Exercise Lazowski

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Exercise Lazowski​ The objective of Exercise Lazowski is to insure combat medics within the Royal Armed Forces of Poland are able to effectively perform their job under fire and in the field. All members of the training exercise will be sent through a physical training course before attending the training to insure they are in the best shape to perform their job. Simulated explosions will be done utilizing smoke grenades and flashbang grenades to simulate the auditory and visual effects from explosions. Gunfire will be simulated utilizing speakers. Patients will be chosen from the local civilian population and from members of the Armed Forces. Patients will include actual amputees to provide adequate training when dealing with an amputation.

Unit​	Personnel​	Vehicles​
Royal Land Forces	100	5x KTO Rys
Royal Air Force	75	5x KTO Rys(On Loan From Royal Land Forces); PZL W3-A
Royal Navy	75

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Phase 1: Physical Training
Phase 2: CPR and First Aid
Phase 3: Casualty Diagnosis
Phase 4: Hands On Learning
Phase 5: Emergency Basic Surgery
Phase 6: Emergency Medical Technician Test
Phase 7: Routine Medical Care
Phase 8: Final Examination

 

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Phase 1: Physical Training
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The first phase would ensure that the Combat Medics and Medics of the Royal Polish Armed Forces would have the physical strength to perform their duties. This could include having to carry a fallen soldier several hundred meters to safety. Or dragging a fallen soldier through enemy fire to safety. They could have to run several hundred meters with all of their gear on to get to the patient before having to drag them to safety. The Physical Training portion will have the soldiers performing weight sets, running in full combat gear as well as in their physical fitness clothes. Up hill and downhill. In sand and in forests. They will also be required to fire their service rifle after doing all of this running. The final portion of this phase will require the medics to run one hundred meters to a one hundred and seventy-five pound dummy, fire their weapon five times accurately, before carrying or dragging the dummy back to the start position where they will fire their weapon five more times at targets placed on the range. To insure their safety, only one armed medic will be on the testing platform at a time. Loud speakers will be set up to provide the effect of a combat zone, playing gunshots and explosions. Instructors will also throw flashbangs and smoke grenades to simulate the sounds of explosions.

 

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Phase 2: CPR and First Aid
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Second phase is to ensure that the combat medics and other medics of the Royal Polish Armed Forces are up to International standards for cardiopulmonary resuscitation and enhanced first aid. First the students would be placed in a classroom to go over the steps of performing CPR and go over the guidebook for enhanced first aid. During this time the students would receive many hours of classroom time to go over the guidebook and learn the steps of CPR, including various ways to help keep time for the pulmonary massages. Once the classroom portion of the training is done, the students will be paired off with another student and given a training dummy to practice doing CPR on. After receiving their CPR certifications, student will continue their enhanced first aid training in the field utilizing civilian paramedics to instruct them. Using a combination of dummies and people as patients to diagnose and treat wounds, using the civilian paramedics as indicators as to what is going on. The students will continue this training until they all received their first aid certificate, marking them at least as competent as standard paramedics, they would move to the final test.

For their final test, Medics will be required to go out in a simulated battlefield, controlled explosives utilizing flashbang grenades and smoke bombs while sounds of a battlefield play through loud speakers placed near patients and students. The medics will be required to go out into the field and attempt locate, triage, rescue, and treat patients using the previous classroom and training before they could move onto the next part. Once all students had finished the final part exam, the next part would continue in the classroom.

 

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Phase 3: Casualty Diagnosis
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The third phase will return to the classroom. Medics will be put through a course on how to identify various traumas and injuries they will encounter in the field and on base. They will go through the steps of identifying injuries, secondary injuries, and how to treat them effectively enough to evacuate them to a field hospital or hospital back home. Everything from gunshots and sucking chest wounds to sprained ankles and small lacerations. Upon completing classroom time, students will be placed with EMT crews throughout Warsaw to learn hands on. Once this hands on learning is complete, Medics will undergo a final exam going over what they had previously learned and the steps to treat these wounds.

The next phase will have them visiting various emergency rooms throughout Poland to better understand the various problems they will encounter being the chief medical person for their units.

