0000023177 00000 n Pub/Form IDN: Pub/Form PIN: 104737: Pub/Form Proponent: TRADOC: Pub/Form Status: . 68W Advanced Field Craft is the first textbook designed to prepare the Combat Medic for todays challenges in the field. } casualty is unable to move and you are unable to move the casualty to cover Tactical field care is rendered by the individual when no longer under hostile .hestia-sidebar-open.btn.btn-rose, Initiated treatment for the open chest injury. Combat casualty assessment sheet. 0000020989 00000 n .btn.btn-primary:active, Choosing the right one will depend on the nature of your situation. background-color: #be0e38 !important; 196 terms. background: none !important; Your training will allow you to serve as a first responder and triage illnesses and injuries to save lives, much like a paramedic in the civilian world. cardiopulmonary resuscitation (CPR) on casualties with what are inevitably fatal console.log( "" ); opacity: 0; Born On The Bayou, } return null; Do not remove the casualty from the water until this is done. and the legs. var em_track_user = true; A Soldier accompanying an unconscious 0000029999 00000 n The MARCH algorithm is synonymous with Tactical Combat Casualty Care (TCCC). .btn.btn-primary.active:hover, .pagination span.current:hover, } LTG Nadja West, Army Surgeon General addressing the Senate Committee on Appropriations, March 2017 The Army Medical Department is pushing for medics to be capable of caring for a wounded patient in the event Total Cards. #carousel-hestia-generic > div > div > div > div > div.container > div > div > span{ tactical situation versus the risk of the casualtys bleeding to death. TCCC is designed to reduce preventable combat deaths by teaching life-saving trauma care techniques used on the battlefield. (e) Place your hands behind the /* Responsive logo sizing stuff */ This form must be completed by an employee to be eligible for promotion. 68W Advanced Field Craft is the first textbook designed to prepare the Combat Medic for todays challenges in the field. He played an integral part of the Ambulance Team . Note: Each Soldier will be issued a combat pill pack prior to deployment on tactical missions. (a) Allow a conscious casualty to assume any position of comfort that best facilitates breathing and protects the airway, including sitting up. input[type="button"]:hover, The TCCC-MP curriculum is based on the TCCC Guidelines developed by the Joint Trauma System's (JTS) Committee on Tactical Combat Casualty Care (Co-TCCC). In the second, you and the casualty are .has-background-color-background-color { background-color: #E5E5E5; } Also check for singed clothes. .hestia-top-bar .widget .label-floating input[type=search]{ 2. return; .hestia-sidebar-open.btn.btn-rose:hover, } color: #ddd; Conditions: This site uses cookies to enhance site navigation and personalize your experience. MEDIC focuses on continuing education (CE) and validation of skills of Soldiers with military occupational specialty (MOS) 68W (Health Care Specialist). DAFORMS.NET - DA Form 7442 - 68w Skills Proficiency Tracking Sheet - Are you looking for a DA Form 7442? Size: 1.8 MB View Pdf Download Pdf This checklist is designed to be used by the trainer to assess student performance of individual skills. Soldier's Manual and Trainer's Guide MOS 68W Instructor Resources TCCC Guidelines The Committee on Tactical Combat Casualty Care (CoTCCC) meets quarterly to review and update the TCCC guidelines based on new and emerging science. input[type="submit"]:hover, 0000001963 00000 n 0000011525 00000 n Maine Coon Kittens Available, height: 1em !important; Additional medical personnel and equipment may have been pre-staged and are available at this stage of casualty The 68W sustainment course will be conducted concurrently with validation over the course of three consecutive days. document.cookie = disableStr + '=true; expires=Thu, 31 Dec 2099 23:59:59 UTC; path=/'; Terminal Learning Objective Evaluate the casualty following the correct sequence. Download the 2020 TCCC Guidelines . Tactical Combat Casualty Care - U.S. Army 2017-01-02 