UNITED STATES ARMY INSTITUTE FOR MILITARY ASSISTANCE ST 31-91B US ARMY SPECIAL FORCES MEDICAL HANDBOOK 1 MARCH 1982‘SPECIAL FORCES MEDICAL HANDBOOK CONTENTS Preface ik Chapters 1 Body System 20.0... ces eeceee sence seettteeeeeeeee IT to 1-78 Section I - Integumentary System . 1 to 1-7 - Musculoskeletal System . 18 to 1-23 III - Respiratory System 1-14 to 1-34 IV - Circulatory System 1-35 to 1-44 V - Digestive System .. 1-85 to 1-56 VI = Genitourinary Systen . 1-57 to $62 VIT - Nervous System .. 1-63 to 1-70 VIII = Endocrine System 1-71 to 1-73 IX - Eye, Ear, Nose, and Throat 1-74 to 1-78 2 Communicable Diseases . 2-1 to 2b Section I - Parasitic ..... 2-1 to 2-11 II - Mycotic (Fungal) 2-11 ko 2015 III - Bacterial 2-15 to 2-26 I¥ - Viral ... 2-26 to 2-33 ¥ - Rickettsial and Spirochetal : 2-33 to 2-40 VI - Venereal .-....- 22.000. 2a41 to 2-46 3 Clearing Airway Obstructions and CPR 1 to J 4 Mental Disorders ........ cess eee ee 4-2 to 4-9 5 Wutritional Diseases and Deficiencies - 5-1 to 5-5 6 Pediatrics .. B-1 to 6-9 7 Gynecology T-1 to 7-15 8 Opstetrics B-1 to 8-10 9 Orthopedics . 9-1 to 5-12 10 Burns and Blast Injuries 10-1 to 10-11 11 Heat and Cold Injuries .. V-1 to 1-11 12 Bites (Snake, Insect, and Animal) . 12-1 to 12-7 13, Overdose and Poisoning +. 131 to 13-16 14 {clear Biological, Chemical (NBC) . T-1 to 1-13 15 Shock ....-...00 weve 15-1 to 15-3 16 Emergency War Surgery 16-1 to 16-10 7 Anesthesia ......... 17-1 to 17-20 18 IV Therapy (Fluids and Electrolytes, Basics). 18-1 to 182 19 Dental Emergencies and Treatment . . 19-1 to 19-15 20 Preventive Medicine (PH) 3 Veterinary Medicine 20-1 to 20-23 21-1 to 23-12 Primitive Medicine . 22-1 to 22=u oversee Anatomical Plates ....... Alto 18 5 Bacteriological and Parasit. Bel to Bez} © Laboratory Procedures ............ C1 to 0-5 D Cellular Components of Blood, Normal Yalues, and Significance of Blood Test .. D-1 to poy E History and Physical Examination Guide E-t to En2 F Field Sterilization Techniques Fe to F6 © Drug of Choice chart ........ G-1 to 65PREFACE This book is designed to serve as a ready reference and review for Special Forces (SF) medics. It covers diseases and medical problems that SF medics may encounter in various areas of the world. It does not, however, take the place or eliminate the need for a camprehensive medical area study. Many treatments given in this handbook would best be given in a hospital where a laboratory and special equipment are available, and personnel with serious injuries or illnesses should be evacuated to such a hospital if at all possible. Know your limitations and do not exceed them. Remember the maxim "First thou shall do no harm™ and seek the assistance of more competent medical authority whenever possible. Since we want to use as few pages as possible in presenting this information, we use comon medical abbreviations throughout. For example, ~ analysis h. = hour ~ acute bacterial endocarditis HB = hemoglobin = up to HCL = hydrochloride = ante meridiem HET = hematocrit = basal body temperature HEENT - head, eye, ear, nose & ~ twice a day throat ~ blood pressure He = mercury BUM = — blood urea nitrogen hes. ~ at bedtime Bi ~ biological warfare He - history c. - Celsius, centigrade 1D - intradermal CBC = complete blood count TkD = incise & drain sc. = cubic centimeter ive. - that is CHF =~ congestive heart failure IM ~ intranuscular mn. ~ centimeter Ww = intravenous C.N.S. = central nervous system 10 + international unit COPD == chronic obstructive kg. - kilogram pulmonary disease L. - Liter CPR = -- cardiopulmonary resuscitation lab —- laboratory cT ~ clotting time lb ~ pound(s) C.V.A. ~ costovertebral angle; Lig. = left lower quadrant. cerebrovascular accident MCL = mid clavicular Line a. ~ day; daily med —-- medication; medical; D&C = dilatation and curretage medicine DIR —-~ deep tendon reflex mEq. - milliequivalent Dx - diagnosis mg. - milligram E. coli - Escherichia coli Mg ~ magnesium e.g. ~ for example MI + myocardial infarction F. - Fahrenheit MIF — merthiclate/iodine/ G.I. ~ gastrointestinal formaline solution gm ~ gram min — minute er. ~ grain ml. - milliliter git. drops mn, = millimeter - genitourinary MU. ~ million units