TCRM (Time-Critical Risk Management
A) Assess situation
B) Balance Resources
C) Communicate to Others
D) Do and Debrief
*Using TCRM model trains the brain to continue thinking under duress, stress, boredom
Situational Awareness (SA)
Degree of accuracy by which one's perception of the current environment mirrors reality
SA Risk Color Guide
Green - little chance of serious error
Yellow - higher chance of serious error
Red - very high chance of serious error
Swoosh Arrow - return to good SA
How To Identify Shipmates in Yellow or Red
Making errors, poor communication, overloaded, fatigued, complacent, not following procedures
Caduceus (kah-deuce)
Rating insignia of Hospital Corps
Sickbay/cockpit
where sick and injured men were taken for care
Surgeon Steward
First enlisted rate requiring specific qualification
Medal of Honor
Highest military decoration (Armed forces) awarded for conspicuous gallantry and intrepidity at the risk
of life above and beyond the call of duty.
Distinguished Service Cross (DSC)
Second highest military decoration (ARMY) awarded for extraordinary heroism
Navy Cross
Second highest military decoration (NAVY or MARINES) awarded for extraordinary heroism
Silver Star
, Third highest military combat decoration (Armed Forces) awarded for gallantry in action
Bronze Star
Awarded to any person serving in the military after 6DEC1941 who distinguishes themselves by heroic or
meritorious acheivement
Purpose of Article 16
States that a convenient place shall be set apart for sick or hurt men.....and some of the crew shall be
appointed to attend to and serve them and keep the place clean.
Ship's Surgeon
Trained physician
Surgeon's mate
Usually a physician but subordinate to surgeon (held warrant officer like status). Responsibilities more
equivalent to modern senior HM
Congress Mandate 2 March 1799
All newly commissioned sailing warships to contain a "cockpit" for treatment of sick and injured
*unofficially re-established need for enlisted medical personnel
Loblolly Boys
-Served porridge (loblolly) to sick/injured
-Classified as official rate in 1814
-Maintained cleanliness
-provided water/containers to hold amputated limbs
-heated tar for hemorrhage control
-Filled buckets of sand to use for slip control with bloodstained decks
Dates Loblolly Boys Served:
1797-1800 (Quasi-War with France
1801-1805 (first Barbary War)
Loblolly Boys of Distinction
John Wall (first one)
John Domyn (first POW)
Joseph Anderson (first African-American)
Surgeon Steward
-title used 1820-1865 (American expansion-->end of Civil War)
-first seen in Navy pay charts in 1841
-Ranked second in seniority among shipboard petty officers
-first enlisted rate requiring specific qualifications