 

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Phase 4: Hands on Learning
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The fourth phase will place the medics as medical professionals in various emergency rooms and medical clinics throughout Poland so they can better learn to serve the soldiers assigned to them. They will learn about routine checkups for their forces, preventative medicine, and ailments that will require escalation to a battalion level medical doctor. They will also learn how to deal with trauma patients and other emergency level events they could encounter with local populations as well as their own forces, such as gunshot wounds, stabbings, and broken bones from accidents. For the final part of this phase, medics will be given a final written exam and practical exam requiring the patients to treat various injuries on a patient from applying tourniquets and bandages to applying splints and burn paste to burns.

The next phase will have the medics learning basic emergency surgery for in field use.

 

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Phase 5: Emergency Basic Surgery
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While this phase is dubbed Emergency Basic Surgery, it is merely a identifier for the range of training the medics will go through, following the Tactical Combat Casualty Care Corpus published in Military Medicine that has been adopted by the Polish Military. Medics will be educated on the basic three groups of treatment. Care Under Fire, Tactical Field Care, and Tactical Evaluation Care. With Care Under Fire being covered under previous phases, the medics will begin training in TFC and TACEVAC. First of which the medics will learn the MARCH acronym:

• Massive hemorrhage is managed through the use of tourniquets, hemostatic dressings, junctional devices, and pressure dressings.
• The Airway is managed by rapid and aggressive opening of the airway to include cricothyroidotomy for difficult airways.
• Respirations and breathing is managed by the assessment for tension pneumothorax and aggressive use of needle decompression devices to relieve tension and improve breathing.
• Circulation impairment is assessed and managed through the initiation of intravenous access followed up by administration of tranexamic acid (TXA) if indicated, and a fluid resuscitation challenge using the principles of hypotensive resuscitation. TCCC promotes the early and far forward use of blood and blood products if available over the use colloids and discourages the administration of crystalloids such as normal saline (sodium chloride).
• Hypothermia prevention is an early and critical intervention to keep a traumatized casualty warm regardless of the operational environment.

Furthermore, medics will be trained to continue treating patients and administering pain medication for patients with moderate to severe pain. Medics will also be taught how to administer oral and intravenous or intramuscular antibiotics. Once these steps are complete, Medics will be trained to continue the reassessment of injuries, documentation of care, communication of leadership and evacuation assets. Medics will finally be taught to package a casualty for evacuation.

 

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Phase 6: Emergency Medical Technician Test
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For this phase, the medics will undergo a study period where they will participate in several practice exams to make sure they understand the training previously received before proceeding to the test that will confirm them as Combat Medics. Once the practice exams are over with they will have a period of self study. They will then take the Emergency Medical Technician Test. Once the test has been passed, medics will receive their certifications and given unit placements throughout the Polish Armed Forces. Before proceeding to their units, Medics will undergo a final live fire exercise to fully test their ability to execute their duties in a battlefield situation.

After this phase is complete, medics move onto routine medical examinations they will be required to perform while with their unit.

 

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Phase 7: Routine Medical Care​

During this phase, medics will undergo routine physicals to insure they are not suffering form any medical conditions that would impede their ability to perform their jobs. After this exam they will be instructed on how to perform their own exams to insure soldiers under their care are capable of performing their duties. This will include, but not limited to; checking for hernias, heart exams, lung exams, eye exams, nose and throat exams, and general physical fitness. While they are only limited to prescribing over the counter medication, they will have the ability to refer soldiers to base doctors for more thorough exams or more serious, long term medical problems such as broken bones and asthma. Once this period is done, Medics will be granted leave for a short time before taking the final examination.

 

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Phase 8: Final Examination
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The final examination phase will encompass everything the medics learned throughout the training exercise. It will involve a written test, practical exam, and a final graduation ceremony where the students will receive their medic patches. The written exam will be a multi-choice one hundred question test format followed by a written answer exam to test the student's knowledge. The practical exam will involve various hands on procedures to test their practical skills. From stitching wounds and applying tourniquets to diagnosing minor medical issues using patient queues. Once both exams have finished, the students will attend a graduation ceremony where they will accept the Hippocratic Oath and be given the medic badges and patches that they would be authorized to wear on their uniforms.

Training Finished