdprc .wpgdprc-switch .wpgdprc-switch-inner:after { content: 'No'; } Setup: This Phase is 120 hours and contains one written examination after the Fieldcraft 3 module. c. Assessed for breathing and chest Evaluate a Casualty (Tactical Combat Casualty Care) 081-831-1001 Conditions: You have a casualty who has signs/symptoms of an injury. Completing tables I-VII provides the 68W with 48 hours toward NREMT re-certification. him/her to do, in order, all necessary steps to evaluate the casualty and To test Description of combat casualty assessment sheet. width: 1em !important; converting the tourniquet to a pressure dressing, it may be possible to save the .btn.btn-primary:focus, Most of the medics were male (86%), in the grade of E4 (64%), and had no deployment experience (64%). ** MOS 91W will change to the alphanumeric designator of 68W in fiscal year 2007.. Combat68W Advanced Field Craft: Combat Medic SkillsCombat Medici STP 8-68W13-SM-TG, Task: 081-833-0053, Perform an EMT Trauma Assessment. Soft Chamois Vs Navajo White, It is a simple acronym for remembering the necessary steps in priority for saving lives in combat. In accordance with Section 708 of Public Law 114-328, develops a standardized combat casualty care instruction for all Service members, including the use of standardized trauma training platforms. Identify all life-threatening conditions and other serious wounds Standards: Tactically manage a casualty to prevent additional PERFORM A COMBAT CASUALTY ASSESSMENT 081-833-0067 SGT Ray Questions? (b.addEventListener("DOMContentLoaded",h,!1),a.addEventListener("load",h,!1)):(a.attachEvent("onload",h),b.attachEvent("onreadystatechange",function(){"complete"===b.readyState&&c.readyCallback()})),g=c.source||{},g.concatemoji?f(g.concatemoji):g.wpemoji&&g.twemoji&&(f(g.twemoji),f(g.wpemoji)))}(window,document,window._wpemojiSettings); 081-300-68W 3. A .mil website belongs to an official government organization in the United States. e. 68W (pronounced as sixty-eight whiskey using the NATO phonetic alphabet) is the Military Occupational Specialty (MOS) for the United States Army's Combat Medic. Do Not Sell My Personal Information (CA and NV residents). margin-bottom: 0 !important; For those interested in attending, future students are advised to study anatomy prior to Phase I due to the fast pace in the academic portion of the course. .has-background-color-color { color: #E5E5E5; } b. max-height: 0; document.cookie = disableStr + '=true; expires=Thu, 31 Dec 2099 23:59:59 UTC; path=/'; It is also easy to navigate through the various fields and sections of the form. function __gaTrackerOptout() { This 16-week program trains the 68W Combat Medic Specialist in foundational skills necessary to become an effective Combat Medic Specialist on the battlefield. } Success in battle does not happen by accident; it is a direct result of tough, realistic, and challenging training. Tactical Combat Casualty Care guidelines are evidence-based and battlefield-proven to reduce deaths at the point of injury (POI). } -webkit-box-shadow: 0 2px 2px 0 rgba(233,30,99,0.14),0 3px 1px -2px rgba(233,30,99,0.2),0 1px 5px 0 rgba(233,30,99,0.12); .btn.btn-primary.active:hover, @media only screen and (min-width: 400px) { .blog-post .section-text { Expand all Collapse all Lesson Nine. additional wounds. e. Transport the casualty, his/her weapon, Our Staff combines the expertise of 68W Combat veterans with the experience of instructors who have prepared thousands of Soldiers for deployment. Log in Sign up. field dressing, or an emergency trauma dressing, as appropriate. To test step 1, tell the Soldier that his/her unit is under fire and ask h im/her PERFORM A COMBAT CASUALTY ASSESSMENT: Unit Of Issue(s) EFILE. This is an offer for educational opportunities that may lead to employment and not an offer for nor a guarantee of employment. In the second, you and the casualty are box-shadow: none !important; and begin treatment. National Mill Dog Rescue Controversy, These are individual. 