20 April 1944 

Classification Cancelled
by authority of the Surgeon General, 2 Mar 1946. 
Lt. Col. E. S. Hulligan, MC, Historical Division 

CONFERENCE OUTLINE FOR MEDICAL AND SURGICAL TECHNICIANS SCHOOL 

The success of this short intense course for Medical and Surgical Technicians depends on the through knowledge and careful preparation of subject material by each instructor and carefully trained demonstration teams. 

The lectures, conferences, and demonstrations will be prepared using the following outline for each subject. 

1. APPLIED ANATOMY

       a. Demonstration of import structures of system involved.

       b. Normal function and physiology of parts involved.

       c. Dicuss and demonstrate abnormal functions caused by disease and injury. 

2. TECHNIQUE OF ADMINISTRATION OF ANESTHETICS

       a. Demonstration of the use of local anesthetics and their preparation.

              (1). Procaine and allied anesthetics.

                     (a) Mucus membranes.

                     (b) Infiltration

              (2) Ethyl Chloride

       b. Demonstration of the use of general anesthetics.

              (1) Inhalation

              (2) Intravenous

       c. Spinal; Demonstration of its use.

3. TREATMENT OF INFECTION

       a. Explanation of infection, inflamation, and pus formation.

       b. Causes – primary and secondary.

       c. Demonstration of treatment of various types of infections. Iemphasize treatment of “boils, carbuncles, and cellulitis”) 

4. NOMENCLATURE, CARE AND USE OF SURGICAL INSTRUMENTS AND EQUIPMENT

       a. Demonstration of instruments.

       b. Explanation of the use of various surgical instruments.

       c. Setting up of instruments, trays, and packs. 

5. PRE-OPERATIVE, OPERATIVE, AND POST-OPERATIVE TREATMENT OF CASUALTIES

       a. Setting up of operating room and operative equipment in the field, including sterilization of instruments and equipment.

       b. Preparation of operating room personnel.

       c. Preparation of patient for operation.

       d. Post-operative treatment in the operating room.

e. Later post-operative XXXXXXXXXXX 

6. TREATMENT OF GAS CASES

       a. Demonstration of the new gas treatment kits.

       b. Domonstration of protective coverings.

       c. Application of the use of contents of the gas treatment kits.

       d. Skit and demonstration of treatment of gas casualties. 

7. TECHNIQUE OD ADMINISRATION OD DRUGS< PLASMA< AND FLUIDS PARENTERALLY.

       a. Work to be done in unit dispensaries.

       b. Subcutaneous injections doen by each man.

       c. Setting up of intravenous sets.

              (1) plasma

              (2) Saline 

8. EMERGENCY MEDICAL TREATMENT OF WOUNDS AND HEMMORRHAGE

       a. Review of types of wounds and hemorrhage.

       b. Proper cleansing of wounds.

       c. Use of antiseptics and sulfanilimide powder.

       d. Oral administration of sulfone drugs.

       e. Discussion and demonstration of the causes of infections of wounds.

       f. Stress how incorrect handling of wounds pre-disposes to gas, gangrene infection.

       g. Treatment of gas, gangrene infections. 

9. EMERGENCY MEDICAL TREATMENT OF FRACTURES AND DISLOCATIONS.

       a. Brief review of types of fractures and dislocations.

       b. Proper splints for fractures of various parts of body.

       c. Sequel of improper application of splints. 

10. EMERGENCY MEDICAL TREATMENT OF THE UNCONSCIOUS PATIENT, AND PATIENT IN SHOCK.

       a. Discussion and demonstration of shock.

              (1) Measures to be taken to combat shock.

              (2) Treatment of patients in shock. 

11. EMERGENCY MEDICAL TREATMENT OF BLAST INJURIES AND INJURIES DUE TO HEAT AND COLD.

       a. Discuss the frequency, cause and treatment of blast injuries.

       b. Cause and treatment of flash burns.

       c. Exhaustion due to cold.

       d. Brief discussion of the treatment of heat exhaustion and sunstroke. 

12. TREATMENT OF BATTLE INJURIES

       a. Demonstration of the treatment of battle injuries using mulages to simulate battle casualties. 

13. PREPARATION OF CASUALTIES FOR TRANSPORTATION

       a. Discussion of priority.

       b. Short discussion of the importance of correct methods and detailed preparation for transportation.

       c. Demonstration of preparation of patients for transportation (Emphasize head, neck and back injuries; the unconscious patients, and XXXXXXXXXXX nts. 

14. MATERIA MEDICAL

       a. Review the dosage and uses of common drugs.

       b. Stress the dosage and use of the newer drugs, (Sulfonimides, penicillun, atabrine). 

15. CONTROL AND TREATMENT OF DISEASE.

       a. Briefly list diseases.

       b. Briefly discuss control measures of important diseases.

       c. Discussion of the diagosis and treatment of important diseases. (Venereal disease – special attention to the preparation, dosage and method of administration of mapharsen, and bismuth). 

16. TREATMENT OD DROWNING, ASPHYXUA, AND CARBON MONOXIDE POISONING.

       a. Brief discussion of emergency medical treatment of each accident.

       b. Demonstration of the use of the oxygen therary apparatus.

       c.    Demonstration and application of artificial respiration. 

17. TREATMENT OD BURNS, FROSTBITE, AND IMMERSION FOOT.     

       a. Discussion of burns, local and general treatment.

       b. Causes and treatment of frostbite and immersion foot.

       c. Stress importance of correct and early treatment in avoiding serious sequel.

       d. Use of Baloptican to show pictures of sequel of severe cases and cases treated improperly. 

19. TREATMENT OF COMMON EMERGENCIES

       a. Demonstration of the removal of foreign bodies from the nose, eye and ear.

       b. Demonstration of treatment of severe nose bleeding (Nasal pack).

       c. Significance and differential diagnosis of abdominal pains.

       d. Emergency medical treatment of poisons taken internally. 

19. USES OF ADHESIVE PLASTER FOR THE FIXATION OF JOINTS AND FRACTURES.

       a. Demonstration of technique of adhesive strapping fo the chest, ankle, back and knee.

       b. Each man will strap ankle, chest and back. 

20. USES OF PLASTER OF PARIS BANDAGE FOR THE FIXATION OF JOINTS AND FRACTURES.

       a. Preparation of plaster of Paris bandage.

       b. Demonstration of the application of plaster of paris bandage to various parts of the body. 

For the Surgeon:

JAMES R. KLETT,
1^st Lt., Med Adm C.
Office Executive