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Expert Field Medical Badge Tracker

RANK LAST NAME UNITSPC JACKSON, JAMES 261ST MMB M 68W 7 1ST 1 Y 4 4 2 1 0 0 51

SGT KETTELL, PAULA 261ST MMB F 68W 14 1ST 11 Y 4 4 3 1 0 3 56SPC KUMPULA, JERED 261ST MMB M 68W 16 1ST 1 Y 4 4 2 2 1 0 53SGT VICK, NICOLE 261ST MMB F 68W 17 1ST 11 Y 4 4 2 2 0 3 55SPC MCGEE, SEAN 261ST MMB M 68W 18 1ST 1 Y 4 4 1 1 0 2 50

SPC MUNIZ, GUY 261ST MMB M 68W 21 1ST 1 Y 3 4 0 1 0 1 54SGT WOOLNOUGH, DAVID 82ND M 68W 26 1ST 2 Y 4 3 1 1 0 2 44 48

SGT FOWLER, COREY 28TH CSH M 68C 37 1ST 2 Y 4 4 3 0 0 2 57PFC WHEALE, HEATHER 82ND F 68M 41 1ST 11 Y 4 4 1 2 0 3 55

CPT HOFFMAN, LEVI 14TH CSH M 64A 61 2ND 3 Y 4 3 2 0 0 1 56

1LT CHOI, ALEX 14TH CSH M 67A 62 2ND 3 Y 4 4 1 2 0 0 56SPC METTURA, BRANDEN 14TH CSH M 68W 66 2ND 3 Y 4 4 1 0 0 1 55PFC MOORE, MITCHELL 14TH CSH M 68W 67 2ND 3 Y 4 4 0 0 0 2 50

PFC MUNIZ-GARCIA, MARCO 14TH CSH M 68W 68 2ND 3 Y 4 4 0 1 0 2 57SPC RIOS, ANTHONY 14TH CSH M 68K 71 2ND 3 Y 4 4 3 2 1 1 51CPT WALKER, ROBERT 14TH CSH M 67A 76 2ND 4 Y 4 4 1 1 0 1 48SPC LITTLE, RASHEEM 82ND M 68W 77 2ND 10 Y 4 4 3 2 0 1 42 46CPT LEFTWICH, ZACHARY Ft. Lee M 67E 80 2ND 4 Y 4 3 3 0 0 1 58SPC CHAVEZ, RAMIRO Walter Reed M 68K 93 2ND 4 Y 4 3 2 1 0 2 57SPC KOHLER, ALISHA Walter Reed F 68K 95 2ND 12 Y 4 4 1 0 0 3 57SFC MESSIER, PAUL Walter Reed M 68D 97 2ND 5 Y 4 4 2 0 0 0 48CPT MOUNTNEY, ANDREA Walter Reed F 71F 98 2ND 12 Y 4 4 3 1 1 2 58CPT REMESZ-GUERRETTE, JOSEPHWalter Reed M 67E 100 2ND 5 Y 4 4 3 0 0 2 55SGT TUTT, JOSEPH Walter Reed M 68K 101 2ND 5 Y 3 4 1 0 0 0 54SGT EICHELBERGER, KATHERINE 82ND F 68W 103 2ND 13 Y 4 4 0 2 0 0 55SPC GARCIA, ERIC 82ND M 68W 108 2ND 10 Y 3 4 1 0 0 2 47SPC OCHOA, JUAN 1/7 ADA M 68W 114 3RD 5 Y 4 4 1 2 0 0 39 52

