DA Form 7595-1-20 Initiate Treatment for Neck Wounds

DA Form 7595-1-20 - also known as the "Initiate Treatment For Neck Wounds" - 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 7595-1-20 - was last revised on April 1, 2014. Download an up-to-date fillable PDF version of the DA 7595-1-20 below or request a copy through the chain of command.

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INITIATE TREATMENT FOR NECK WOUNDS
For use of this form see TC 8-800; the proponent agency is TRADOC.
I
TABLE:
STP 8-68W13-SM-TG, Task: 081-833-0091, Initiate Treatment for Neck 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:
While out on patrol, an infantry Soldier sustains a gunshot wound to the neck. You must control the bleeding to the neck 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 exit wound.
c. Packed the wound with Combat Gauze® and held pressure for 3 minutes.
d. Placed elastic bandage over dressing leaving a tail.
e. Wrapped elastic bandage under opposite arm.
f. Continued to wrap around neck and under arm pulling elastic bandage tight for pressure, covering the entire
dressing.
g. Secured dressing by tying a nonslip knot with end of elastic bandage and tail.
h. Secured elastic bandage tail and knot with 2-inch tape wrapping a minimum of 1 to 1½ times around tail and
knot.
i. Swathed arm to torso.
j. Continued to assess wound for further bleeding.
k. Documented procedure 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 7595-1-20, APR 2014
APD LC v1.00
INITIATE TREATMENT FOR NECK WOUNDS
For use of this form see TC 8-800; the proponent agency is TRADOC.
I
TABLE:
STP 8-68W13-SM-TG, Task: 081-833-0091, Initiate Treatment for Neck 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:
While out on patrol, an infantry Soldier sustains a gunshot wound to the neck. You must control the bleeding to the neck 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 exit wound.
c. Packed the wound with Combat Gauze® and held pressure for 3 minutes.
d. Placed elastic bandage over dressing leaving a tail.
e. Wrapped elastic bandage under opposite arm.
f. Continued to wrap around neck and under arm pulling elastic bandage tight for pressure, covering the entire
dressing.
g. Secured dressing by tying a nonslip knot with end of elastic bandage and tail.
h. Secured elastic bandage tail and knot with 2-inch tape wrapping a minimum of 1 to 1½ times around tail and
knot.
i. Swathed arm to torso.
j. Continued to assess wound for further bleeding.
k. Documented procedure 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 7595-1-20, APR 2014
APD LC v1.00

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