# Medical Education And Demonstration Of Individual Competence

## December 2021

DISTRIBUTION RESTRICTION: Approved for public release; distribution unlimited.

*This publication supersedes TC 8-800, dated 15 September 2014.  It also rescinds DA Form 7595-1-1 (MAY 2014), DA Form 7595-1-2 (FEB 2014), DA Form 7595-1-3 (MAR 2014), DA Form 7595-1-4 (MAY 2014), DA Form 7595-1-5
(MAR 2014), DA Form 7595-1-6 (APR 2014), DA Form 7595-1-7 (APR 2014), DA Form 7595-1-8 (APR 2014), DA
Form 7595-1-9 (APR 2014), DA Form 7595-1-10 (MAR 2014), DA Form 7595-1-11 (MAR 2014), DA Form 7595-1-12
(APR 2014), DA Form 7595-1-13 (MAR 2014), DA Form 7595-1-14 (APR 2014), DA Form 7595-1-15 (MAR 2014), DA
Form 7595-1-16 (APR 2014), DA Form 7595-1-17 (APR 2014), DA Form 7595-1-18 (APR 2014), DA Form 7595-1-19
(APR 2014), DA Form 7595-1-20 (APR 2014), DA Form 7595-2-1 (MAR 2014), DA Form 7595-2-2 (MAR 2014), DA
Form 7595-2-3 (MAR 2014), DA Form 7595-2-4 (MAR 2014), DA Form 7595-2-5 (MAY 2014), DA Form 7595-2-6 (MAR
2014), DA Form 7595-2-7 (MAR 2014), DA Form 7595-2-8 (MAR 2014), DA Form 7595-2-9 (MAY 2014), DA Form
7595-2-10 (MAY 2014), DA Form 7595-2-11 (MAR 2014), DA Form 7595-3-1 (MAR 2014), DA Form 7595-3-2 (MAY
2014), DA Form 7595-3-3 (MAR 2014), DA Form 7595-3-4 (MAR 2014), DA Form 7595-3-5 (MAY 2014), DA Form
7595-3-6 (MAY 2014), DA Form 7595-3-7 (MAY 2014), DA Form 7595-4-1 (MAY 2014), DA Form 7595-4-2 (MAR
2014), DA Form 7595-4-3 (MAY 2014), DA Form 7595-4-4 (MAY 2014), DA Form 7595-4-5 (MAR 2014), DA Form
7595-4-6 (MAR 2014), DA Form 7595-4-7 (MAR 2014), DA Form 7595-4-8 (MAR 2014), DA Form 7595-4-9 (MAY
2014), DA Form 7595-4-10 (MAY 2014), DA Form 7595-4-11 (MAY 2014), DA Form 7595-4-12 (MAY 2014), DA Form
7595-4-13 (MAY 2014), DA Form 7595-4-14 (MAY 2014), DA Form 7595-4-15 (MAY 2014), DA Form 7595-4-16 (MAY
2014), DA Form 7595-5-2 (MAR 2014), DA Form 7595-5-3 (MAR 2014), DA Form 7595-5-4 (MAY 2014), DA Form
7595-5-5 (MAY 2014), DA Form 7595-5-6 (MAY 2014), DA Form 7595-5-7 (MAY 2014), DA Form 7595-5-8 (MAR
2014), DA Form 7595-6-1 (MAY 2014), DA Form 7595-6-2 (MAY 2014), DA Form 7595-6-3 (MAY 2014), DA Form
7595-6-4 (MAY 2014), DA Form 7595-6-5 (MAY 2014), DA Form 7595-6-6 (MAY 2014).

## Headquarters, Department Of The Army

This publication is available at Army Publishing Directorate site
(https://armypubs.army.mil)
and the Central Army Registry site
(https://atiam.train.army.mil/catalog/dashboard).

Washington, D.C., 15 December 2021

# Medical Education And Demonstration Of Individual Competence

## Contents

| PREFACE iii                                                            |
|------------------------------------------------------------------------|
| INTRODUCTION 1-1                                                       |
|                                                                        |
| General 1-1                                                            |
|                                                                        |
| Military Occupational Specialty Qualification 1-1                      |
|                                                                        |
| National Registry of Emergency Medical Technicians Recertification 1-2 |
|                                                                        |
| Joint Medical Readiness Training Requirements 1-2                      |
|                                                                        |
| Key Skills 1-2                                                         |
|                                                                        |
| 68W Readiness Requirements 1-2                                         |
| TRAINING STRATEGY 2-1                                                  |
|                                                                        |
| General 2-1                                                            |
|                                                                        |
| Commander's Training Strategy 2-1                                      |
|                                                                        |
| Cyclic Training 2-1                                                    |
| Documentation of Completed Training 2-2                                |
|                                                                        |
| Proof of Training 2-2                                                  |
|                                                                        |
| Medical Operational Data System 2-2                                    |
|                                                                        |

DISTRIBUTION RESTRICTION: Approved for public release; distribution unlimited.

*This publication supersedes TC 8-800, dated 15 September 2014.  It also rescinds DA Form 7595-1-1 (MAY 2014), DA Form 7595-1-2 (FEB 2014), DA Form 7595-1-3 (MAR 2014), DA Form 7595-1-4 (MAY 2014), DA Form 7595-1-5
(MAR 2014), DA Form 7595-1-6 (APR 2014), DA Form 7595-1-7 (APR 2014), DA Form 7595-1-8 (APR 2014), DA Form 7595-1-9 (APR 2014), DA Form 7595-1-10 (MAR 2014), DA Form 7595-1-11 (MAR 2014), DA Form 7595-1-12
(APR 2014), DA Form 7595-1-13 (MAR 2014), DA Form 7595-1-14 (APR 2014), DA Form 7595-1-15 (MAR 2014), DA Form 7595-1-16 (APR 2014), DA Form 7595-1-17 (APR 2014), DA Form 7595-1-18 (APR 2014), DA Form 7595- 1-19 (APR 2014), DA Form 7595-1-20 (APR 2014), DA Form 7595-2-1 (MAR 2014), DA Form 7595-2-2 (MAR 2014), DA Form 7595-2-3 (MAR 2014), DA Form 7595-2-4 (MAR 2014), DA Form 7595-2-5 (MAY /2014), DA Form 7595-2- 6 (MAR 2014), DA Form 7595-2-7 (MAR 2014), DA Form 7595-2-8 (MAR 2014), DA Form 7595-2-9 (MAY 2014), DA Form 7595-2-10 (MAY 2014), DA Form 7595-2-11 (MAR 2014), DA Form 7595-3-1 (MAR 2014), DA Form 7595-3-2
(MAY 2014), DA Form 7595-3-3 (MAR 2014), DA Form 7595-3-4 (MAR 2014), DA Form 7595-3-5 (MAY 2014), DA Form 7595-3-6 (MAY 2014), DA Form 7595-3-7 (MAY 2014), DA Form 7595-4-1 (MAY 2014), DA Form 7595-4-2
(MAR 2014), DA Form 7595-4-3 (MAY 2014), DA Form 7595-4-4 (MAY 2014), DA Form 7595-4-5 (MAR 2014), DA Form 7595-4-6 (MAR 2014), DA Form 7595-4-7 (MAR 2014), DA Form 7595-4-8 (MAR 2014), DA Form 7595-4-9
(MAY 2014), DA Form 7595-4-10 (MAY 2014), DA Form 7595-4-11 (MAY 2014), DA Form 7595-4-12 (MAY 2014), DA Form 7595-4-13 (MAY 2014), DA Form 7595-4-14 (MAY 2014), DA Form 7595-4-15 (MAY 2014), DA Form 7595-
4-16 (MAY 2014), DA Form 7595-5-2 (MAR 2014), DA Form 7595-5-3 (MAR 2014), DA Form 7595-5-4 (MAY 2014), DA Form 7595-5-5 (MAY 2014), DA Form 7595-5-6 (MAY 2014), DA Form 7595-5-7 (MAY 2014), DA Form 7595-5-8
(MAR 2014), DA Form 7595-6-1 (MAY 2014), DA Form 7595-6-2 (MAY 2014), DA Form 7595-6-3 (MAY 2014), DA Form 7595-6-4 (MAY 2014), DA Form 7595-6-5 (MAY 2014), DA Form 7595-6-6 (MAY 2014).