SPC GREEN, STEVEN 20TH EN BDE M 68W 122 3RD 5 Y 4 3 3 1 0 1 45CPT LEWIS, JEREMY 248TH MDVSS M 64A 130 3RD 6 Y 4 4 3 0 0 1 57CPT ULLMER, JEFFREY 248TH MDVSS M 64A 132 3RD 6 Y 4 4 3 0 0 0 55SGT MARTIN, SHANNON 83RD CA F 68W 139 3RD 12 Y 3 4 1 0 0 2 44 46CPT CULBERTSON, TRICIA Public Health Command F 64A 142 3RD 12 Y 4 4 2 2 0 1 55MAJ CHANTHAVILAY, YOUYKAM WAMC M 67F 154 3RD 7 Y 4 4 3 2 1 0 55SSG MENTZER, SCOTT XVIII ABC M 68W 161 3RD 7 Y 4 4 3 2 0 1 48CPT HARRISON, CHRISTOPHER 82nd M 70B 166 4TH 7 Y 4 3 2 2 0 1 54SPC KOCH, GARRETT 82nd M 68W 171 4TH 7 Y 4 3 2 1 0 0 46SPC LOPEZ, HECTOR 82nd M 68W 172 4TH 7 Y 3 3 1 2 0 2 42 48SPC TEACHEY, JARED 82nd M 68W 173 4TH 7 Y 4 4 3 0 0 1 47

SGT MARTINEZ, CARLOS 82nd M 68W 174 4TH 7 Y 4 3 3 2 0 2 49SPC PARRISH, MICHAEL 82nd M 68W 175 4TH 7 Y 4 4 3 2 1 3 462LT MORALES, KATHY 82nd F 70B 178 4TH 13 Y 4 4 1 0 0 1 51SPC HARRIS, DEMETRE 82nd M 68W 180 4TH 8 Y 4 4 2 1 0 2 52

SGT DUNCAN, STEPHANIE 82nd F 68W 184 4TH 13 Y 4 4 2 0 1 0 45SPC LEAL, MARBELLA 82nd F 68W 188 4TH 13 Y 3 4 1 2 0 3 472LT MORGAN, TIESHEMA 82nd F 68W 189 4TH 13 Y 4 4 2 0 1 2 49CPT DILLASHAW, JASON 82nd M 65D 190 4TH 8 Y 4 4 2 1 0 1 51SGT SANCHEZ, ROBERTO 82nd M 68W 191 4TH 8 Y 4 4 3 2 0 1 491LT SANTANA, CHANELLE 82nd F 70B 192 4TH 13 Y 4 4 2 0 0 0 57SPC O'TOOLE, PATRICIA 82nd M 68W 201 4TH 9 Y 3 3 2 1 0 2 48SPC MORAVEC, JOHN 82nd M 68W 209 4TH 9 Y 4 4 2 0 1 2 46CPT SALAZAR, ROLAND 82nd M 68D 213 4TH 9 Y 4 4 1 2 0 2 56SPC OPPENBORN, GANNON 82nd M 68W 215 4TH 9 Y 4 4 1 2 0 0 46SPC HALL, JOSHUA 82nd M 68W 219 4TH 9 Y 4 4 3 1 0 0 46

TESTS

3 23 Total NG 74 1 0110 113 Total GO 128 5 0113 136 # Tested 202 6 0

97% 83% Average PASS 63% 83% #DIV/0!

LANDNAV

Actual Time

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TOTALS WILL AUTOMATICALLY Fill IN ON FORM 1200 CHECK TO ENSURE NUMBERS ARE CORRECT AND FORM IS COMPLETELY

FILLED OUT PRIOR TO SUBMITTING TO TCO


N G G G G G N G G G G G G G G G G G N G G G G G G G GN G G G G N G G G N G G G G G G G G G G G G N G G G GG G G G G G G G N G G G G N G G N N G G G G G G G G GG G G G G G G G G G N G G N G N G N G G G G G G G G GN G G G G G G G G G G G G G G G N G G G G G G G G G GG G G G G G G G G G G G G G G G N G G G G G G G G G GG G G G G G G G G G G N G G G G G G G N G G G G G G GN N G G N G G G G G G G G G G G G G G G G G G G G G GG G G G G G G G G G G G N G N G G N G G G G G G G G GN G G G N G G G G G G G G G G G G G G G G G G G G G G

