DA Form 7595-1-11 Apply a Pressure Dressing to an Open Wound

DA Form 7595-1-11 - also known as the "Apply A Pressure Dressing To An Open Wound" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 7595-1-11 - was last revised on March 1, 2014. Download an up-to-date fillable PDF version of the DA 7595-1-11 below or request a copy through the chain of command.

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APPLY A PRESSURE DRESSING TO AN OPEN WOUND
For use of this form see TC 8-800; the proponent agency is TRADOC.
I
TABLE:
STP 8-68W13-SM-TG, Task: 081-833-0212, Apply a Pressure Dressing to an Open Wound.
REFERENCE:
PRIVACY ACT STATEMENT
10 U.S.C. S 3013 Secretary of the Army; AR 350-1, Army Training Leadership and Development.
AUTHORITY:
S
To ensure that accomplishment of training is properly credited to the correct individual for NREMT certification
PRINCIPAL PURPOSE:
IAW AR 40-68, AR 220-1 and AR 350-1.
ROUTINE USES:
Used by Unit personnel to monitor training. The DOD "Blanket Routine uses" set forth at the beginning of the
Army's compilation of system of records notices may apply to this system.
Voluntary. Failure to provide your name may result in a loss of credit for accomplishing the training or error in
DISCLOSURE:
processing applicable favorable personnel actions. For Official Use Only.
1. Soldier (Last Name, First Name, MI)
2. Date (YYYYMMDD)
SCENARIO:
An infantryman moving through a built-up area has the point on your patrol. An artillery round impacts approximately 25 meters from where he is standing.
Once counter-battery fire is initiated, you move forward to his position. The patient is alert and oriented, and has significant bleeding coming from his left
forearm. Following your initial and rapid trauma assessment you determine that this is his only significant injury. You must apply a pressure dressing to
the open wound.
GRADING SHEET
TASK
COMPLETED
1ST
2ND
3RD
3. Performance Measures
P
F
P
F
P
F
a. Took body substance isolation precautions.
b. Exposed the injury by cutting away the patient's clothing.
c. Packed the wound with Kerlix® or Combat Gauze® (if Combat Gauze® is used, verbalized holding pressure for 3
minutes.)
d. Applied the emergency bandage to the extremity; applied the white portion directly over the wound.
e. Wrapped the elastic portion of the emergency bandage around the extremity, and inserted the elastic wrap
completely into the pressure bar.
f. Pulled the emergency bandage tight and reversed it back over the top of the pressure bar forcing the bar down onto
the wound pad.
g. Continued to wrap the elastic bandage tightly over the pressure bar and wound pad; ensuring the edges of the
wound pad were completely covered.
h. Secured the hooking ends of the closure bar onto the last wrap of the bandage.
i. Evaluated pulse, motor, sensory distal to injury.
j. Secured the bandage with tape.
k. Documented the treatment on the appropriate medical form.
4. Demonstrated Proficiency
Yes
No
5. Start Time
6. Stop Time
7. Initial Evaluator
8. Start Time
9. Stop Time
10. Retest Evaluator
12. Stop Time
13. Final Evaluator
11. Start Time
This form was prepared by U.S. Government employees for use in the 68W MOS. Although it contains, in part, copyrighted material from National
Registry of Emergency Medical Technicians, Inc.
(NREMT)
, skill sheets ©2011, this form has neither been prepared nor approved by NREMT. Use is
restricted to guidelines contained in the Preface to TC 8-800.
Page 1 of 2
Supersedes DA FORM 7595-24-R, MAY 2009
DA FORM 7595-1-11, MAR 2014
APD LC v1.00
APPLY A PRESSURE DRESSING TO AN OPEN WOUND
For use of this form see TC 8-800; the proponent agency is TRADOC.
I
TABLE:
STP 8-68W13-SM-TG, Task: 081-833-0212, Apply a Pressure Dressing to an Open Wound.
REFERENCE:
PRIVACY ACT STATEMENT
10 U.S.C. S 3013 Secretary of the Army; AR 350-1, Army Training Leadership and Development.
AUTHORITY:
S
To ensure that accomplishment of training is properly credited to the correct individual for NREMT certification
PRINCIPAL PURPOSE:
IAW AR 40-68, AR 220-1 and AR 350-1.
ROUTINE USES:
Used by Unit personnel to monitor training. The DOD "Blanket Routine uses" set forth at the beginning of the
Army's compilation of system of records notices may apply to this system.
Voluntary. Failure to provide your name may result in a loss of credit for accomplishing the training or error in
DISCLOSURE:
processing applicable favorable personnel actions. For Official Use Only.
1. Soldier (Last Name, First Name, MI)
2. Date (YYYYMMDD)
SCENARIO:
An infantryman moving through a built-up area has the point on your patrol. An artillery round impacts approximately 25 meters from where he is standing.
Once counter-battery fire is initiated, you move forward to his position. The patient is alert and oriented, and has significant bleeding coming from his left
forearm. Following your initial and rapid trauma assessment you determine that this is his only significant injury. You must apply a pressure dressing to
the open wound.
GRADING SHEET
TASK
COMPLETED
1ST
2ND
3RD
3. Performance Measures
P
F
P
F
P
F
a. Took body substance isolation precautions.
b. Exposed the injury by cutting away the patient's clothing.
c. Packed the wound with Kerlix® or Combat Gauze® (if Combat Gauze® is used, verbalized holding pressure for 3
minutes.)
d. Applied the emergency bandage to the extremity; applied the white portion directly over the wound.
e. Wrapped the elastic portion of the emergency bandage around the extremity, and inserted the elastic wrap
completely into the pressure bar.
f. Pulled the emergency bandage tight and reversed it back over the top of the pressure bar forcing the bar down onto
the wound pad.
g. Continued to wrap the elastic bandage tightly over the pressure bar and wound pad; ensuring the edges of the
wound pad were completely covered.
h. Secured the hooking ends of the closure bar onto the last wrap of the bandage.
i. Evaluated pulse, motor, sensory distal to injury.
j. Secured the bandage with tape.
k. Documented the treatment on the appropriate medical form.
4. Demonstrated Proficiency
Yes
No
5. Start Time
6. Stop Time
7. Initial Evaluator
8. Start Time
9. Stop Time
10. Retest Evaluator
12. Stop Time
13. Final Evaluator
11. Start Time
This form was prepared by U.S. Government employees for use in the 68W MOS. Although it contains, in part, copyrighted material from National
Registry of Emergency Medical Technicians, Inc.
(NREMT)
, skill sheets ©2011, this form has neither been prepared nor approved by NREMT. Use is
restricted to guidelines contained in the Preface to TC 8-800.
Page 1 of 2
Supersedes DA FORM 7595-24-R, MAY 2009
DA FORM 7595-1-11, MAR 2014
APD LC v1.00
CONTROL BLEEDING USING AN EMERGENCY BANDAGE
(cont'd)
GRADING SHEET
14. Comments
DA FORM 7595-1-11, MAR 2014
Page 2 of 2
APD LC v1.00

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