## Preface

This publication, Training Circular (TC) 8-800, *Medical Education and Demonstration of Individual Competence*, commonly referred to as TC 8-800 MEDIC, focuses on medical readiness training and skills qualification.  It provides the commander guidelines for the 68W medical education and demonstration of individual competence.  The goal of this endeavor is the knowledgeable and precise administration of mission-oriented critical tasks on which the tactical combat casualty care (TCCC, formerly TC3) of injured Soldiers depends.  Medical skills and procedures are perishable.  To ensure utmost proficiency and preparedness, Soldiers with military occupational specialty (MOS) 68W
(Combat Medic Specialist) will demonstrate medical skills proficiency according to Army Regulation (AR) 350-1, Army Training and Leader Development and Army Doctrine Publication (ADP) 7-0, *Training*.  For the purpose of this TC, Combat Medic Specialist will be referred to as Combat Medic when the 68W designation is not used.  This TC explains how commanders will implement individual critical tasks, current Joint Trauma System TCCC guidelines, and National Registry of Emergency Medical Technicians (NREMT) recertification guidelines to develop, implement, and validate a training program to enhance and evaluate demonstrated critical skills proficiency of the Combat Medic.

This TC discusses the Medical Operational Data System (MODS) and Digital Training Management System (DTMS).

It explains how commanders use the MODS 68W Module and DTMS to record and track the training requirements of their Combat Medics. For MOS qualification, Combat Medics must meet specific requirements.  This TC explains these requirements and how the Training and Skills Qualification Tables satisfy these requirements. All forms referenced in this publication are available at the United States Army Publishing Directorate (APD) website at http://www.armypubs.army.mil/; or they can be reproduced locally.

The proponent of this publication is United States Army Training and Doctrine Command (TRADOC).  The preparing agency of TC 8-800 is the United States Army Medical Center of Excellence (MEDCoE), Directorate of Training and Doctrine, Doctrine Literature Division.  Send comments and recommendations on Department of the Army (DA)
Form 2028 (*Recommended Changes to Publications and Blank Forms*) directly to usarmy.jbsa.medical-coe.mbx.dotdtngpubs@mail.mil or the Commander, United States Army MEDCoE, ATTN: ATMC-DTC-M, 2377 Greeley Road, Suite B, Joint Base San Antonio-Fort Sam Houston, TX 78234-7731. Disposition of Forms: Disposition of forms used to train and test 68W skills is per AR 25-400-2, The Army Records Information Management System (ARIMS).
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## Introduction General

The mission of the Army is to train to fight and win.  The mission of the Combat Medic is to provide the medical treatment necessary to sustain the combat Soldier in support of the mission.  Training Soldiers, leaders and units is the vital ingredient that ensures the readiness of the force to accomplish this mission.  Training must provide Combat Medics with opportunities to practice their skills in an operational environment to be effective.  Conditions should be rigorous, relevant, tough, and realistic. The skills of the Combat Medic must be sustained because they are perishable.  Many 68W, Combat Medic Specialist duty positions do not allow opportunities for them to practice their operational medicine skills on a routine basis.  The Training and Skills Tables (table 1-1) include seven medical and trauma tables and skills qualification tests.  These tables support the requirement for skills qualification, scenario based lanes testing comprised of select critical skills.

| TRAINING TABLES      | Table I                                           | Tactical Combat Casualty Care    |
|----------------------|---------------------------------------------------|----------------------------------|
| Table II             | Airway, Respiration, and Ventilation              |                                  |
| Table III            | Fluid Resuscitation and Medication Administration |                                  |
| Table IV             | Limited Primary Care                              |                                  |
| Table V              | Triage and Evacuation                             |                                  |
| Table VI             | Force Health Protection                           |                                  |
| Table VII            | Special Populations                               |                                  |
| SKILLS QUALIFICATION | Table VIII                                        | Skills Qualification Testing     |

Note.  Skills Qualification Testing referenced in Table VIII is an external evaluation of skills to be conducted at an Army Combat Medic Sustainment Division (CMSD) accredited site.  (See Chapter 3, Accreditation)
Training Tables I through VII include individual tasks that are trained and used for treating patients in military operations.  Documented completion of Training Tables I through VII and Skills Qualification Test (Table VIII) on an annual basis provides the continuing education (CE) hours required for biennial National Registry of Emergency Medical Technicians (NREMT) recertification.  The training must be conducted by a qualified 68W, Combat Medic Specialist noncommissioned officer (NCO), 18D, Special Forces Sergeant or medical officer.  A medical officer must authenticate the documented training before it can be entered for record in the Medical Operational Data System
(MODS) 68W Module.  For the purpose of this training circular (TC), a medical officer is a physician, registered nurse, or physician assistant.

The CE hours are awarded upon completion of Training Tables I through VII and Skills Qualification Testing (Table VIII), not merely having the Combat Medic complete Skills Qualification Testing (Table VIII).  In other words, having the Combat Medic simply "test out" on Table VIII is not authorized.

## Military Occupational Specialty Qualification

1-1.

