5th Brigade (Health Services), 84th Division - Army School System (TASS) Brigades - Region E - Minnesota, Wisconsin, Illinois, Indiana, Ohio and Michigan
Combat Lifesaver Program Links and Information
Ensure Unit Combat Lifesaver Requirements Are Met
081-831-1055(SL4)
Source: Soldiers Manual of Common Tasks Skill Levels 2 - 4 STP 21-24-SMCT August 2003
Notes. No updates available
Conditions: You are an NCO appointed as the combat lifesaver program coordinator.
The combat lifesaver correspondence course is going to be used for the unit training.
Note. The combat lifesaver program coordinator will be the medical
NCO, if one
is assigned.
Standards: Conducted the combat lifesaver program in accordance with AR 350-1, paragraph 4-12 and subcourse IS0826.
Performance Steps
1. Research information on the combat lifesaver program.
a. Read AR 350-1, paragraph 4-12. The address to access the AR is—
http://www.usapa.army.mil/pdffiles/r350_1.pdf
b. Read AMEDDC&S information about the combat lifesaver program and course
options. The program is downloadable from the following address—http://www.cs.amedd.army.mil/clsp
c. Read DA Pam 350-59, Combat Lifesaver Section, section VIII. The address
to access the Pam is—
http://www.usapa.army.mil/pdffiles/p350-59.pdf
2. Determine the number of personnel who need to be trained. Check local
unit personnel training records to determine the number of qualified combat
lifesavers and distribution of the CLs by squad. (See step 9, Ensure combat
lifesavers maintain proficiency.)
Note. There should be at least one combat lifesaver per squad, crew, or equivalent-size
unit.
Note. If there are too few soldiers to be trained, check other units in the area about combining students for the course. There is the possibility you may have too many students requiring more frequent classes until the required number are trained.
Note. Recommend that all qualified combat lifesavers notify the combat lifesaver
coordinator as soon as a new assignment notification is received. This will
allow the coordinator to schedule training of replacement combat lifesavers.
A list could be generated by S-1 PAC that shows personnel PCS/ETS and CL status.
3. Contact the appropriate staff surgeon combat lifesaver program supervisor
at corps/division/brigades and separate brigade-size units. The coordination
should be accomplished prior to the start of training.
Note. A phone call, e-mail, or memorandum giving notification of intent to
conduct a course is normally sufficient. In real life the PAs at the Bn level
are aware of the training for local units and the Bn senior medical NCO will
probably run the course.
4. Identify and appoint a qualified Instructor and assistants as applicable.
a. Estimate the number of instructors/assistants required.
Note. The surgeon combat lifesaver supervisor or an experienced CL instructor
should be able to give you an idea of the student to teacher ratio. Also,
if you can obtain a copy of the lesson plans in IS0826, you can determine
the number of instructors and assistants required for each lesson.
b. If a qualified instructor is not available from the unit being trained,
request training instructor support from the next higher command surgeon
or local medical treatment facility.
Note. The primary instructor will be at least a senior medical NCO and either
hold primary 91W, 18D or be a licensed paramedic (state or national), registered
nurse, physician assistant, or physician. The instructor for the intravenous
infusion lesson must be an expert in administering IVs and qualified to handle
emergencies that could arise when students practice initiating IVs. (This
can be a senior 91W, 18D, LPN, EMT-1 or P, RN, PA or MD.) For the IV portion,
the student/instructor ratio needs to be two students per instructor.
5. Enroll selected unit personnel in the combat lifesaver training course
at least eight weeks before group instruction begins.
Note. Tell the soldiers they can receive eight promotion points for successful
completion of the combat lifesaver course.
a. Cover letter signed by battalion commander or a lieutenant colonel or
higher (see example).
EXAMPLE OF A COVER LETTER
(LETTERHEAD) ABCD-EFG-H (XXX) Date MEMORANDUM FOR Commander, U.S. Army Training Support Center, ATTN: ATIC-DLS, Fort Eustis, Virginia 23628-001. SUBJECT: Enrollment of Students and Instructor in Combat Lifesaver Course 1. Request enrollment of the instructor and students as indicated in the Combat Lifesaver Course. 2. Please code student enrollment applications as indicated on the student roster. 3. Send all printed materials in care of Group Leader SFC Robert B. James, 1st Battalion, 509th Infantry, APO NY 09168. For the commander JOHN J. JONESLieutenant Colonel, Infantry Commanding 2 Encl 1. DA Form 145 2. Student roster |
b. Complete
Army
Correspondence Course Program (ACCP) Enrollment Application enrolling the primary instructor in IS0826.