G G G G G G G G G G G G G N N G G N G G G G G G G G GG G G G G G G G G G G N G G G G G G G G G G G G G G GG G G G G G G G G G G G G G G G G G G G G G G G G G GG G G G G G G G G G G G G G G G G G G N G G G G G G GG G G N G N G G G G G G G N G G N N G G G G G G G G GG G N G G G G G G G G G G G G N G G G G G G G G G G GN G G G G N G G G G N G G G G G N G G N G G G G G G GN G G G G G N G G G G N G G G G G G G G G G G G G G GN G G G G G N G G G G G G G G G G N G G G G G G G G GG G G G G G N G G G G G G G G G G G G G G G G G G G GN G N G G G G G G G G G G G G G G G G G G G G G G G GN G G N G G G G G N G G G G G G G N G G G G G G G N GN G G G G G G G N G N G G G G G G G G G G G G G G G GG G G G G G G G G G G G G N G G G G G G G G G G G G GG G G G G G G G G G G G G G G N G G G N G G G G G G GN G G G G G G G G G G G G G G G G G G G G G G G G G GN G G G G G G G G G G G G G N G G G G N G G G G G G GN G G G G N G N G G G G G G G N G G G G G G G G G G GN G G G G G G N G G G G G N G G G G G G G G G G G G GN N G G G N G G G G G G G G G G G G G G G G G G G G GN G G G G G G G G G G G G G G G G G G G G G G G G G GG G G G G N N G G G G G G G G G G N G G G G N G G G GG G G G G G N G N G G G G N G N G N G G G G G G G G GG G G G G N G G N G N G G G G N G N G G G G G G G G GG G G G G G G G G G G N G N G N G G N G G G G G G G GG G G N N G G G G G G G G G G G G N G G G G G G G G GG G G G G G G G G N G G G G G G G G G N G G N G G G GN G G G G N G G G G G G G N G G G G G G G G G G G G GN G G G G G G N G G G G G N G G N N G G G G G G G G GN G G G G G G N N G G G G G G N N G G G G G G G G G NG G G G G G G G G G G G G N G G G G G G G G G G G G GN N G G G G G G G G G G G G G G G G G G G G N G G G GN G G G G G G G G G G G G N G G G G G G G G G G G G GN G G G G G G G G G G G G G N G G N G G G G G G G G GN G G G N G G G G G G G G G G G G G G G G G G G G G GN G G G G G G N G G G G G G G G G G G G G G N G G G GN G G G G N G G G G G G G N G N G G G N G G G G G G GG G G G G G G N G N G G G G G G G G G G G G G G G G GG G G G N N G G G G G G G G G G G G G N G G G G G G GN G G G G N G G G G G G G G G G G G G G G G G G G G GG G G G G G G G G G G G G N G N G G G N G G G G G G GN G G G G G G G G G G G G G G G N G G N G G G G G G GG N G N G G G N G G G G G G G N G G G G G G G G G G G

110 33 9 32 27 64 38 40 23 28 33 11 6 67 25 37 50 53 21 48 15 6 28 16 12 15 2632 109 133 110 114 78 104 102 119 114 109 106 108 75 92 80 92 64 94 69 102 136 114 99 105 102 90

142 142 142 142 141 142 142 142 142 142 142 117 114 142 117 117 142 117 115 117 117 142 142 115 117 117 11623% 77% 94% 77% 81% 55% 73% 72% 84% 80% 77% 91% 95% 53% 79% 68% 65% 55% 82% 59% 87% 96% 80% 86% 90% 87% 78%

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TOTALS WILL AUTOMATICALLY Fill IN ON FORM 1200 CHECK TO ENSURE NUMBERS ARE CORRECT AND FORM IS COMPLETELY

FILLED OUT PRIOR TO SUBMITTING TO TCO


G G G G G G G G G G G G G G GG G N G G G G G G N G N G G GG N G G G G G G G G G G G G GG G N G G G G G G G G G G N NG G G G G G N N G G G G G G GG G N G G G G G G G G G G G GG G N G G G N G G g G G G G GG G N G G G N G G G G G G G GG G N G N G N G G G G G G G GG G G G G G G G N G G G G G G