For military occupational specialty (MOS) qualification, the Combat Medic must meet the requirements below.  Failure to meet these requirements will result in adverse personnel actions including reclassification or separation.

a.
Biennial Emergency Medical Technician (EMT) recertification (minimum) by the NREMT according
to Army Regulation (AR) 40-68, *Clinical Quality Management*.
b.
Basic Life Support certification at the healthcare provider level from one of the following:

American Red Cross

American Heart Association

Military Training Network

## National Registry Of Emergency Medical Technicians Recertification

1-2.

The following are required for Combat Medic biennial NREMT recertification.  These requirements are built into the training tables in table 1-1, page 1-1.  In a two-year cycle, by completing the training listed below, Combat Medics will satisfy all necessary requirements to sustain their NREMT certification:

a.
Basic Life Support certification at the healthcare provider level.
b.
72 hours of Army CMSD approved training according to the Army CMSD standard operating
procedure (SOP).  The approved training can be found on the milSuite TC 8-800 Slides & Lesson Plans
(MEDIC) website (Common access card [CAC] access required).
c.
Verification of skills qualification.

## Joint Medical Readiness Training Requirements

1-3.
Medical readiness training (MRT) requirements for healthcare professionals include the following:
a.
Combat Medics must obtain and maintain certification for the appropriate tactical combat casualty
care (TCCC) skills recommended by the Defense Health Agency (DHA) Director. b.
Units are responsible for documenting Soldiers' TCCC certification and recertification training using
a service designated data source. c.
The Digital Training Management System (DTMS) is the service designated data source for the Army
until otherwise directed.

## Key Skills

1-4.
Combat casualty care is the primary mission of the Combat Medic.  These casualty care skill sets include:

Tactical combat casualty care

Limited primary care

Delayed evacuation care

First Responder care training for non-medical personnel
1-5.

The core skills of the Combat Medic largely overlap the competencies of the EMT.  However, the Combat Medic is more uniquely skilled than an EMT.  These advanced TCCC core skills are related to advanced airway management, combat trauma management, medication administration, and advanced casualty movement.  These advanced skills are comparable to those of an Advanced Emergency Medical Technician (AEMT) or National Registry Paramedic (NRP) and must be sustained.  The EMT skills are drawn from the Department of Transportation and National Emergency Medical System standards.  They are used by civilian state and federal agencies as well as other military Services.

## 68W Readiness Requirements

1-6.

The 68W, Combat Medic Specialist readiness requirements are the basic tasks in which Combat Medics must be proficient prior to deployment in cases of "just in time" training.  These tasks can be found in Soldier Training Publication (STP) 8-68W13-SM-TG which can be found on the Army Publishing Directorate (APD)
website or the Central Army Registry (CAR) website.

Note.  The Readiness Requirements Individual Critical Task List (ICTL) does not replace the complete ICTL associated with the Soldier's skill level.  The Soldiers must maintain proficiency on all tasks relative to their skill level.

## Training Strategy General

To be successful on the battlefield, commanders must know the capabilities of their weapons, support systems, and Soldiers.  Commanders should develop, document, and implement a cyclic and progressive training strategy.  It must be able to maintain the critical perishable skills of all Soldiers, especially the Combat Medic.

## Commander's Training Strategy


For a commander's training strategy to be productive, the trainer must be expertly trained.  A review of this TC along with STP 8-68W13-SM-TG provides a good start in training the trainer on the basics of critical lifesaving skills proficiency required in Tables I through VII.  If trainers are not trained to standard first, resources are wasted and Soldier injuries and death may occur.


Throughout the year, commanders and unit leaders use both scheduled and unscheduled time to accomplish collective and individual training.  Unit leaders know the training requirements for their Soldiers.  They are in the best position to conduct training to meet those individual training requirements.

Commanders should use collective training exercises to train Soldiers (Combat Lifesavers and Combat Medics) in Warrior Tasks/Battle Drills and medical, trauma, and evacuation skills.  The use of TCCC in tactics, techniques and procedures reinforces care under fire and tactical field care.


Unit leaders must also identify a baseline for their Combat Medics' knowledge and skills proficiency.

When unit leaders are trained to standard in the tasks in Training Tables I through VII, they can clearly identify the training shortcomings of their Combat Medics.  They can then rectify those shortcomings before proficiency testing or actual combat casualty care treatment.  The ability for unit leaders to retrain or reinforce training is absolutely critical.  Many of these skills are such that they may not be accomplished except in a combat environment.  Retraining or reinforcement must be conducted as training shortcomings are identified.

This TC augments the individual critical tasks outlined in STP 8-68W13-SM-TG.  The seven training tables with associated training support packages (TSPs) can be found on the milSuite TC 8-800 Slides & Lesson Plans (MEDIC) website.  This training is the Army-recommended method for attainment of CE and MRT.  The tasks in the training tables must be


Trained to standard by a qualified 68W, Combat Medic Specialist NCO or medical officer.

Documented by the noncommissioned officer in charge (NCOIC) or the officer in charge (OIC) on
Department of the Army (DA) Form 7442 (*68W Skills Proficiency Tracking Sheet*).

Recorded in the MODS 68W Module.
Note.  Joint TCCC training must be recorded in the DTMS by qualified personnel.

## Cyclic Training


The process of cyclic training begins with individual training with the trainer using the "crawl-walk-run"
method of training to achieve proficiency.  Table 2-1, page 2-2, shows the training cycle and its relationship to Training Tables I through VII and Table VIII, Skills Qualification Testing.  The "When" column depicts when the training may occur based on the unit's operational tempo, training cycle or ongoing operations.  If individual tasks have been trained and Soldiers are proficient in their skills, the lanes portion can be integrated into ongoing operations at the treatment site.  In this TC, individual tasks are combined collectively to treat various patient conditions as they would develop and change using realistic scenarios.  The training objectives are to develop individual skills proficiency.  This will enable the Combat Medic to assess the patient's condition, apply task skill sets collectively, and treat the critical elements associated with patient's wound(s) and condition.

Note.  Combat Medics must also understand "why and how" each task relates to the treatment process based on TCCC and acceptable medical practices.

| What                    | How    | When                         |
|-------------------------|--------|------------------------------|
| Sergeant's time         |        |                              |
| Concurrent training     |        |                              |
| Individual Tasks        | Crawl  |                              |
| Formal classes          |        |                              |
| Lanes training          |        |                              |
| Training Tables         |        |                              |
| Walk                    |        |                              |
| Concurrent training     |        |                              |
| pre/post field training |        |                              |
| exercises               |        |                              |
| Skills Qualification    | Run    | Skills qualification testing |

The following references can be used to support the training cycle described in table 2-1:

United States (U.S.) Army Medical Center of Excellence (MEDCoE) approved TSPs.