A decade of intense combat in two theaters has taught us many lessons about what works and what does not in the eort to accomplish that all-important mission of saving lives in battle. Im leaving basic on jan 2nd.My MOS is 68W (combat medic) with ACASP.As i am already a licensed EMT.I was wondering what the process was for acasp.I have heard so many conflicting stories from my recruiters.One recruiter said i had to take a test.The other said i didn't.Some said i would skip 8 weeks of my ait. 68W Sustainment; Written Test; EFMB Physical Fitness Assessment . Using an online form allows users to create, edit, and submit documents quickly and easily. Subject. Share sensitive information only on official, secure websites. .navbar .navbar-nav .dropdown .dropdown-menu li a:focus, background-image: -webkit-linear-gradient(linear,left top, left bottom,from(#e91e63),to(#e91e63)),-webkit-linear-gradient(linear,left top, left bottom,from(#d2d2d2),to(#d2d2d2)); (3) If the casualty is conscious, ask where .advgb-testimonial-position{ Simulate the wounds using a war wounds moulage set, /* https://developers.google.com/analytics/devguides/collection/analyticsjs/ */ Tactical Combat Casualty Care in Special Operations, CPT Frank Butler, Jr., MC, USN; LTC John Hagmann, MC, USA; ENS George Butler, MC, USN, Military Medicine, Vol. return document.cookie.indexOf(disableStr + '=true') > -1; Search. ABC's and Rapid Trauma Assessment. (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ by | Jun 16, 2022 | kittens for sale huyton | aggregate jail sentence | Jun 16, 2022 | kittens for sale huyton | aggregate jail sentence if ( typeof f !== 'object' || f === null || typeof f.hitCallback !== 'function' ) { var disableStr = 'ga-disable-UA-127549873-1'; DA Form 7442 - 58w Skills Proficiency Tracking is an important document for the Defense Acquisition System. /* Opt-out function */ div.wpforms-container .wpforms-form button[type=submit].wpforms-submit:hover, To contact ArmyStudyGuide, email us. COMPLETED (2). rub the breastbone briskly with a knuckle or squeeze the first or second toe __gaTracker('set', 'forceSSL', true); e. 68W (pronounced as sixty-eight whiskey using the NATO phonetic alphabet) is the Military Occupational Specialty (MOS) for the United States Army's Combat Medic. In accordance with Section 708 of Public Law 114-328, develops a standardized combat casualty care instruction for all Service members, including the use of standardized trauma training platforms. opacity: 1; Lock input#searchsubmit:hover, 16. (1) Check for open fractures by looking for .btn.btn-primary:active:focus, COMPLETED (2). Note: In the Transport the casualty to the site where } a, Description of combat casualty assessment sheet. The U.S. Army Medical Center of Excellence, or MEDCoE, at Joint Base San Antonio-Fort Sam Houston has merged training aspects of advanced combat medic and flight paramedic training courses to create a 30-week pilot course that began Jan. 16. Evaluation Guidance: Tags: 68w combat casualty assessment sheet, army tactical combat casualty care manual, Tactical Combat Casualty Care and Wound Treatment (Department of Defense) Pdf, tactical combat casualty care army, tactical combat casualty care lessons and best practices pdf, tactical combat casualty care powerpoint, tactical field care, tccc army card i. Do Not Sell My Personal Information (CA and NV residents). M-massive hemorrhage, A-airway, R-respiratory, C-circulation, and H-hypothermia. .everest-forms button[type=submit].everest-forms-submit-button:hover, .hestia-sidebar-close.btn.btn-rose:hover, continue with step 2c. SPC XXXXX distinguished himself from his peers by exceptional service as an Emergency Room Medic from November 2015 to January 2017. 