(1) Include a list of assistant instructors, if any.
(2) Provide the instructor and assistant instructors retirement year ending
date (RYE) if applicable Army National Guard (ARNG) and U.S. Army Reserve (USAR).
(3) The "student" address on DA Form 145 is the primary instructor's
address. All subcourse materials will be sent to the primary instructor.
(4) Attach a student roster (see table 081-831-1055-1) with the DA Form 145.
List the name, rank, social security number, and unit of each student. For
ARNG or USAR, include the retirement year ending (RYE) date.
Combat
Lifesaver Correspondence Course General Information
Table 081-831-1055-1. Example of a Student Roster
The following students are to be enrolled in the Combat Lifesaver Course
SSN |
Name |
Component Code |
Branch |
Rank |
| 111-11-1111 | Ames, Adam A | 10 | SGT | |
| 222-22-2222 | Baker, Bruce B | 9 | CPL | |
| 333-33-3333 | Clay, Charles C | 3 | CPL | |
| 444-44-4444 | Dough, David D | 3 | SGT | |
| 555-55-5555 | Edwards, Earnest E | 3 | CPL | |
| 666-66-6666 | Frost, Frank F | 3 | PFC | |
| 777-77-7777 | Gains, Gary G | 3 | CPL | |
| 888-88-8888 | Haines, Harold H | 3 | CPL | |
| 999-99-9999 | Kelly, Keith K | 3 | CPL | |
| 111-22-3333 | Locke, Larry L | 3 | CPL | |
| 444-55-6666 | Manne, Morris M | 3 | SGT | |
| 777-88-9999 | Nay, Ned N | 3 | SGT | |
| 111-00-1111 | Peach, Paul P | 3 | CPL | |
| 222-23-4444 | Ray, Ralph R | 3 | SSG | |
| 999-88-7777 | Smith, Stanley S | 2 | QM | 1LT |
(5) Have the DA Form 145 signed by a responsible official who has the authority
to requisition or acquire the necessary medical equipment and supplies in support
of the training.
6. Obtain equipment and supplies.
a. Course equipment and supplies (see table 081-831-1055-2). Items such as
intravenous infusion (IV) trainers may need to be purchased. (Check with local
medical treatment facilities first.) You can also check with your local Training/Visual
Information Support Center (T/VISC) concerning these items.
Table 081-831-1055-2. Combat Lifesaver Program
Proposed List of Course Supplies for Six Students
The following items and quantities are required to train six combat lifesaver
students
| #2 Lead pencils | 1 box for written test and notes |
| Dressing, field | 12 |
| Cravat | 12 |
| Gloves, latex surgical/exam | 12 pair, assorted sizes 7-8 ½ |
| Chucks, or equivalent | 12 (to absorb fluids and protect table surfaces) |
| Catheter, Intravenous | 18 (21) 20 or 22 gauge; 18 gauge for practice |
| Container, sharps | 1 (for needles) |
| Plastic trash bags | 3 for non-medical waste |
| Bag, plastic, red HAZMAT | 1 for bio waste |
| IV Moulage, arm strap-on | 3 for IV practice |
| IV administration set | 8 |
| Band, elastic | 6 (constricting band for IV administration) |
| Fluid, IV | 8 normal saline, Ringer’s,
or D5W (500 or 1000 ml) |
| Tape, ½ inch | 1 roll |
| Tape, 1 inch | 1 roll |
| Bandage, adhesive | 1 box (Band-Aids) |
| Capsule, ammonia inhalant | 5 (1 box) |
| Sponge, gauze, 2” x 2” | 1 box (24s) |
| Sponge, gauze, 4” x 4” | 1 box (24s) |
| Pad, povidone-iodine | 1 box (24s) |
| Pad, alcohol | 1 box (24s) |
| Oropharygeal Airway | 3 (different sizes) |
| Splint, SAM | 3 |
| Splint, basewood | 4 |
| Training MARK I antidote kit and CANA | 1 (obtained through Training and Audiovisual Support Center (TASC);
unit should request) |
| Combat lifesaver aid bag | 1 complete for demonstration |
| Blanket, OD, wool | 1 (for improvised litter task; a poncho may be used) |
| Poles, tent | 2 (the poles are for the improvised litter) |
| Litter, folding; 3 straps | 1 (a litter is desirable for a hands-on exercise) |
Note. Plan on enough materials to allow for practice and retests. Your instructor, the staff surgeon combat lifesaver supervisor, or previous instructors of the CL course may be able to give you an idea of how much extra to have on hand.