G G G G G G G G G G G G G G GG G N G G G G G G G G G G G GG G G G G G N N G G G G G G GG G G N G G N G G G G G G G GN G G G G G N G G G G G G G GG G G G G G G N G G G G G G GG G G G G G G N G G G G G G GG G G G G G N G G G G G G G GG G N N G G G G G G G G G G GG G G G N G G N G N G G G G GG G G G G G G G G G G G G G GG G G G G G N G G G G N G G GG G N G G G N G G G G G G G GG G G G G G G G G G G G G G GG G G G G G G G G G G G G G GG G N G G G N G G G G G G G GG G G G G G G G G G G G G G GG G G G G G G G G G G G G N GG G G G G G N G G G G G G G GG G G G G G G G G G G G G G GG G N G G G N G G G G G G G GG G G G G G G N G G G G G G GG N G G G G G G G G G G G G GG G G G G G G G G G G N G G GG G N G G G G G G G G G G G GG G G G G G G G G G G G G G GG G G G N G G G G G N G G G GG G N G G G G G G G G G G G GG G G N G G G G G G N G G G GG G N G N G N G G G G G G G GG G G G G G G G G G G N G G GG G N N G G G G G G G G G G GN G G G G G G G G G G G G G GG G G G G G G G G G N N G G NN G G G N G N G G G G G G G GG G G N G G G G G G G G G G GG G G G G G G G G G G G G N GG G G G G G G G G G G G G G GG G N G G G N G G G G G G G GN G N N G G G G G G G G G G GG G N G G G N G G G G G G G GG G G G G G G G G G G G G G GG G G G G G G G G G G G G G G

27 27 38 24 22 11 46 25 8 6 18 33 10 6 1688 90 77 91 93 104 69 90 134 109 124 108 132 111 101

115 117 115 115 115 115 115 115 142 115 142 141 142 117 11777% 77% 67% 79% 81% 90% 60% 78% 94% 95% 87% 77% 93% 95% 86%

MED

EVAC

Req

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Subm

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1 R

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UXO

/IED

EXPERT FIELD MEDICAL BADGE TESTING STATISTICS(For use of this form, see AMEDDC&S Pam 350-10, the proponent is MCCS-OP)

ADMINISTERING UNIT TESTING LOCATION TESTING DATES82nd ABN DIV Fort Bragg, NC 3 MAY-8 MAY

CRITICAL PERFORMANCE AREAS AND TASKS TESTED PASSED FAILED

ARMY PHYSICAL FITNESS TEST (Totals) 223 223 0WEAPONS QUALIFICATION (Totals) 223 223 0CARDIOPULMONARY RESUSCITATION CERTIFICATION (Totals) 223 223 0WRITTEN TEST – First Attempt (Totals) 217 128 74WRITTEN TEST – Second Attempt (Totals) 6 5 1FOOT MARCH (Totals) 0 0 0LAND NAVIGATION TASKS (Totals)

a. Navigate from one point to another during the day. 113 110 3 b. Navigate from one point to another during the night. 136 113 23COMMUNICATION TASKS (Totals)

a. Assemble and operate a SINCGARS or SINCGARS (ASIP). 117 105 12 b. Load FH/COMSEC data and conduct radio check using SINCGARS or SINCGARS (ASIP). 117 102 15 c. Prepare and transmit a MEDEVAC request. 116 90 26 d. Submit CBRN 1 report. 115 88 27 e. Submit Explosive Hazard Spot Report. 117 90 27WARRIOR SKILLS TASKS (Totals)

a. Protect yourself from chemical/biological contamination using your assigned protective mask. 115 77 38 b. Decontaminate yourself using chemical decontaminating kits. 115 91 24 c. Protect yourself from CBRN injury/contamination with MOPP or JSLIST gear. 115 93 22 d. Perform self -aid for mild nerve agent poisoning. 115 104 11

