1 00:00:06,620 --> 00:00:08,870 - So at Hospital and Corpsman Basic School, 2 00:00:08,870 --> 00:00:10,230 basically we're preparing them 3 00:00:10,230 --> 00:00:13,160 at an entry level medical training. 4 00:00:13,160 --> 00:00:15,470 So the idea's that they learn trauma medicine, 5 00:00:15,470 --> 00:00:17,580 emergency medicine, basic life support, 6 00:00:17,580 --> 00:00:18,780 and nursing assessments. 7 00:00:20,500 --> 00:00:23,390 The Surgeon General came and spoke to us and has this idea 8 00:00:23,390 --> 00:00:24,820 we want the center to be independent. 9 00:00:24,820 --> 00:00:27,620 So if a corpsman is by themself, they can think quickly, 10 00:00:27,620 --> 00:00:29,020 and think independently. 11 00:00:29,020 --> 00:00:30,390 And so in these lab settings, 12 00:00:30,390 --> 00:00:31,680 they really work by themselves. 13 00:00:31,680 --> 00:00:33,630 They have to know the lab by themselves, 14 00:00:33,630 --> 00:00:35,130 they have to be able to work with teams, 15 00:00:35,130 --> 00:00:37,790 but ultimately, if they're in a situation 16 00:00:37,790 --> 00:00:39,910 where it's just them, a tourniquet, and an aid bag, 17 00:00:39,910 --> 00:00:41,610 they know what to do. 18 00:00:41,610 --> 00:00:44,470 Being in a 14-week curriculum, that normally may be taught 19 00:00:44,470 --> 00:00:47,070 over six months to a year in a civilian environment, 20 00:00:47,070 --> 00:00:48,020 it's stressful enough. 21 00:00:48,020 --> 00:00:50,310 You come into school, within three days of arriving 22 00:00:50,310 --> 00:00:52,180 you take a test, and you take another test, 23 00:00:52,180 --> 00:00:53,040 and it never stops. 24 00:00:53,040 --> 00:00:55,470 So you set the standard really high, you have to do well, 25 00:00:55,470 --> 00:00:57,740 because you're going to save someone's life today, 26 00:00:57,740 --> 00:00:59,490 you're going to affect someone's life. 27 00:00:59,490 --> 00:01:02,083 So you have to know it right every single time. 28 00:01:04,249 --> 00:01:05,940 (screaming) 29 00:01:05,940 --> 00:01:06,980 - [Daniel] After platform medicine, 30 00:01:06,980 --> 00:01:09,020 students move onto shipboard medicines, 31 00:01:09,020 --> 00:01:10,860 in which their buddied up into groups of 32 00:01:10,860 --> 00:01:14,260 repair lockers, or stretcher bearer teams, 33 00:01:14,260 --> 00:01:17,270 and they go into a little simulated hangar, 34 00:01:17,270 --> 00:01:18,270 the little teams go in there, 35 00:01:18,270 --> 00:01:19,300 and the repair lockers go in there, 36 00:01:19,300 --> 00:01:20,133 and they have to identify 37 00:01:20,133 --> 00:01:21,950 that it in fact is a mass causality, 38 00:01:21,950 --> 00:01:23,899 and they cannot handle the amount of patients 39 00:01:23,899 --> 00:01:25,690 in their five-man team. 40 00:01:25,690 --> 00:01:27,750 Once they've recognized there is a mass causality, 41 00:01:27,750 --> 00:01:28,760 then they call for help 42 00:01:28,760 --> 00:01:31,010 or sound off mass causality mass causality. 43 00:01:31,010 --> 00:01:33,457 Once all teams are in, they start triaging the patients, 44 00:01:33,457 --> 00:01:36,140 and start treating the patient as a team. 45 00:01:36,140 --> 00:01:39,410 And aside from that, we pound on the doors, 46 00:01:39,410 --> 00:01:41,870 sound off fuel alarms, yell at the students. 47 00:01:41,870 --> 00:01:44,010 Not directly at them, but to cause distractors, 48 00:01:44,010 --> 00:01:46,990 and to question if they're doing their procedures properly. 49 00:01:46,990 --> 00:01:48,720 You're not gonna have a cool, quiet room 50 00:01:48,720 --> 00:01:50,100 to think about what you're gonna do. 51 00:01:50,100 --> 00:01:52,120 You're gonna have to work through all these stressors, 52 00:01:52,120 --> 00:01:54,380 work through a dark room, work through these alarms, 53 00:01:54,380 --> 00:01:56,570 and work through the yelling. 54 00:01:56,570 --> 00:01:58,010 - [James] T triple C stands for 55 00:01:58,010 --> 00:01:59,910 tactical combat casualty care. 56 00:01:59,910 --> 00:02:03,670 Here we have to just change their way of thinking 57 00:02:03,670 --> 00:02:07,600 just a little bit, into combat medicine, 58 00:02:07,600 --> 00:02:09,760 into ground medicine now. 59 00:02:09,760 --> 00:02:11,450 You might not have the equipment 60 00:02:11,450 --> 00:02:14,640 that you have in a medical treatment facility. 61 00:02:14,640 --> 00:02:15,473 What equipment you have 62 00:02:15,473 --> 00:02:17,730 is what you're carrying on your back. 63 00:02:17,730 --> 00:02:20,280 It is an algorithm-based course. 64 00:02:20,280 --> 00:02:23,130 We go off of the MARCH algorithm. 65 00:02:23,130 --> 00:02:26,600 March stands for massive bleeding, airway, 66 00:02:26,600 --> 00:02:30,183 respiration, circulation, and head and hypothermia. 67 00:02:31,190 --> 00:02:34,590 That's the order in which we want the student 68 00:02:34,590 --> 00:02:36,710 to take care of the patient. 69 00:02:36,710 --> 00:02:38,030 On completion of the evolution, 70 00:02:38,030 --> 00:02:39,290 we know we'll not only 71 00:02:39,290 --> 00:02:42,118 graduate a school with a certificate, 72 00:02:42,118 --> 00:02:44,757 but they will also will receive a T triple C certificate. 73 00:02:44,757 --> 00:02:45,900 - [Joy] I'm more confident now 74 00:02:45,900 --> 00:02:48,000 because it's more Navy-centered. 75 00:02:48,000 --> 00:02:49,890 Before it was Air Force and it was Navy, 76 00:02:49,890 --> 00:02:52,060 So you had to do this blanket medicine, 77 00:02:52,060 --> 00:02:53,770 where you have to explain the difference 78 00:02:53,770 --> 00:02:54,850 from the Air Force and the Navy, 79 00:02:54,850 --> 00:02:56,560 but make sure there was similarities. 80 00:02:56,560 --> 00:02:59,510 Now that it's all Navy, it's all Navy medicine, 81 00:02:59,510 --> 00:03:00,900 the language is always the same. 82 00:03:00,900 --> 00:03:03,260 Where they leave from here, and they go out to the fleet, 83 00:03:03,260 --> 00:03:05,713 they'll always understand what we're talking about.