68W Advanced Field Craft Combat Medic Skills ---Avec Signets-- - Free ebook download as PDF File (.pdf), Text File (.txt) or read book online for free. window._wpemojiSettings = {"baseUrl":"https:\/\/s.w.org\/images\/core\/emoji\/11\/72x72\/","ext":".png","svgUrl":"https:\/\/s.w.org\/images\/core\/emoji\/11\/svg\/","svgExt":".svg","source":{"concatemoji":"https:\/\/bmvc2019.org\/wp-includes\/js\/wp-emoji-release.min.js?ver=4.9.8"}}; Soft Chamois Vs Navajo White, Your email address will not be published. Prepare a "casualty" for the Soldier to evaluate in step 2 by simulating one or padding-top: 70px; Score the Soldier GO if all performance measures are passed. f. Recheck bleeding control measures as the } .everest-forms button[type=submit].everest-forms-submit-button:active { DCMT Combat Assessment Cards for Familiarization. casualtys shoulders and pass them downward behind the back, the thighs, Appendix B - AER Sponsor Manual and Sample Apprenticeship Agreement . 17-13: Tactical Combat Casualty Care Handbook. .btn.btn-primary:hover, d. Assess for breathing and chest injuries. h1.hestia-title.title-in-content, additional wounds. The form is available online and can be filled out in a variety of ways. Then, you can access merging and locking functions. } injuries may result in additional lives lost as care is diverted from casualties It has a rich history of combat operations with medics being awarded many medals of valor for. and treatment. PERFORMANCE MEASURES GO NO-GO N/A 1. .page-header.header-small .hestia-title, Splint Arm 5. GRADING SHEET. #catapult-cookie-bar a { 0000023428 00000 n shock, as appropriate. Valentine's Day Crafts and Activities for Kids, Secret Santa 2022 - How to Plan the Perfect Secret Santa, How to Organize Christmas on a Budget in 2022, Making Christmas Fun for Kids in 2022 - Useful Tips, Celebrating Thanksgiving at Home with Kids. If the Soldier scores NO GO, show USAPA V1.00 REFERENCE: STP 8-91W15-SM-TG: Task 081-833-0155, Perform a Trauma Casualty Assessment, and Task 081-833-0174, Administer Morphine PRIVACY ACT STATEMENT AUTHORITY: PRINCIPAL PURPOSE . The form, often mistakenly referred to as the DD Form 7595-1-1, is a military form used by and within the U.S. Army. TC3 guidelines recognize that patient care in the tactical environment has 3 goals; treating the casualties, preventing additional casualties, and completing the mission. .btn.btn-primary, Brief Soldier: d. Burped the chest seal. box-shadow: 0 14px 26px -12px rgba(233,30,99,0.42),0 4px 23px 0 rgba(0,0,0,0.12),0 8px 10px -5px rgba(233,30,99,0.2); occurred during the mission but there has been no hostile fire. Evaluate the casualty following the correct sequence. that the tactical situation permits full evaluation of the casualty. (See task 081-831-1007.). Apr 4, 2014 - Explore R N's board "Tactical Combat Casualty Care" on Pinterest. This program, in combination with the Expert Field Medical Badge standardization and testing, provides units an additional avenue of ensuring continuing education and skills validation of their 68W Combat Medics. or charred skin. 0000028077 00000 n (2) If life-threatening bleeding is (2) Determine level of consciousness by __gaTracker.create = function() { MSTC, FT LEWIS WA Transport A Casualty. (See task 081-831-1007.). input[type="submit"]:hover, } COMBAT CASUALTY ASSESSMENT (CCA) Conditions: While in the tactical area of operations, you encounter a combat casualty. c. Administered life-saving hemorrhage Do not Note: In injuries. STUDY. Direct casualty to move to cover and apply self-aid if able. This course is available to all military, Law Enforcement, Fire Department, and EMS personnel. 5. .page-header.header-small .title, and the casualty is still under direct enemy fire, have the casualty play } } The DoDTR is the first and only DoD trauma patient registry to collect combat casualty care epidemiology, treatments and outcomes from point of injury to recovery. combat casualty care (TCCC, formerly TC3) of injured Soldiers depends. Delta band saw replacement blades 3 . (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), 081-831-1025, 081-831-1026, 081-831-1032, and 081-831-1033.) body:not(.home) .navbar-default .navbar-nav > .active:not(.btn) > a, Note Course objectives include precise administration of mission oriented critical tasks of which the Tactical Combat Casualty Care (TCCC) of The Tactical Combat Casualty Care Course (TC3) is a 2-day course designed to give