115 69 46 f. Store the M40-series protective mask with or without hood. 115 90 25 g. Correct malfunction of an M4 carbine or M16-series rifle. 142 134 8 h. Disassemble, assemble, and perform a function check on a M9 pistol. 115 109 6 i. Move under direct fire. 142 124 18 j. Disassemble, assemble, and perform a functions check an M16-series rifle or M4/M4A1 carbine. 141 108 33 k. React to indirect fire. 142 132 10 l. Move over, through, or around obstacles. 117 111 6 m. React to an UXO or possible IED. 117 101 16MEDICAL AND CASUALTY EVACUATION TASKS (Totals)

a. Establish a helicopter landing point. 117 92 25 b. Load casualties onto a helicopter (UH-60 or HH-60L). 117 80 37 c. Load casualties onto ground evacuation platform (M996, M997, M113, or M1113 STRYKER MEV). 142 92 50

117 64 0

e. Load casualties onto nonstandard vehicle (1 ¼-ton, 4x4, M998). 115 94 21 f. Extricate casualties from a vehicle. 117 69 48 g. Evacuate a casualty using a SKED litter. 117 102 15 h. Evacuate casualties using one-person carries or drags. 142 136 6 i. Evacuate casualties using two-person carries or drags. 142 114 28 j. Evacuate casualties using litter carries. 115 99 16

Note: If a candidate failed out of EFMB on a lane on more than one critical performance area, count the candidate as failed on the critical performance area that they failed out of first.

e. Protect yourself from biological or chemical injury/contamination when removing MOPP or JSLIST gear.

d. Load casualties onto nonstandard vehicle (5-Ton M-1085, M-1093, or 2 ½-Ton M-1081) or (2 ½ -ton, 6x6 or 5-ton, 6x6, cargo truck).

CRITICAL PERFORMANCE AREAS AND TASKS TESTED PASSED FAILED

TACTICAL COMBAT CASUALTY CARE TASKS (Totals)

a. Perform a tactical combat casualty care patient assessment. 142 32 110 b. Control bleeding using a tourniquet. 142 109 33 c. Control bleeding using a hemostatic device. 142 133 9 d. Triage casualties. 142 110 32 e. Initiate treatment for hypovolemic shock and prevent hypothermia. 141 114 27 f. Initiate a saline lock and intravenous infusion. 142 78 64 g. Insert a nasopharyngeal airway. 142 104 38 h. Treat a penetrating chest wound. 142 102 40 i. Perform needle chest decompression. 142 119 23 j. Treat an open abdominal wound. 142 114 28 k. Control bleeding using dressings. 142 109 33 l. Treat an open head injury. 117 106 11 m. Treat lacerations, contusions, and extrusions of the eye. 114 108 6 n. Immobilize a suspected fracture of the arm. 142 75 67

CANDIDATE TOTALS 202 0 202TOTAL EFMBs AWARDED 0

Was EFMB testing formally validated by the EFMB Test Control Office, AMEDDC&S?YES

How many hours/days of standardization were provided by the administering unit?

What was the test number for the EFMB Written Test (listed in top right corner of test)?

ILLNESS AND INJURIES INCURRED DURING EFMB Number

Environmental Heat Injury. 2

Environmental Cold Injury.

Disease (Enteric/URI/Other).

Injury (Other). 2

Pre-existing Condition. 3

Treated on Site and RTD.

*Evacuated to Hospital or MTF. 1

*Comments (Reason for Evacuation, if Returned to Testing, etc) :

SIGNATURE

AMEDDC&S Form 1200, 1 APR 2008 Page 1 of 2

36 Hours/ 5 Days

x2 SM were seen at Sickcall by provider during standarization week with previous heat injuries. X1 Soldier Red cross message during standardization week. X1 admitted to hospital during standardization week for anaphylatic reation. X2 Solder seen at sickcall during standardization week lower extremitie issues

TYPED NAME, GRADE, AND BRANCH OF EFMB CHAIRPERSON

DATE (YYYYMMDD)

SIGNATURETYPED NAME, GRADE, AND BRANCH OF EFMB CHAIRPERSON

DATE (YYYYMMDD)