Note. The combat lifesaver program is a continuous ongoing program and requires
continuous equipment and material support for the already qualified CLs. Be
sure to maintain contact with your supply source to ensure your CL supplies
are programmed into the system.
b. Resupply of Class VIII supplies for combat lifesaver bags during garrison
operations:
(1) Request Class VIII resupply through assigned medical personnel.
(2) Request Class VIII supplies through the appropriate division, brigade
or regimental medical supply office (MSO) when medical personnel are not
assigned. For the latest CL bag content list go to:
http://www.usamma.army.mil/
(3) Request Class VIII support from the installation medical supply activity
(IMSA), normally the MSO of the medical department activity (MEDDAC) or U.S.
Army Medical Center (MEDCEN) if a nondivisional unit.
c. Resupply, during field operations, is accomplished in the same manner
as during garrison operations with two exceptions.
(1) Nondivisional units obtain resupply support from the nearest medical
unit available.
(2) Emergency resupply is provided to all units by the nearest medical unit
capable of doing so.
Note. Field medical units maintain stocks of medical material with which
to effect resupply of combat lifesaver aid bags during field operations.
7. Reserve facilities. The facilities should allow the students to clearly
see the demonstrations and provide plenty of room for student practice. Make
sure there are enough tables and chairs available for the number of students
participating.
8. Inform instructor, assistant instructors, and students:
a. Instructor and assistant instructors.
Note. If you are not the medical instructor, the arrangements and documentation
should be provided to the primary instructor.
(1) Provide a copy of CL memorandum with all attachments.
(2) Remind instructor and assistant instructors of target start date for
the class and location (such as building, room).
(3) Inform the instructor that administrative information, suggested course
schedule, and lesson plans are in IS0826, Combat Lifesaver Instructor Manual.
(4) Inform the primary instructor that all student and instructor materials
shipped from the Army Institute for Professional Development (AIPD) will
be sent to the instructor's address. The instructor is responsible to verify
the shipment is complete and to distribute the subcourses to the students.
(a) Distribute IS0824 at least two weeks before written and performance examinations.
(b) Distribute IS0825 at least two weeks before attending class.
Note. If classes on IS0825 immediately follow testing on IS0824, then distribute
both subcourses at the same time. If possible, provide soldiers a field dressing
and two muslin bandages at the time of distribution for practice. Do not
give the examination booklets or response sheets to the soldiers.
(5) Inform the course coordinator that the day-to-day administration and
conducting of the class is his responsibility once the course materials have
been received. (The course coordinator may or may not be the primary instructor.)
b. Inform the soldiers of their selection, start date and location.
9. Ensure combat lifesavers maintain proficiency.
a. Conduct annual (12 month) recertification.
(1) Determine the number of CLs requiring recertification by reviewing local
unit training records.
(2) Designate instructor(s). Unit instructors accomplish CL recertification.
If no instructors are in the unit, recommend coordinating recertification
with the primary instructor for the Combat Lifesaver Course.
(a) Obtain evaluations and lessons. Combat lifesaver recertification tasks
are designated in the IS0826 under "Recertification Testing." Use
designated CL performance tests and specified lessons available in IS0826;
they may be reproduced as needed. Only the most critical, life-saving tasks
are designated for recertification requirements.
(b) Obtain equipment needed for recertification (see table 081-831-1055-3.)
Table 081-831-1055-3. Combat Lifesaver Recertification Performance Examination
Equipment and Supplies
| Equipment | NSN | Quantity |
| IV fluid bag (500 ml) | 6505 01 372 3425 | 2 bags |
| IV Injection set | 6515 01 472 1863 | 2 sets |
| Catheter and needle IV unit (18 ga) | 6515 01 315 6227 | 2 units |
| Tube drain 1 x 18” can be used as constricting band | 6515 01 188 5316 | |
| Povidine-iodine impregnated cotton pads | 6510 01 010 0307 | |
| Pad isopropyl alcohol | 6510 00 786 3736 | |
| Timepiece with second hand. (*If the time can be seen by both CL and evaluator) | 1 | |
| Manikin suitable for administering modified abdominal thrusts, finger sweeps, and mouth-to-mouth resuscitation | 6910 01 206 0312 | 2 |
| Field dressing | ||
| Materials for pressure dressing wad, pressure dressing bandage, tourniquet band and securing materials (4 muslin bandages, for example). | ||
| Rigid object (stick) for tourniquet | ||
| Padding for tourniquet | ||
| Pack, log, or other object to elevate a leg. |
b. Ensure combat lifesavers are allowed to practice their skills to maintain proficiency during home station training activities (to include FTXs) and during deployment for training.