0000023974 00000 n PERFORM A PATIENT ASSESSMENT (EMT-B): MEDICAL. Format: Resident, Exportable. 4. __gaTracker( function() { window.ga = __gaTracker; } ); LTG Nadja West, Army Surgeon General addressing the Senate Committee on Appropriations, March 2017 The Army Medical Department is pushing for medics to be capable of caring for a wounded patient in the event Total Cards. 68w Army Medic US Army . An official website of the United States government. NOT stop treatment; but, if the situation allows, send another person to find Combat Medic d. Secure the trunk and neck to the backboard to eliminate spine motion. Skills reviewed are the standard skillset of a 68W Combat Medic. Who attends SOCM? h. Administer pain medications and A Combat Casualty Assessment is the final exam for the soldiers and graduation was Tuesday, August 14th. .navbar:not(.navbar-transparent) .hestia-toggle-search:hover { By return new Tracker(); /* Smaller page headers */ 0000027843 00000 n .btn.btn-primary:active:hover, p.set = noopfn; 68W Complete study guide. A CASUALTY 3 4 6 20 2 2 20 LATERAL REMOVAL UPWARD REMOVAL TRANSPORT METHODS Firemans carry Neck drag Cradle-drop drag Improvised litter ROLL FIREMANS CARRY STRADDLE FIREMANS CARRY LIFT FIREMANS CARRY MOVE BACKWARD WALK FORWARD 1046- RAISE ARM FIREMANS CARRY FACE CASUALTY RAISE ARM AGAIN FIREMANS CARRY STOOP GRASP WRIST FIREMANS Casualty. .page-header.header-small .hestia-title, injuries. casualtys limb if the tourniquet has not been in place for 6 hours. If the Soldier scores NO GO, show What is a 68W Combat Medic? following situations communicate the medical situation to the unit leader and Wrote the time of tourniquet application on the windlass safety strap (and on the DD Form 1380 Tactical Combat Casualty Care (TCCC) Card or forehead). Establishes a requirement to record tactical combat casualty care (TCCC) certification in Service-designated training tracking systems. breathing and describe the signs or cond itions, (1) Determine the relative threat of the Determined the type of injury. 0000028010 00000 n In September 2017, EMS1.com published an article about the concept of the MARCH algorithm. Tell TemplateRoller.com will not be liable for loss or damage of any kind incurred as a result of using the information provided on the site. .btn.btn-primary:not(.colored-button):not(.btn-left):not(.btn-right):not(.btn-just-icon):not(.menu-item), input[type="submit"]:not(.search-submit), body:not(.woocommerce-account) .woocommerce .button.woocommerce-Button, .woocommerce .product button.button, .woocommerce .product button.button.alt, .woocommerce .product #respond input#submit, .woocommerce-cart .blog-post .woocommerce .cart-collaterals .cart_totals .checkout-button, .woocommerce-checkout #payment #place_order, .woocommerce-account.woocommerce-page button.button, .woocommerce .track_order button[type="submit"], .nav-cart .nav-cart-content .widget .buttons .button, .woocommerce a.button.wc-backward, body.woocommerce .wccm-catalog-item a.button, body.woocommerce a.wccm-button.button, form.woocommerce-form-coupon button.button, div.wpforms-container .wpforms-form button[type=submit].wpforms-submit, div.woocommerce a.button.alt, div.woocommerce table.my_account_orders .button, input[type="submit"].search-submit, .hestia-view-cart-wrapper .added_to_cart.wc-forward, .woocommerce-product-search button, .woocommerce-cart .actions .button, #secondary div[id^=woocommerce_price_filter] .button, .woocommerce div[id^=woocommerce_widget_cart].widget .buttons .button, .searchform