Combat Stress MCRP 6-11C

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However, if a member fails to adequately respond to actions taken by the unit, then he should be evacuated for appropriate medical evaluation. Chapter 4 Sleep Deprivation 4001. CHALLENGES OF SLEEP DEPRIVATION People accumulate a “sleep debt” (cumulative loss of sleep over time) when they perform under limited sleep conditions. The only corrective measure for satisfying this sleep debt is sleep itself. Military operations, by their demanding nature, create situations where obtaining needed sleep will be difficult or impossible for more than short periods.

The vast majority of men will give their lives rather than violate this trust. Proper training of combat troops, prudent leaders who are technically and tactically sound, and the reluctance of men to violate the trust of their peers are the foundation Combat Stress _____________________________________________ 49 of a solid combat unit. In this environment, courage and sacrifice are the rule, not the exception. At any given moment, anyone can be rendered ineffective by fear if one realizes that he is going to die.

In contrast, when the same casualties are treated near the front, approximately 75 percent return to full duty. Of those returned to full duty, only 10 percent experience continued symptoms requiring further treatment. Some studies suggest half of those treated at the rear go on to have chronic psychiatric symptoms, and approximately half return to full duty. Therefore, it is clearly in the Service member's best interest to be treated at the front and returned to duty. This also serves the best interest of the unit because it receives a veteran Service member back to duty, rather than breaking in a replacement.

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