Committee of TCCC Guidelines.

Supplementary educational material from the EMT reference texts.

U.S. Army Emergency Medical Services (EMS) Programs Management Division SOP found at the
milSuite 68W Combat Medic Specialist website (CAC access required).  Select the US Army EMS SOP
link.
Note.  All reference materials are located on the MEDCoE website unless otherwise stated.

## Documentation Of Completed Training


As trainers complete each training table, CE hours awarded must be entered into the MODS 68W Module.
This ensures proper documentation of training and prevention of accounting errors.  Complete and proper documentation and recording is absolutely crucial in maintaining the EMT certification and MOS qualification for Combat Medics.


When Combat Medics have completed train-up of critical tasks in Training Tables I through VII and performed skills to standard per STP 8-68W13-SM-TG, commanders should conduct Table VIII, Skills Qualification Testing.  All Combat Medics, grades E-7 and below, must take and pass skills qualification testing
(Table VIII) by demonstrating proficiency in each skill.  The validating official must ensure that each Combat Medic has completed all tasks and annotate the results on DA Form 7442.  The MODS 68W Module will only be updated when Soldiers provide proof of training.

## Proof Of Training

 Proof of training includes a DA Form 7442 and a copy of the training schedule.  All training listed on the Soldier's DA Form 7442 must have a corresponding training schedule and any other supporting documentation stating the subject taught and the duration.  Soldiers will need this documentation if audited by the NREMT.

Note.  The Army CMSD or NREMT reserve the right to conduct personnel audits, randomly, each certification year.

## Medical Operational Data System

 The MODS 68W Module is a training database that tracks the skill readiness of 68W, Combat Medic Specialist Soldiers.  It allows commanders to track the MOS qualification and CE status of their Soldiers.

 Commanders and their designated representatives can obtain the information on Combat Medics to assess their training status.  This information can be tracked at the company level through major Army command levels.

 Commanders and their representatives can obtain 68W, Combat Medic Specialist information on the MODS website.  The MODS 68W Module interfaces with data in numerous Army and Department of Defense (DOD) databases and presents it in a concise package.  Among others, the MODS 68W Module is linked to:


The Total Army Personnel Database (Active Army, the United States Army Reserve, and the Army
National Guard).

The NREMT.
Note.  Commanders can email questions or comments regarding the MODS 68W Module to: usarmy.jbsa.medical-coe.mbx.army-ems@mail.mil.

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## Skills Qualification Testing General

The key to skills qualification testing is the Combat Medic's demonstrated ability to perform hands-on lifesaving tasks to standard.  Skills qualification testing ensures that Combat Medics maintain critical skills proficiency.  It supports the unit's mission training objective because the selected individual tasks support the collective tasks that are necessary to support the combat care mission.

## Skills Qualification


The objective is to validate the Combat Medic's ability to apply 68W, Combat Medic Specialist skills in
scenarios consistent with casualties in a prehospital environment.
a.
Medical Simulation Training Centers have the capability to host units for Table VIII testing in a
live/construction combat environment.  In administering the skills qualification testing, this essential concept must not be lost or obscured by enthusiasm for simulators and high-tech simulations.
b.
The use of simulations and realistic scenarios to add variety, realism and interest is authorized.
However, simulation must not detract from training and testing.  It is ultimately the Combat Medic's
performance of these medical skills to the prescribed standard that must be tested and validated.
The Combat Medic is required to successfully demonstrate proficiency of skills based on Table VIII
scenarios.

Note.  Employ safety and environmental protection procedures in accordance with AR 385-10, The Army Safety Program; AR 200-1, *Environmental Protection and Enhancement*; and applicable tactical SOPs.  The risk management process must be used per Army Techniques Publication (ATP) 5-19, Risk Management.

a.

The Combat Medic is placed in multiple testing lanes using a scenario designed specifically for that lane.  Authorized scenarios are located on the U.S. Army MEDCoE website and must be used for testing.

At a minimum, the Combat Medic will

(1) Assess, treat, and stabilize two trauma casualties.
(2) Perform appropriate lifesaving measures on two medical casualties.
(3) Triage and evacuate the casualties.
b.
Treatment of casualties during skills qualification will include all subtasks in the scenario.  For
example, if the scenario requires the Combat Medic to initiate intravenous (IV) fluids, the Combat Medic
performs the skill on the casualty.  Verbalization of the task is not allowed during Table VIII testing.
c.
The Combat Medic will use a medical aid bag stocked with the unit-specific basic load or whichever
system the unit uses for field casualty management.  A recommended minimum packing list is provided in
Appendix B.
Retesting of a failed skill station or scenario grade sheet is conducted after immediate retraining or a more formalized training session.  Either approach is based on available resources and the Combat Medic's performance.

Note.  Combat Medics being evaluated will not be used as casualties.

## Accreditation


Accreditaton fosters trust, improves readiness, and provides opportunities for Combat Medics to obtain and maintain medical proficiency and competence.  Through accreditation and maintaining high-quality standards for medical training, the Army can create an agile, adaptive, and innovative Combat Medic ready to perform in current operations and beyond.  The training required to meet the U.S. Army and NREMT standards supports the force by enhancing operational agility, improving the Combat Medic's knowledge, and creating trusted medical professionals across the total force in support of our Nation's endeavors.


Accreditation is a two-phase process that must be completed prior to starting a training event.  The two phases are as follows:

a.
Phase one is obtaining an Accreditation Site Code.  The Accreditation Site Code certifies that the
organization has met the necessary requirements to conduct accredited training. b.
Phase two is obtaining an Approved Course Number for each training event.  The Approved Course
Number certifies that the curriculum and necessary training requirements have been accredited by the U.S. Army CMSD in order to meet the requirements for 68W, Combat Medic Specialist sustainment and
NREMT recertification.  The Accredited Site Code and Approved Course Number may be requested simulataneously if all requirements have been met.

## Evaluation Coordinator And Course Coordinator Instructions


The Evaluation Coordinator or Course Coordinator is an NREMT, or higher, certified NCO or DOD
Civilian according to AR 40-68, *Clinical Quality Management*.  The coordinator uses the CMSD SOP
(see Appendix A) as a reference to accredit evaluation.


The coordinator is ultimately responsible for collecting the DA Form 7442 and training schedule or some other documented proof of training (see para 2-10).  The coordinator should file the originals for two years and give copies to each Soldier for his or her records.

