DA Form 7595-1-19 Initiate Treatment for Inguinal Wounds

DA Form 7595-1-19 - also known as the "Initiate Treatment For Inguinal Wounds" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 7595-1-19 - was last revised on April 1, 2014. Download an up-to-date fillable PDF version of the DA 7595-1-19 down below or look it up on the Army Publishing Directorate website.

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INITIATE TREATMENT FOR INGUINAL WOUNDS
For use of this form see TC 8-800; the proponent agency is TRADOC.
I
TABLE:
STP 8-68W13-SM-TG, Task: 081-833-0081, Initiate Treatment for Inguinal Wounds
REFERENCE:
PRIVACY ACT STATEMENT
10 U.S.C. S 3013 Secretary of the Army; AR 350-1, Army Training Leadership and
AUTHORITY:
S
Development.
PRINCIPAL PURPOSE:
To ensure that accomplishment of training is properly credited to the correct individual for NREMT
certification IAW AR 40-68, AR 220-1 and AR 350-1.
Used by Unit personnel to monitor training. The DOD "Blanket Routine uses" set forth at the beginning of
ROUTINE USES:
the Army's compilation of system of records notices may apply to this system.
DISCLOSURE:
Voluntary. Failure to provide your name may result in a loss of credit for accomplishing the training or error
in processing applicable favorable personnel actions. For Official Use Only.
1. Soldier's (Last Name, First Name, MI)
2. Date (YYYYMMDD)
SCENARIO:
On a patrol in Afghanistan, you have a patient who has sustained a penetrating inguinal wound, not amenable to tourniquet. Treat the inguinal 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 wound. Checked for an exit wound.
c. Packed the wound with Combat Gauze®. Held pressure for 3 minutes.
d. Placed tail of cravat under posterior belt on injured side and fan open cravat.
e. Wrapped cravat from posterior to anterior completely covering packing along the contour of the groin.
f. Tied nonslip knot to other tail of the cravat.
g. Secured tails and knot with 3-inch tape 1-1/2 times around the whole cravat.
h. Swathed legs together to provide additional pressure to the wound.
i. Continued to assess wound for further bleeding
j. Recorded the treatment given on DD Form 1380 [Tactical Combat Casualty Care (TCCC) Card].
4. Demonstrated Proficiency
Yes
No
6. Stop Time
7. Initial Evaluator
5. Start Time
9. Stop Time
8. Start Time
10. Retest Evaluator
12. Stop Time
13. Final Evaluator
11. Start Time
14. Evaluator's Comments
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.
DA FORM 7595-1-19, APR 2014
APD LC v1.00
INITIATE TREATMENT FOR INGUINAL WOUNDS
For use of this form see TC 8-800; the proponent agency is TRADOC.
I
TABLE:
STP 8-68W13-SM-TG, Task: 081-833-0081, Initiate Treatment for Inguinal Wounds
REFERENCE:
PRIVACY ACT STATEMENT
10 U.S.C. S 3013 Secretary of the Army; AR 350-1, Army Training Leadership and
AUTHORITY:
S
Development.
PRINCIPAL PURPOSE:
To ensure that accomplishment of training is properly credited to the correct individual for NREMT
certification IAW AR 40-68, AR 220-1 and AR 350-1.
Used by Unit personnel to monitor training. The DOD "Blanket Routine uses" set forth at the beginning of
ROUTINE USES:
the Army's compilation of system of records notices may apply to this system.
DISCLOSURE:
Voluntary. Failure to provide your name may result in a loss of credit for accomplishing the training or error
in processing applicable favorable personnel actions. For Official Use Only.
1. Soldier's (Last Name, First Name, MI)
2. Date (YYYYMMDD)
SCENARIO:
On a patrol in Afghanistan, you have a patient who has sustained a penetrating inguinal wound, not amenable to tourniquet. Treat the inguinal 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 wound. Checked for an exit wound.
c. Packed the wound with Combat Gauze®. Held pressure for 3 minutes.
d. Placed tail of cravat under posterior belt on injured side and fan open cravat.
e. Wrapped cravat from posterior to anterior completely covering packing along the contour of the groin.
f. Tied nonslip knot to other tail of the cravat.
g. Secured tails and knot with 3-inch tape 1-1/2 times around the whole cravat.
h. Swathed legs together to provide additional pressure to the wound.
i. Continued to assess wound for further bleeding
j. Recorded the treatment given on DD Form 1380 [Tactical Combat Casualty Care (TCCC) Card].
4. Demonstrated Proficiency
Yes
No
6. Stop Time
7. Initial Evaluator
5. Start Time
9. Stop Time
8. Start Time
10. Retest Evaluator
12. Stop Time
13. Final Evaluator
11. Start Time
14. Evaluator's Comments
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.
DA FORM 7595-1-19, APR 2014
APD LC v1.00

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