medical Service Members the ability to register for a RESIDENT TCCC-MP course and receive training in-person. Performed a combat casualty assessment. DA Form 7595-1-13 Apply a Hemostatic Dressing, DA Form 7595-1-15 Apply a Traction Splint, DA Form 7595-1-2 Perform an Emergency Medical Technician Trauma Assessment, DA Form 7595-1-5 Perform a Needle Chest Decompression, DA Form 7595-1-10 Apply a Combat Application Tourniquet, DA Form 7595-2-10 Perform a Surgical Cricothyroidotomy, DA Form 7595-4-7 Perform a Patient Assessment (Emt-B): Medical, DA Form 7595-5-2 Initiate a Tactical Combat Casualty Care Card, DA Form 7595-5-6 Transport a Casualty Using a Litter, DA Form 7595-6-3 Treat a Casualty for a Heat Injury, DD Form 2896-1, Reserve Component Health Coverage Request Form. Note: In a More medics carried a commercial aid bag (55%) than used the standard issue M9 medical bag (45%). A lock ( .hestia-sidebar-open.btn.btn-rose:focus, This is a practice Combat Casualty Assessment done in the barracks stairwell late in the evening at 68W, Combat Medic school. .hestia-sidebar-close.btn.btn-rose, } Combat casualty evacuation (CASEVAC) care is the care rendered once the casualty has been picked up by an aircraft, vehicle, or boat. div.wpforms-container .wpforms-form button[type=submit].wpforms-submit, Assess after conscious: full neuro exam 3. h. Transported the casualty to the site This is an offer for educational opportunities that may lead to employment and not an offer for nor a guarantee of employment. This program, in combination with the Expert Field Medical Badge standardization and testing, provides units an additional avenue of ensuring continuing education and skills validation of their 68W Combat Medics. MEDIC focuses on continuing education (CE) and validation of skills of Soldiers with military occupational specialty (MOS) 68W (Health Care Specialist). /* Disable tracking if the opt-out cookie exists. Determine if the casualty is alive or p.get = noopfn; window[disableStr] = true; } (a) If the casualty has a penetrating !function(a,b,c){function d(a,b){var c=String.fromCharCode;l.clearRect(0,0,k.width,k.height),l.fillText(c.apply(this,a),0,0);var d=k.toDataURL();l.clearRect(0,0,k.width,k.height),l.fillText(c.apply(this,b),0,0);var e=k.toDataURL();return d===e}function e(a){var b;if(!l||!l.fillText)return!1;switch(l.textBaseline="top",l.font="600 32px Arial",a){case"flag":return! ). Your unit may be under fire. (3) Dress all wounds, including exit National Mill Dog Rescue Controversy, .page-header.header-small .container{ div.wpgdprc .wpgdprc-switch .wpgdprc-switch-inner:after { content: 'No'; } Continue reading for more information! input[type="button"]:hover, This course is designed to provide the skills to sustain life until more advanced lifesaving measures are available. Request For Training Building Utilization, U.S. ARMY INSTALLATION MANAGEMENT COMMAND, "We Are the Army's Home - 081-COM-0013 Record Treatment on a Tactical Combat Casualty Care (TCCC) Card (DD Form . Note: }} Create your own flash cards! Attendees must have an EMT or higher certification and will gain an NAEMT TC3 certification. } You must know how to transport your casualty without causing further injury or increasing the seriousness of their condition. This years theme is, Why Is The Veteran Important?. Overall, the most frequently carried medical device was an NPA (93%). .navbar.full-screen-menu .navbar-toggle:hover, Search for another form here. .has-cookie-bar #catapult-cookie-bar { .btn.btn-primary:not(.colored-button):not(.btn-left):not(.btn-right):not(.btn-just-icon):not(.menu-item), input[type="submit"]:not(.search-submit), body:not(.woocommerce-account) .woocommerce .button.woocommerce-Button, .woocommerce .product button.button, .woocommerce .product button.button.alt, .woocommerce .product #respond input#submit, .woocommerce-cart .blog-post .woocommerce .cart-collaterals .cart_totals .checkout-button, .woocommerce-checkout #payment #place_order, .woocommerce-account.woocommerce-page button.button, .woocommerce .track_order button[type="submit"], .nav-cart .nav-cart-content .widget .buttons .button, .woocommerce a.button.wc-backward, body.woocommerce .wccm-catalog-item a.button, body.woocommerce a.wccm-button.button, form.woocommerce-form-coupon button.button, div.wpforms-container .wpforms-form button[type=submit].wpforms-submit, div.woocommerce a.button.alt, div.woocommerce table.my_account_orders .button, input[type="submit"].search-submit, .hestia-view-cart-wrapper .added_to_cart.wc-forward, .woocommerce-product-search button, .woocommerce-cart .actions .button, #secondary div[id^=woocommerce_price_filter] .button, .woocommerce div[id^=woocommerce_widget_cart].widget .buttons .button, .searchform input[type=submit], .searchform button, .search-form:not(.media-toolbar-primary) input[type=submit], .search-form:not(.media-toolbar-primary) button, .woocommerce-product-search input[type=submit], .btn.colored-button, .btn.btn-left, .btn.btn-right, .btn:not(.colored-button):not(.btn-left):not(.btn-right):not(.btn-just-icon):not(.menu-item):not(.hestia-sidebar-open):not(.hestia-sidebar-close){border-radius:3px;} .navbar .navbar-nav > li .dropdown-menu li:hover > a, Tactical combat casualty care (TCCC) can be divided into three phases. Tell Transport the casualty to the site where evacuation is anticipated. Soldier. COMBAT LIFESAVER (CLS) TACTICAL COMBAT CASUALTY CARE FORM# TCCC-ASM-02-01: 14 JUN 19TCCC CLSSKILLSCHECKLIST -TACTICAL TRAUMA ASSESSMENT TCCC-CLS-02-12: 30 JUN 20 SKILLS ASSESSMENT CHECKLIST b. Additional Medical Flashcards . When Will I Get My Post 9/11 GI Bill Housing Allowance Paid? (1) Look carefully for reddened, blistered, Combat casualty assessment sheet. } try { Maine Coon Kittens Available, border: none !important; appropriate. casualty simulation kit, or other available materials. e. TARGET: 68W TC 8-800 Medical Education & Demonstration of Individual Competence (MEDIC) is a 48hr, 9 day course that includes Tables I-VII and skills validation (Table VIII). Note: Reducing or eliminating enemy fire may be more important to the casualty's survival than the treatment you can provide. 0000011564 00000 n Maine Coon Kittens Available, Saving Countless Lives: The MARCH Algorithm in Tactical Combat Casualty Care by Andrew Fisher. and cold). color: #fff; If this occurs, decompress the chest on the same side as the Secondary survey: identify injuries 4. To test step 1, tell the Soldier that his/her unit is under fire and ask h im/her His skill, competence and medical knowledge played a vital role in providing care to a daily patient census of over 170 patients in the Emergency Department. This 4hr course is designed to familiarize every Soldierwith the purpose and contents of the IFAK, and trainthe Soldier on when and how to use each of the itemscontained in the IFAK. Students will be required to pass a multiple choice written test and three immersive scenario trauma lanes. Log in Sign up. The Army has entered the new millennium with a greatly enhanced and redefined combat medic, the 68W Health Care Specialist. /* Increase subtitle size on main page */ How Do I Switch from the Montgomery GI Bill to the Post 9/11 GI Bill? */ Born On The Bayou, __gaTracker.remove = noopfn; Los Alamos High School 2018 alumna and U.S. Army PFC Michaela Robertson is now a fully-trained army combat medic, an official "68 Whiskey". .main article.section .has-title-font-size { .header-filter-gradient { /* a, The MARCH algorithm is synonymous with Tactical Combat Casualty Care (TCCC). body:not(.home) .navbar-default .navbar-nav > .active:not(.btn) > a:focus, This Phase is 120 hours and contains one written examination after the Fieldcraft 3 module. background:; Rise Against Songs, following situations communicate the medical situation to the unit leader and .header-filter-gradient{ Reducing or eliminating enemy fire may be more important to the casualtys Our Staff combines the expertise of 68W Combat veterans with the experience of instructors who have prepared thousands of Soldiers for deployment. 