## Evaluator Instructions


Evaluator and Instructor requirements are outlined in the US Army EMS SOP found on the US Army EMS
SOP website (CAC access required).  To make sure that the skills qualification goes smoothly, evaluators should rehearse their roles and responsibilities during the rehearsal/evaluation process.  To ensure consistent performance, the coordinator should give procedural instructions before the start of testing.  The evaluator may find the planning matrix in table 3-1, and the utilization of DA Form 7441 (Coordinator's Checklist-[TABLE
VIII]) helpful in skills validation planning, execution, and recovery.

| Prepare for Qualification Testing    |
|--------------------------------------|
| Select tasks                         |
| Conduct pre-combat                   |
| checks                               |
| Plan training                        |
| Conduct after operations             |
| maintenance checks and               |
| services                             |
| Supervise                            |
| Train trainers                       |
| Account for equipment                |
| Evaluate hazard controls             |
| Recon site                           |
| Turn in support items                |
| Implement hazard controls            |
| Identify training equipment          |
| Close out training sites             |
| Execute training                     |
| Conduct risk assessment              |
| Conduct after action reviews         |
| Conduct after action review          |
| Issue training/operations plan       |
| Conduct individual Soldier           |
| recovery                             |
| Retrain at first opportunity         |
| Conduct final inspections            |
| Rehearse                             |
| Conduct pre-execution checks         |
| Conduct risk management              |
| assessment and review                |

 The skills qualification test is comprised of scenarios that require some dialogue between the evaluator and Combat Medic.  The evaluator should make a special effort to put the Combat Medics being evaluated at ease.

He or she should solicit questions regarding the skills qualification scenarios and answer them.  The evaluator will not coach the Combat Medic, except to start or stop an evaluation.

 All procedures, interventions, and assessments must be performed on a simulator or another Soldier.  There is no verbalization of performance during skills qualification testing.  For example, a Combat Medic must perform the physical act of taking real blood pressures and pulses, and report the values to the evaluator.  This validates the Combat Medic's ability to take blood pressures and pulses.  The Soldier cannot simply state the action is being performed.  Once the Soldier performs the actions of taking blood pressures and pulses, the evaluator can provide the vital signs to be used in treating the casualty, such as, "a blood pressure of 100/40, and pulse of 120 and thready."  Another example is for needle chest decompression.  This procedure requires a simulator that will accept needle chest decompression.  Unless a safety issue is involved, the evaluator should not react, either positively or negatively, to anything the Combat Medic says or does in the treatment process.

 The Combat Medic is required to accomplish all assessment steps listed on DA Form 7741 (Medical Scenario Grade Sheet) and DA Form 7742 (*Trauma Scenario Grade Sheet*).  Because of moulage limitations, the evaluator must establish a dialogue and provide feedback to the Soldier.  If a Combat Medic quickly inspects, assesses, or palpates the casualty in a manner that lends uncertainty to the areas or functions being assessed, immediately ask the Combat Medic to explain those actions.  For example, if the Combat Medic stares at the casualty's face, the evaluator should ask what is being assessed.  The evaluator will supply information for sight, sound, touch, smell, and injury that cannot be realistically replicated with moulage but would be immediately evident in a real casualty encounter.  This information will be supplied as soon as the Combat Medic exposes and assesses that area of the casualty.

 All skills qualification stations require a live simulated casualty or a mannequin.  The evaluator will brief the live simulated casualty as to how to respond to treatment as the Combat Medic conducts the assessment.

 Trauma moulage should be used as appropriate.  Avoid excessive or overly dramatic use of moulage; it must not interfere with the Soldier's ability to expose the victim for assessment.

 Vital signs are obtained after the scene assessment and initial assessment are completed and critical lifesaving interventions, such as hemorrhage, airway, breathing, and circulation have been performed.  As previously stated, the scenario format for trauma assessment and airway skill stations require the evaluator to provide the Combat Medic with essential information about sight, sound, smell, or touch, once the action to obtain the information is completed, throughout the evaluation process.

 The Combat Medic may direct an assistant to obtain casualty vital signs.  The evaluator must provide the Combat Medic with the casualty's pulse rate, respiratory rate, and blood pressure when asked.  This allows the Soldier to confirm the vital signs provided, if necessary, and ensure that they are consistent.  For example, if a Combat Medic provides correct treatment for hypoperfusion, do not offer inconsistent vital signs that deteriorate the casualty's condition; this may cause the Combat Medic to assume that inadequate or inappropriate care was rendered.  Likewise, if a Combat Medic provides inappropriate treatment for hypoperfusion, do not offer vital signs that improve the casualty's condition; this may cause the Combat Medic to assume that adequate care was provided.  The evaluator should not offer information that overly improves or deteriorates a casualty.  Significant changes may invite the Combat Medic to discontinue treatment or to initiate cardiopulmonary resuscitation
(CPR), and he or she will fail that skill station.

 Each Combat Medic is required to complete a secondary assessment or a detailed physical examination of the casualty.  The evaluator should be aware that the Combat Medic may accomplish portions of the secondary assessment during the initial assessment.  For example, the Combat Medic must inspect the neck before placing a cervical collar.  The Combat Medic will receive a failure for the task if he or she fails to assess a body area before covering the area with a casualty care device.  However, the Combat Medic will receive a pass for the task if he or she

a.
Unfastens the device while maintaining inline cervical stabilization.
b.
Assesses the area.
c.
Replaces the device without compromising casualty care.
 If two evaluators are not available, the preferred method of evaluating a Combat Medic is to record the exact sequence followed while he or she is performing the task on DA Form 7741 and DA Form 7742.  The evaluator may then use this documentation to complete the skill qualification after the Combat Medic completes the station.  This documentation validates the sequence on the scenario if questions arise later.

## Grade Sheet Instructions

 The evaluation process consists of at least one evaluator at each station observing the Combat Medic's performance and recording it on the appropriate grade sheet (DA Form 7741 or DA Form 7742).  The evaluator's role is that of an observer and recorder of events.  Grade sheets have been developed for each of the stations. Instructions are provided within each grade sheet.  Table VIII, Skills Qualification Testing will be conducted using only the Army CMSD approved scenarios found at the TC 8-800 Slides & Lesson Plan (MEDIC) website
(CAC access required).  These scenarios focus on the process of identifying and treating critical life threats at the appropriate 68W, Combat Medic Specialist level.  This training will be documented and utilized as additional CE
for recertification and competency.

## Combat Medic Orientation

 An important aspect of skills qualification is the initial briefing and orientation of Combat Medics.  The individual conducting the briefing assembles the Combat Medics and instructs them in the skills qualification procedures that are delineated in the orientation script.  A recommended orientation script is provided below (see figure 3-1, page 3-5).  The individual conducting the briefing must give the Combat Medics clear, concise directions as to what is expected of them during the skills qualification and instruct the Combat Medics being evaluated not to discuss the skills qualification with those waiting to be tested.