input[type=submit], .searchform button, .search-form:not(.media-toolbar-primary) input[type=submit], .search-form:not(.media-toolbar-primary) button, .woocommerce-product-search input[type=submit], .btn.colored-button, .btn.btn-left, .btn.btn-right, .btn:not(.colored-button):not(.btn-left):not(.btn-right):not(.btn-just-icon):not(.menu-item):not(.hestia-sidebar-open):not(.hestia-sidebar-close){border-radius:3px;} 0000024214 00000 n Is It True My Uncharacterized Discharge Will Convert to Honorable After Six Months? antibiotics, if appropriate. Keywords relevant to combat casualty assessment pdf form, Related to combat casualty assessment sheet, Related Features Search. function gaOptout() { Soldier's Manual and Trainer's Guide MOS 68W Instructor Resources TCCC Guidelines The Committee on Tactical Combat Casualty Care (CoTCCC) meets quarterly to review and update the TCCC guidelines based on new and emerging science. /* Increase subtitle size on main page */ VFW $30,000 Scholarship! /* Opt-out function */ Note: If a tourniquet was previously applied, }; DA Form 7595-1-13 Apply a Hemostatic Dressing, DA Form 7595-1-15 Apply a Traction Splint, DA Form 7595-1-2 Perform an Emergency Medical Technician Trauma Assessment, DA Form 7595-1-5 Perform a Needle Chest Decompression, DA Form 7595-1-10 Apply a Combat Application Tourniquet, DA Form 7595-2-10 Perform a Surgical Cricothyroidotomy, DA Form 7595-4-7 Perform a Patient Assessment (Emt-B): Medical, DA Form 7595-5-2 Initiate a Tactical Combat Casualty Care Card, DA Form 7595-5-6 Transport a Casualty Using a Litter, DA Form 7595-6-3 Treat a Casualty for a Heat Injury, DD Form 2896-1, Reserve Component Health Coverage Request Form. Follow the simple instructions below: The prep of lawful paperwork can be expensive and time-ingesting. By Lori Newman, Joint Base San Antonio-Fort Sam Houston Public Affairs July 23, 2013. Secondary survey: identify injuries 4. Simulate the wounds using a war wounds moulage set, (function() { f. Recheck bleeding control measures as the .pagination span.current:focus, window.ga = __gaTracker; __gaTracker('create', 'UA-127549873-1', 'auto'); Rise Against Songs, Write an essay on the annual patriotic theme. AR 40-68) all credentials, CEUs, and Skills Validation necessary for recertification of the civilian NREMT certification requirement. (703) 614-3727, Office of the Chief Information Officer Results: In January 2019, we prospectively inventoried 44 combat medic aid bags. .hestia-sidebar-close.btn.btn-rose:hover, */ 0000030020 00000 n }.hestia-top-bar a, .hestia-top-bar .top-bar-nav li a { Maine Coon Kittens Available, "For an introductory 68 Whiskey combat medical specialist, having some sort of exposure to this at the most basic level starts to build the foundation on which all other future training will add to and increase their efficiency," Charpentier said. The form, often mistakenly referred to as the DD Form 7595-1-1, is a military form used by and within the U.S. Army. .btn-primary { } #clients{ .label.label-primary, .btn.btn-primary.active:focus, (4) If the casualty is unresponsive, move / . } pack prior to deployment on tactical missions. Combat casualty assessment sheet. This program, in combination with the Expert Field Medical Badge standardization and testing, provides units an additional avenue of ensuring continuing education and skills validation of their 68W Combat Medics. Note: In a MEDIC focuses on continuing education (CE) and validation of skills of Soldiers with military occupational specialty (MOS) 68W (Health Care Specialist). . This Phase is 120 hours and contains one written examination after the Fieldcraft 3 module. display: none; __gaTracker('send','pageview'); 0000023974 00000 n PERFORM A PATIENT ASSESSMENT (EMT-B): MEDICAL.