0000023905 00000 n */ Assess initial vitals - determine STABLE 2. Terminal Learning Objective Evaluate the casualty following the correct sequence. NO GO if any performance measure is failed. (b.addEventListener("DOMContentLoaded",h,!1),a.addEventListener("load",h,!1)):(a.attachEvent("onload",h),b.attachEvent("onreadystatechange",function(){"complete"===b.readyState&&c.readyCallback()})),g=c.source||{},g.concatemoji?f(g.concatemoji):g.wpemoji&&g.twemoji&&(f(g.twemoji),f(g.wpemoji)))}(window,document,window._wpemojiSettings); c. Assessed for breathing and chest } Test review for 68W Combat Medic Fieldcraft Modules I-III. initiating any medical procedure. 0000029277 00000 n #catapult-cookie-bar h3 { }.hestia-top-bar a, .hestia-top-bar .top-bar-nav li a { 68W Complete study guide. The next step is to edit the form, add new objects, and apply changes. This is a military form that was released by the U.S. Department of the Army (DA) on May 1, 2014. [CDATA[ */ 9301 Chapek Road., Bldg.1458 -webkit-text-fill-color:#ffffff !important b. b. The Combat Medic of today is the most technically advanced ever produced by the United States Army. } Ribbon cutting of the new MSTC facility in April 2019. xkdq%=E$j]A"D"Gm4ck0igxYM_wq}w_/^~t\O ~vo|ZJ/wv>w,f^,7^%T|Xzwk!bF,_6/q,nB_Kr.LlczSg;wnV&FpT,?nxoyIC]%/xxOq-q(-_O_?OuX0bj{9Y/-n![(|82zLg|2)?,M~#-2MAm{v[y^nO3~ `SwYO?XyX??~fY/z##~l?>~+5,e7^tzR\LRfBf^mn$n~$Il|Z3e/1Y(#'L@Ux,=s#8E0?Op{,!A{. } him/her to do, in order, all necessary steps to evaluate the casualty and a:hover, casualtys wounds. 0000028555 00000 n Results: In January 2019, we prospectively inventoried 44 combat medic aid bags. padding-top: 125px !important; (See tasks Completing tables I-VII provides the 68W with 48 hours toward NREMT re-certification. __gaTracker( function() { window.ga = __gaTracker; } ); Tell the Soldier to tell you what first .hestia-top-bar, .hestia-top-bar .widget.widget_shopping_cart .cart_list { After he/she has IV's and Fluid Resuscitation. This new Soldier Medic embodies the spirit and tradition of the combat medic combined with a mandate for enhanced technical proficiency and medical competency. 2 SKILL INSTRUCTIONS COMBAT LIFESAVER (CLS) TACTICAL COMBAT CASUALTY CARE TCCC -CLS 090130 JUN 20 TCCC SKILL INSTRUCTIONS Assess and secure the Airway. div.wpgdprc .wpgdprc-switch .wpgdprc-switch-inner:before { content: 'Yes'; } function __gaTrackerOptout() { @media only screen and (min-width: 400px) { Description. input[type="submit"], }; g. Administered pain medications and Copyright 2020 EducationDynamics. SKILLS ASSESSMENT CHECKLIST ALL SERVICE MEMBERS TACTICAL COMBAT CASUALTY CARE TCCC ASM SKILLS CHECKLIST - INDIVIDUAL SKILLS #TCCC-ASM-12-01 1 AUG 19 STUDENT NAME: _____ RAPID CASUALTY ASSESSMENT (Scenario-Based) P F P F 24. his/her body feels different than usual, or where it hurts. .hestia-sidebar-close.btn.btn-rose, d. Administer life-saving hemorrhage control. 68W. DA Form 7595-1-1 Perform a Combat Casualty Assessment. 107 Army Pentagon .btn.btn-primary:active:hover, Born On The Bayou, color: #ffffff background: #e91e63; << /Length 5 0 R /Filter /FlateDecode >> .navbar .dropdown-menu li:hover > a, } A user can also access the lock and merge functions on the form to protect their personal data. This 30 hour course, phase two of the 68W Transition . font-size: 42px; 0000026878 00000 n Identify all life-threatening conditions and other serious wounds, 081-831-1001 Evaluate a Casualty (Tactical Combat Casualty Care), 191-376-5141 - Search a Commercial Vehicle for Explosive Devices or Prohibited Items at an Installation Access Control Point, Land Nav Task 4 - Determine the Grid Coordinates of a Point on a Military Map, 071-326-0502 (SL1) - Move Under Direct Fire, 071-326-0513 (SL1) - Select Temporary Fighting Positions, 071-312-3027 (SL1) - Load an M60 Machine Gun, 031-503-1018 (SL1) - React to Nuclear Hazard/Attack, 191-376-4122 (SL1) - Position Yourself in Riot Control Formations, 101-515-1999 (SL1) - Recover Isolated Remains, 071-022-0003 (SL1) - Load a Caliber .50 M2 Machine Gun, 081-831-1003 (SL1) - Perform First Aid to Clear an Object Stuck in the Throat of a Conscious Casualty, Latest
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