## Recommended Orientation Script


"Welcome to Table VIII Skills Validation Testing.  I am [name and title].  By successfully
completing two medical and two trauma scenarios, you will have validated the skills required of a 68W, Combat Medic Specialist."
"The evaluator will call you to the lane when ready for testing.  You are not permitted to
remain in the lane area while waiting for the next lane.  You must wait outside the testing area until the lane is open and you are called."
"Books, pamphlets, brochures, and other study material are prohibited in the testing area.
You are not permitted to make copies or recordings of any testing lane."
"Each lane evaluator will read aloud the 'Instructions to the Combat Medic' exactly as
printed on the scenario grade sheet.  This information will be read aloud to each Combat Medic being evaluated in the same manner to ensure consistency and fairness.  Pay close attention to the instructions.  You will be provided information pertaining to the scenario and given instructions for actions to take on that specific lane."

"The evaluator will offer to repeat the instructions and ask if you understand them.  Do not
ask for additional information as the evaluator is not permitted to provide any additional information."
"Evaluators will avoid casual conversation with you to assure fair and equal treatment of
all Combat Medics being evaluated."
"Evaluators will remain neutral so as not to indicate to you a judgment regarding your
performance on any lane.  Do not interpret any of the evaluator's remarks as an indication of your overall performance.  Demonstrate your skills to the best of your ability."
"As you progress through skills validation, the evaluators will observe and record your
performance in relation to the criteria listed on the scenario grade sheets.  Do not let their documentation practices influence your performance.  There is no correlation between the volume of documentation and the quality of your performance."
"You are encouraged to explain the things you do during your performance on the lanes."

"The evaluator will inform you if a scenario has a time limit during reading of the
instructions.  Inform the evaluator when you are finished.  You may be asked to remove equipment from the casualty before leaving the testing lane."
"Each lane is supplied with equipment for your selection.  You will be given time at the
beginning of lane testing to survey and select the equipment necessary for the appropriate management of the casualty.  Do not feel obligated to use all the equipment."
"You are not permitted to discuss details of any skill station with fellow Combat Medics
at any time.  Please be courteous to the Combat Medics being evaluated by keeping noise to a minimum.  Be prompt in reporting to each test station."
"Skills validation results are reported as either pass or failure.  You will receive a detailed
critique of your performance."
"Please remember that today's evaluation is a skills validation test.  The purpose of skills
validation is to validate your competency in the critical skills necessary to the 68W, Combat Medic Specialist."
"Are there any questions at this time?"

The following are the minimum instructions to be given to the Combat Medic:
a.
Follow the staff's instructions.
b.
Move only to areas directed by the staff.
c.
Give your name when you arrive at each station.
d.
Listen carefully as the evaluator reads the testing scenario.
e.
Ask questions if the instructions are not clear.
f.
Do not talk about skills qualification with anyone other than the skill station evaluator, simulated
casualty, and, if applicable, Combat Medic assistant.
g.
Equipment will be provided.  Select and use only that which is necessary to care for your casualty
adequately.

## Simulated Casualty's Role

 The simulated casualty is responsible for an accurate and consistent portrayal of the casualty in the station scenario.  The evaluator will brief the casualties on their particular roles.  The casualty's comments concerning the Combat Medic's performance should be noted on the reverse side of the scenario sheet.  These comments should be as brief and objective as possible so that they can be used in the final scoring of the Combat Medic's performance.

## Appendix A Training Resources General

Training resources range from training aids to curriculum that provide the most up-to-date training.  The CMSD
manages the training resources for Combat Medic readiness and sustainment training in the operational domain.  The resources listed in this appendix will assist unit training sites in conducting successful training outcomes.

## Combat Medic Sustainment Website

 The U.S. Army MEDCoE website that contains resources utilized to conduct Combat Medic sustainment training and evaluation, including TSPs and links to other websites, is managed by the CMSD.

 The validated scenarios for Table VIII, Skills Qualification Testing are provided on the Combat Medic Sustainment website.  The Table VIII coordinator will select 2 medical and 2 trauma scenarios from the 25
scenarios provided for the entire skills qualification day.  The evaluators utilize BOTH, the scenario and the appropriate grade sheet, DA Form 7741 or DA Form 7742, when evaluating Table VIII candidates.

 The TSPs are on the U.S. Army MEDCoE website.  (Under 68W links, click TC 8-800 Slides and Lesson Plans [CAC access required].  After logging in, the link will open a page entitled "TC 8-800 Slides & Lesson Plans (MEDIC)."  Tables I through VII include Tasks Numbers, Tasks, PowerPoints, and Lesson Plans columns which contain links to training material.)
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## Appendix B Equipment General

The following list contains the recommended minimum equipment the Combat Medics should carry in their Combat Medic Bag.  The equipment must be arranged to allow the Combat Medics to have expedient access to items needed to treat immediate life threats in the least amount of time.

