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UNITED STATES ARMY INSTITUTE FOR MILITARY ASSISTANCE ST 31-91B US ARMY SPECIAL FORCES MEDICAL HANDBOOK 1 MARCH 1982 Preface SPECIAL FORCES MEDICAL HANDBOOK CONTENTS: Chapters 1 Body System ........008 Seen eee Section I = Integumentary System . II - Musculoskeletal System . III = Respiratory System . IV ~ Circulatory System . V ~ Digestive System . VI = Genitourinary System .. VII = Nervous System .. VIII - Endocrine System . IX - Eye, Ear, Nose, and Throat .........eee Communicable Diseases ...........005 Section I - Parasitic .......... II - Mycotic (Fungal) ... III Iv v VI Clearing Airway Obstructions and CPR .......+ Mental Disorders ..... Nutritional Diseases and Deficiencies Pediatrics ..... Gynecology ... Obstetrics . Orthopedics oe Burns and Blast Injuries . Heat and Cold Injuries . Bites (Snake, Insect, and Animal) . Overdose and Poisoning tee eeeeee Nuclear, Biological, Chemical (NBC) .. Shock ...... Bnergency War Anesthesia ..... IV Therapy (Fluids and Electrolytes, Basics) Dental Emergencies and Treatment Preventive Medicine (PM) Veterinary Medicine Primitive Medicine . Appendi ixes omm Anatomical Plates ......-....00008 Bacteriological and Parasitic Plates Laboratory Procedures ............5 Cellular Components of Blood, ‘Normal Values, and Significance of Blood Test . ‘History and Physical Exanination Guide Field Sterilization Techniques . Drug of Choice Chart .....eeseeeee fii 1-1 to 1-1 to 1-8 to 1-14 to 1-35 to 1-45 to 1-57 to 1-63 to 1-71 to 1-74 to 2-1 to 2-1 to 2-11 to 2-15 to 2-26 to 2-33 to 2-41 to 341 to 4-1 to 5-1 to 6-1 to T-1 to 8-1 to 9-1 to 0-1 to 11-1 to 12-1 to 13-1 to 1-1 to 15<1 to 16-1 to 17-1 to 18-1 to 19-1 to 20-1 to to ig 5-5 TH15 8-10 9-12 10-11 Wi 12-7 13-16 14-13 15-3 16-10 17-20 18-2 19-15 20-23 21-12 22-44 AW18 B-23 c-5 D-y E=2 G-5 PREFACE This book is designed to serve as a ready reference and review for Special Forces (SF) medics. It covers diseases and medical problems that SF medics may encounter in various areas of the world. It does not, however, take the place or eliminate the need for a comprehensive medical area study. Many treatments given in this handbook would best be given in a hospital where a laboratory and special equipment are available, and personnel with serious injuries or illnesses should be evacuated to such a hospital if at all possible. Know your limitations and do not exceed them. Remember the maxim "First thou shall do no harm" and seek the assistance of more competent medical authority whenever possible. Since we want to use as few pages as possible in presenting this information, we use common medical abbreviations throughout. For example, A = analysis he = hour ABE = acute bacterial endocarditis HB = hemoglobin ad = up to HCL = hydrochloride A.M, = ante meridiem HCT = hematocrit BBT —-~ basal body temperature HEENT - head, eye, ear, nose & b.i.d, + twice a day throat B.P, = blood pressure He = mercury BUN = blood urea nitrogen hs. = at bedtime Ba = biological warfare He = history c. ~ Celsius, centigrade 1D = intradermal CBC = complete blood count kD = incise & drain cc. = cubic centimeter i.e. - that is CHF = congestive heart failure m = intramuscular cm - centimeter wv = intravenous C.N.S. = central nervous system Iu = international unit COPD = chronic obstructive kg. = kilogran pulmonary disease L. - liter CPR = cardiopulmonary resuscitation lab - laboratory cT = clotting time sty = pound(s) C.V.A, = costovertebral angle; LLQ = left lower quadrant cerebrovascular accident MCL = mid clavicular line a. = day; daily med = medication; medical; DAC = dilatation and curretage medicine DIR — ~ deep tendon reflex mEq. - milliequivalent Dx = diagnosis mg. = milligram E. coli - Escherichia coli Mg = magnesium e.g. = for example MI = myocardial infarction F. ~ Fahrenheit MIF = merthiolate/iodine/ G.I. = gastrointestinal formaline solution gm = gram min = minute gr. = grain ml. = milliliter gtt. - drops m. = millimeter GU = genitourinary M.U. = million units