AMEDDC&S Form 1200, 1 NOV 2011 Page 2 of 2

RANK NAME UNITPFC TRANTER, AUSTIN 261ST MMB 1 1ST N 4 4 8 0 0 0 48 0 0.002LT BEACH, CHAD 261ST MMB 2 1ST N 4 4 4 0 0 0 43 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC BURKS, AUSTIN 261ST MMB 3 1ST N 4 4 4 3 0 1 49 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SFC CASEY, VICKIE 261ST MMB 5 1ST N 4 3 7 1 0 1 53 0 0.00SPC CORTEZ, ANDREW 261ST MMB 6 1ST N 3 3 2 2 0 4 47 0 0.00SPC JACKSON, JAMES 261ST MMB 7 1ST Y 4 4 2 1 0 0 51 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC YOUNG, BRITTNEY 82ND 9 1ST N 0 1 0 0 0 0 44 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC TATUM, ANDRE 82ND 10 1ST N 4 3 9 1 0 0 35 0 0.00CPT HAUGAARD, JESSICA 261ST MMB 11 1ST N 4 4 4 0 0 0 55 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC WHITLOCK, JACOB 82ND 12 1ST N 0 2 0 0 0 0 45 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SGT KETTELL, PAULA 261ST MMB 14 1ST Y 4 4 3 1 0 3 56 0 0.00SPC KIMMEL, HANNA 261ST MMB 15 1ST N 4 4 5 1 0 2 53 0 0.00SPC KUMPULA, JERED 261ST MMB 16 1ST Y 4 4 2 2 1 0 53 0 0.00SGT VICK, NICOLE 261ST MMB 17 1ST Y 4 4 2 2 0 3 55 0 0.00SPC MCGEE, SEAN 261ST MMB 18 1ST Y 4 4 1 1 0 2 50 0 0.00CPT MECHAM, AMASA 261ST MMB 19 1ST N 4 4 4 0 0 0 48 0 0.00SPC PERNULA, KYLE 82ND 20 1ST N 3 4 2 1 3 0 43 0 0.00SPC MUNIZ, GUY 261ST MMB 21 1ST Y 3 4 0 1 0 1 54 0 0.00PFC OTT, JOEL 261ST MMB 22 1ST N 0 2 0 0 0 0 50 0 0.00SPC WALLIN, STEPHEN 82ND 23 1ST N 0 0 0 0 0 0 39 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC REYNA, BRYAN 261ST MMB 24 1ST N 3 4 5 1 0 0 40 0 0.00SPC RODRIGUEZ, ANDRES 261ST MMB 25 1ST N 4 4 4 1 0 0 51 0 0.00SGT WOOLNOUGH, DAVID 82ND 26 1ST Y 4 3 1 1 0 2 44 48 0.00SGT PEGUERO, MILLI 28TH CSH 27 1ST N 0 1 0 0 0 0 42 0 0.00SPC JONES, ASHLEY 261ST MMB 28 1ST N 0 1 0 0 0 0 30 0 0.00SSG MARSHALL, JAMON 82ND 30 1ST N 0 0 0 0 0 0 36 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC WHITE, NICOLE 261ST MMB 31 1ST N 4 3 6 0 0 3 47 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC COLLETT,BRIAN 28TH CSH 33 1ST N 4 4 4 1 0 1 49 0 0.00PV2 CONNELL, 28TH CSH 34 1ST N 4 4 5 1 0 1 49 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SGT DIXON, SARAH 82ND 35 1ST N 0 1 0 0 0 0 40 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC DORSET, ADRIAN 28TH CSH 36 1ST N 4 4 5 1 0 0 46 0 0.00SGT FOWLER, COREY 28TH CSH 37 1ST Y 4 4 3 0 0 2 57 0 0.00SGT HARTLEY, ERIN 28TH CSH 38 1ST N 4 4 3 3 0 1 55 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509PFC HERRICK, JACOB 28TH CSH 40 1ST N 4 3 5 1 0 0 44 0 0.00PFC WHEALE, HEATHER 82ND 41 1ST Y 4 4 1 2 0 3 55 0 0.00SPC MADRUGA, AUSTIN 28TH CSH 42 1ST N 3 4 4 2 0 2 53 0 0.00SPC MAYFIELD, ANDREW 28TH CSH 43 1ST N 2 4 0 0 0 0 48 0 0.00SPC MINKLER, SKYLER 28TH CSH 44 1ST N 4 4 2 1 1 4 48 0 0.00SGT OHLENDORF, RYAN 28TH CSH 45 1ST N 4 4 4 0 0 0 51 0 0.00MAJ OWENS, HEATHER 28TH CSH 46 1ST N 2 4 0 0 0 0 51 0 0.00SGT PARKER, TORIAN 28TH CSH 47 1ST N 3 4 3 5 0 1 46 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC CHAVEZ, CESAR 82ND 49 1ST N 3 3 5 1 0 0 38 0 0.00CPL TAYLOR, KEVIN 28TH CSH 50 1ST N 0 0 0 0 0 0 44 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC BENEFIELD, JACOB HHC/44 52 1ST N 4 4 2 3 0 0 49 0 0.00SGT FRANCE, CRYSTAL HHC/44 53 1ST N 0 2 0 0 0 0 47 0 0.00PFC GREIG, ZACHARY HHC/44 54 1ST N 4 4 5 1 0 1 46 0 0.002LT ESPEJO, CAROLINA 82ND 55 1ST N 4 4 5 0 0 0 52 0 0.00PFC ASCA,RYAN 14TH CSH 56 2ND N 4 3 6 1 0 1 55 0 0.00CPT BARRETT,MATTHEW 14TH CSH 57 2ND N 4 4 7 1 0 0 45 0 0.00SPC BROWN, CHRISTOPHER 14TH CSH 58 2ND N 0 2 0 1 0 3 52 0 0.002LT CAGLE, GARY 14TH CSH 59 2ND N 0 0 0 1 1 4 54 0 0.001LT DAVIS, CHRISTOPHER 14TH CSH 60 2ND N 4 4 3 3 2 2 46 0 0.00CPT HOFFMAN, LEVI 14TH CSH 61 2ND Y 4 3 2 0 0 1 56 0 0.001LT CHOI, ALEX 14TH CSH 62 2ND Y 4 4 1 2 0 0 56 0 0.00