## Combat Medic Bag

| NSN                                                  | Nomenclature                                            | Issue     |
|------------------------------------------------------|---------------------------------------------------------|-----------|
| 6545-01-539-6450                                     | M9 Bag                                                  | 1 each    |
| 6515-00-935-7138                                     | Scissors, Bandage                                       | 1 each    |
| 6515-01-540-7226                                     | Leash, Shears                                           |           |
| 7520-00-312-6124                                     | Marker, Sharpie                                         | 1 each    |
| 8465-01-573-4439                                     | Center Pouch                                            | 1 each    |
| 6515-01-527-8068                                     | Headlamp Medical 4 Intensity Modes Non-Heat Generating  | 1 each    |
| 6515-01-573-0692                                     | Cricothyrotomy Set Emergency Field Pack                 | 2 each    |
| 6515-01-515-0151                                     | Tool Kit Rescue Oropharyngeal Airway Size #4            | 1 each    |
| 6515-01-541-0635                                     | Needle Decompression Device 14 gauge x 3.25 inches      | 4 each    |
| 6515-01-521-3082                                     | Airway Pharyngeal 100 mm Large Adult Two per Package    | 1 package |
| 6530-01-491-5030                                     | Container Sharps Tube 9.25 x 1.5 inches Use in Disp     |           |
| Infectious Biomed Waste                              | 1 each                                                  |           |
| 6515-01-494-1951                                     | Splint Universal Aluminum 36 inches O/A Long 4.25       |           |
| inches Wide Gray and Olive Drab Reuse                |                                                         | 2 each    |
| 6510-01-573-0300                                     | Dressing Chest Seal Wound 8 x 6 inches                  |           |
| 6515-01-484-1327                                     | Catheter IV Introcan Safety 18 Gauge x 1.25 inches Long |           |
| Winged NDL Teflon 200s                               | 8 each                                                  |           |
| 6505-01-498-8636                                     | Hetastarch in Lactated Electrolyte Injection 500 ml     |           |
| Container 12s                                        |                                                         | 2 bag     |
| 6515-01-519-5778                                     | Adapter Catheter to Luer Syringe Short Locking 5s       |           |
| 6510-01-519-8421                                     | Dressing Occlusive Adhesive Clear 4.75 x 4 inches 5s    | 1 package |
| 6515-01-561-6204                                     | Administration Set Intravenous Fluids Needleless Coil   |           |
| Tubing 50s                                           | 4 each                                                  |           |
| 6515-01-521-7976                                     | Tourniquet Combat Application One-Handed                | 6 each    |
| 6510-01-503-2117                                     |                                                         |           |
| Bandage Gauze Cotton 6 Ply White 4.5 inches Wide 4.1 |                                                         |           |
| yards Long                                           | 6 rolls                                                 |           |
| 6510-01-562-3325                                     | Bandage Gauze Impregnated 3 inches x 4 yards Kaolin     |           |
| Hemostatic QuikClot                                 |                                                         | 6 each    |
| 6510-01-492-2275                                     | Bandage Kit Elastic                                     | 4 each    |
| 6510-00-935-5823                                     | Bandage Elastic Flesh Rolled Nonsterile 6 inches x 4.5  |           |
| yards 10s                                            | 4 each                                                  |           |
| 6510-01-532-8930                                     | Bandage Elastic 16 x 12 inches Abdominal Wound Pad      |           |
| Sterile (Big Cinch)                                  | 1 each                                                  |           |
| 6515-01-568-0193                                     | Resuscitator, Hand Operated Disp Single Patient Use     | 1 each    |
| 6510-00-926-8884                                     | Adhesive Tape Surgical Porous Woven 3 inches x 10 yards |           |
| 4s                                                   | 4 rolls                                                 |           |
| 8145-01-573-2533                                     | Shipping and Storage Cas Medication                     | 1 each    |
|                                             | 6515-01-557-1136                                          | Oximeter Pulse Portable Fingertip Pediatric-Adult Incl Soft    |
|---------------------------------------------|-----------------------------------------------------------|----------------------------------------------------------------|
| Case                                        |                                                           | 1 each                                                         |
| 6515-01-559-0741                            | Holder Injector Syringe Plastic Reusable Full-Length      | 1 each                                                         |
| 6505-01-152-7626                            | Epinephrine Injection USP 2 ml Automatic Injector         | 1 each                                                         |
| 6505-01-407-0213                            | Naloxone Hydrochloride Injection USP 1 mg/ml 2 ml         |                                                                |
| Syringe Unit 25s                            | 2 each                                                    |                                                                |
| 6505-01-505-3476                            | Diazepam Injection USP 5mg/ml 2 ml Unit 10 per Package    | 1 package                                                      |
| 6505-01-513-1952                            | Morphine Sulfate Injection USP 10 mg/ml 1ml Carpuject 10  |                                                                |
| per Package                                 | 5 each                                                    |                                                                |
| 6532-01-525-4062                            | Blanket Heating Disposable 90 x 90 cm Water Repellent 8s  | 1 each                                                         |
| 6532-01-524-6932                            | Blanket Survival Blizzard Pack Reflexcell Military Green  | 1 each                                                         |
| 6505-01-539-8069                            | Sodium Chloride Injection USP 0.9% 10 ml Disposable       |                                                                |
| Syringe 30s                                 | 5 each                                                    |                                                                |
| 8465-01-573-4439                            | Pouch Medical Utility UCP DIA 9 x 3 x 5 inches Cubic In   |                                                                |
| Camo Nylon                                  | 1 each                                                    |                                                                |
| 6515-01-519-6764                            | Tube Drainage Surgical Penrose 1 x 18 inches Rubber       |                                                                |
| Radiopaque Ster 6s                          | 1 package                                                 |                                                                |
| 8465-01-573-3374                            | Bag Drop Leg Holster Combat Medic                         | 1 each                                                         |
| 6510-00-597-7469                            | Bandage Adh.75 x 3 inches Flesh/Clear Ster Dress Affixed  |                                                                |
| To Plas Adh 100s                            | 30 each                                                   |                                                                |
| 6510-00-786-3736                            | Pad Isopropyl Alcohol Impregnated Nonwvn Cotton/Rayon     |                                                                |
| White 200s                                  | 1 package                                                 |                                                                |
| 6515-01-516-2554                            | Suction Kit, Easy, Field Complete                         | 1 each                                                         |
| 6515-01-516-3120                            | Suction Easy, Catheter Adapter                            | 1 each                                                         |
| 6515-01-519-4150                            | Bag, Recloseable Zip Lock Style 3 x 4 inches 2 mil 30s    | 1 package                                                      |
| 6510-01-519-9253                            | Sponge Surgical 8 PLY 2 x 2 inches 20 x 12 Mesh Sterile   |                                                                |
| 40s                                         |                                                           |                                                                |
| 1 package                                   |                                                           |                                                                |
| 6510-00-201-1755                            | Bandage Muslin Compressed Olive Drab                      |                                                                |
| 37 x 37 x 52 inches Triang with Safety Pins | 2 each                                                    |                                                                |
| 6135-00-826-4798                            | Battery Non-rechargeable Alkaline AAA 1.5V 12 per         |                                                                |
| Package                                     | 1 package                                                 |                                                                |
| 6515-01-314-6694                            | Stethoscope Combination Littman Classic II 28 inches long |                                                                |
| Bell-Diaphragm                              | 1 each                                                    |                                                                |
| 6515-01-449-1016                            | Shield Eye Surgical Fox Single Natural Aluminum 12s       | 2 each                                                         |
| 6515-01-521-5730                            | Splint Fracture CT-6 Femoral Either Leg Corrosion         |                                                                |
| Resistant                                   | 1 each                                                    |                                                                |
| 6515-01-525-1975                            | Glove Patient Examining & Treatment (various sizes)       |                                                                |
| Latex/Powder Free                           | 6 each                                                    |                                                                |
| 6515-01-529-1187                            | Nasal Trumpet 28 fr Sterile                               | 3 each                                                         |
| 6515-01-536-9363                            | Intraosseous Infusion System F/Treating Hemorrhagic       |                                                                |
| Shock                                       |                                                           | 2 each                                                         |
| 4240-01-568-3219                            | Strap Cutter, Combat                                      | 1 each                                                         |
| 8345-01-573-3304                            | Panel Marker Battlefield Combat Medic 2 x 2 feet          |                                                                |

