081-831-1055 (SL4) - Ensure Unit Combat Lifesaver Requirements Are Met

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.

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

b.        
Complete one DA Form 145
enrolling the primary instructor in
IS0826 (http://www.usapa.army.mil/forms/).

(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.

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.  Include
equipment for the buddy-aid tasks,
IS0824, even though it may not be
taught in a group. 
The equipment will be used for
the performance evaluation.

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.armymedicine.army.mil/usamma

(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

2

Manikin
suitable for administering modified
abdominal thrusts, finger sweeps, and
mouth-to-mouth resuscitation

6910
01 206 0312

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.

(c)  
Reserve a training facility
(classroom) or area.

(d)  
Schedule CLs for the
recertification.

(e)  
Make an entry on the combat
lifesaver’s local training record
indicating the date he passed the
recertification examination.

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.

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.

—

—

AR
350-1

DA
Pam 350-59

IS0826