Evaluation Preparation:
Setup: None.
Brief Soldier: Tell the soldier that he will be asked to state the steps of ensuring the unit combat lifesaver requirements are met.
| Performance Measures | GO | NO GO |
| 1. Researched information on the Combat Lifesaver Program. | ____ | ____ |
| 2. Determined the number of personnel who need to be trained. | ____ | ____ |
| 3. Contacted the appropriate staff surgeon combat lifesaver program supervisor at corps/division/brigade and separate brigade-size units. | ____ | ____ |
| 4. Identified and appointed a qualified instructor and assistants as applicable. | ____ | ____ |
| 5. Enrolled selected unit personnel in the Combat Lifesaver Training Course at least eight weeks before group instruction began. | ____ | ____ |
| 6. Obtained equipment and supplies. | ____ | ____ |
| 7. Reserved facilities. | ____ | ____ |
| 8. Informed instructor, assistant instructors, and students. | ____ | ____ |
| 9. Ensured combat lifesavers maintained proficiency. | ____ | ____ |
Evaluation Guidance: Score the soldier GO if all performance measures are passed. Score the soldier NO GO if any performance measure is failed. If the soldier scores NO GO, show what was done wrong and how to do it correctly.
References
Required
AR 350-1
DA Pam 350-59
IS0826
Related
FM 4-02.4 Medical Platoon Leaders Handbook - Tactics, Techniques, and Procedures
FM 4-02.4 - Appendix C - Combat Lifesaver
Combat Lifesaver Medical Tasks IS0825, Edition D
Combat Lifesaver Recertification Performance Examination
Department of the Army Pamphlet 350–59 Army Correspondence Course Program Catalog
Subcourse:
IS0821 (Proponent: U.S. Army Medical Department)
Title: Self-Aid/Buddy Aid.
Description: Instructions for performing the 16 self-aid/buddy-aid (first aid)
tasks that all soldiers are required to know. Includes restoring breathing,
stopping bleeding, splinting fractures, treating wounds and shock, treating
nerve agent poisoning, treating heat and cold injuries,
transporting casualties, and protecting self from disease. Crd hrs: 15.
Subcourse:
IS0824 (Proponent: U.S. Army Medical Department)
Title: Buddy Aid Tasks.
Description: Gives instruction for performing the Buddy-Aid tasks of the
Combat Lifesaver Course. Subjects include restoring respiration,
stopping bleeding, controlling shock, and splinting fractures. (Available
only through the Combat Lifesaver Correspondence Course.)
Subcourse:
IS0825 (Proponent: U.S. Army Medical Department)
Title: Medical Tasks.
Description: Gives instruction for performing the medical
tasks of the Combat Lifesaver Course. Subjects include intravenous infusions,
chemical agents, and combat stress. (Available only through the Combat Lifesaver
Correspondence Course.)
Subcourse: IS0826 (Proponent: U.S. Army Medical Department)
Title: Combat Lifesaver Instructors Manual.
Description: Contains lesson plans and solutions to examinations for subcourses
IS0824 and IS0825. (Available only to an instructor of the
Combat Lifesaver Correspondence Course.)
The Army Correspondence Course Program
Army Correspondence Course Enrollment Application
Points of Contact
If you have any questions about the subcourse, call or e-mail one of these points of contact:
For questions about subcourse content, contact:
Academy of Health Sciences
Multimedia Development Branch
ATTN: MCCS-HLD
2250 Stanley Road, Room 0404
Fort Sam Houston, TX 78234-6130
COM: (210) 221-7330
DSN: 471-7330
e-mail:
don.atkerson@amedd.army.mil
For questions about subcourse administration, contact:
Section A
DSN: 826-2127/3322
COM: (757) 878-2127/3322
E-MAIL: SectionA@atsc.army.mil
Army National Guard Medical Company Training Site (MCTS), Camp Shelby, Mississippi
209th Regiment (RTI) Camp Ashland, Nebraska
HQ 195th Regiment and NH Regional Training Institute
Medical Company Training Site- PA - Fort Indiantown Gap, PA