## Improved First Aid Kit

| NSN              | Nomenclature                               | Issue    |
|------------------|--------------------------------------------|----------|
| 6545-01-530-0929 | First Aid Kit                              | 1 each   |
| Components       |                                            |          |
| 8465-01-531-3647 | 100 Round SAW/Utility Pouch, MOLLE II      | 1 each   |
| 6510-01-492-2275 | Bandage Kit, Elastic                       | 1 each   |
| OR               |                                            |          |
| 6510-01-460-0849 | Bandage Kit, Elastic                       | 1 each   |
| 6510-01-503-2117 | Bandage GA 4-1/2 inches 100s               | 1 each   |
| 6510-00-926-8883 | Adhesive Tape Surg 2 inches 6s PG          | 1 each   |
| 6515-01-180-0467 | Airway, Nasopharyngeal                     | 1 each   |
| 6515-01-519-9161 | Glove, Patient Exam 100s                   | 4 each   |
| 6545-01-586-7691 | Contents Kit, IFAK Resupply Kit            | 1 each   |
| 6545-01-531-3147 | Insert (folding panels with cord)          |          |
| 6510-01-562-3325 | Dressing, Combat Gauze                     | 1 each*  |
| 6515-01-521-7976 | Tourniquet, Combat Application One-Handed | 1 each   |

Note.  *The Combat Gauze has a 36-month shelf life, so it is shipped separately.

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## Glossary Acronyms And Abbreviations

| ADP    | Army doctrine publication   |                                                    |
|--------|-----------------------------|----------------------------------------------------|
| AEMT   |                             | Advanced Emergency Medical Technician              |
| APD    |                             | Army Publishing Directorate                        |
| AR     |                             | Army regulation                                    |
| ARIMS  |                             | Army Records Information Management System         |
| ATP    |                             | Army techniques publication                        |
| CAC    |                             | common access card                                 |
| CAR    |                             | Central Army Registry                              |
| CE     |                             | continuing education                               |
| CMSD   |                             | Combat Medic Sustainment Division                  |
| CPR    |                             | cardiopulmonary resuscitation                      |
| DA     |                             | Department of the Army                             |
| DHA    |                             | Defense Health Agency                              |
| DTMS   |                             | Digital Training Management System                 |
| DOD    |                             | Department of Defense                              |
| EMS    |                             | Emergency Medical Services                         |
| EMT    |                             | Emergency Medical Technician                       |
| FM     |                             | field manual                                       |
| ICTL   |                             | individual critical task list                      |
| IV     |                             | intravenous                                        |
| MEDCoE |                             | Medical Center of Excellence                       |
| MODS   |                             | Medical Operational Data System                    |
| MOS    |                             | military occupational specialty                    |
| MRT    |                             | medical readiness training                         |
| NCO    |                             | noncommissioned officer                            |
| NCOIC  |                             | noncommissioned officer in charge                  |
| NREMT  |                             | National Registry of Emergency Medical Technicians |
| NRP    |                             | National Registry Paramedic                        |
| OIC    |                             | officer in charge                                  |
| SOP    |                             | standard operating procedure                       |
| STP    |                             | Soldier training publication                       |
| TC     |                             | training circular                                  |
| TC3    |                             | tactical combat casualty care                      |
| TCCC   |                             | tactical combat casualty care                      |
| TRADOC |                             | Training and Doctrine Command                      |
| TSP    |                             | training support package                           |

U.S.

United States

## References

All websites accessed on 10 June 2021.

## Required Publications

These documents must be available to the intended users of this publication.  Unless otherwise indicated, Army publications are available online at https://armypubs.army.mil/.

ADP 7-0*. Training*. 31 July 2019.

AR 25-400-2. *The Army Records Information Management System (ARIMS)*. 2 October 2007.

AR 40-68. *Clinical Quality Management*. 26 February 2004.

AR 200-1. *Environmental Protection and Enhancement*. 13 December 2007.

AR 350-1. *Army Training and Leader Development*. 10 December 2017. AR 385-10. *The Army Safety Program*. 24 February 2017.

ATP 5-19. *Risk Management*. 14 April 2014.

DOD Dictionary of Military and Associated Terms. January 2021. Website: https://www.jcs.mil/Doctrine.

FM 1-02.1. *Operational Terms*. 9 March 2021.

FM 1-02.2. *Military Symbols*. 10 November 2020. STP 8-68W13-SM-TG. Soldier's Manual and Trainer's Guide MOS 68W, Health Care Specialist, Skill Level 1, 2, and 3. 3 May 2013.

## Related Publications

This section contains no entries.

## Prescribed Forms

Unless otherwise indicated, DA Forms are available on the APD website at https://armypubs.army.mil/.

DA Form 7441. *Coordinator's Checklist - (Table VIII)*.

DA Form 7442. *68W Skills Proficiency Tracking Sheet*.

DA Form 7741. *Medical Scenario Grade Sheet*.

DA Form 7742. *Trauma Scenario Grade Sheet*.

## Referenced Forms

Unless otherwise indicated, DA Forms are available on the APD website at https://armypubs.army.mil/. DA Form 2028. *Recommended Changes to Publications and Blank Forms*.

## Websites

Army Publishing Directorate (APD): https://armypubs.army.mil. Central Army Registry (CAR): https://atiam.train.army.mil/catalog/dashboard. milSuite TC 8-800 Slides & Lesson Plans (MEDIC): https://www.milsuite.mil/book/groups/tc8-800-slides-medic
(CAC access required).
milSuite 68W Combat Medic Specialist: https://www.milsuite.mil/book/groups/68w-combat-medic
(CAC access required).

MODS: https://www.mods.army.mil. US Army EMS SOP website: https://www.milsuite.mil/book/groups/us-army-ems-sop
(CAC access required).

U.S. Army Medical Center of Excellence: https://www.medcoe.army.mil/ems.

## References Recommened Reading

Recommended reading are sources of additional information.  They are not required to understand this publication.

AR 220-1. *Army Unit Status Reporting and Force Registration - Consolidated Policies*. 15 April 2010.

ATP 4-02.5. *Casualty Care*. 10 May 2013.

ATP 4-25.12. *Unit Field Sanitation Teams*. 30 April 2014.

ATP 4-25.13. *Casualty Evacuation*. 15 February 2013.

DA Pam 40-11. *Army Public Health Program*. 18 May 2020.

DA Pam 611-21. *Military Occupational Classification and Structure*. 19 July 2018. STP 21-24-SMCT. *Soldier's Manual of Common Tasks (SMCT) Warrior Leader Skill Level 2, 3, and 4*.

9 September 2008.

By Order of the Secretary of the Army:
Official:
MARK F. AVERILL
Acting Administrative Assistant to the Secretary of the Army
2125904
DISTRIBUTION:
Active Army, Army National Guard, and United States Army Reserve.  Distributed in electronic media only (EMO).