SPC CHERNYSHOV, ALEXANDER 14TH CSH 63 2ND N 4 4 6 2 1 4 38 0 0.00

SGT ENSUNSA, MARK 14TH CSH 64 2ND N 4 3 3 3 1 2 51 0 0.00SPC LAKHAN, HAYDN 14TH CSH 65 2ND N 0 0 0 1 1 5 45 0 0.00SPC METTURA, BRANDEN 14TH CSH 66 2ND Y 4 4 1 0 0 1 55 0 0.00PFC MOORE, MITCHELL 14TH CSH 67 2ND Y 4 4 0 0 0 2 50 0 0.00PFC MUNIZ-GARCIA, MARCO 14TH CSH 68 2ND Y 4 4 0 1 0 2 57 0 0.00

PFC 14TH CSH 69 2ND N 0 0 1 1 1 5 50 0 0.00

SPC PAGUE, MATTHEW 14TH CSH 70 2ND N 4 3 7 1 0 2 46 0 0.00SPC RIOS, ANTHONY 14TH CSH 71 2ND Y 4 4 3 2 1 1 51 0 0.00SPC SANTOS, NATHANIEL 14TH CSH 72 2ND N 4 3 5 2 1 2 52 0 0.00SPC RICHARDSON, JEFFREY 14TH CSH 74 2ND N 0 0 0 2 0 6 53 0 0.00SPC SONOKPON, KODJOVI 14TH CSH 75 2ND N 0 2 0 0 1 3 35 0 0.00CPT WALKER, ROBERT 14TH CSH 76 2ND Y 4 4 1 1 0 1 48 0 0.00SPC LITTLE, RASHEEM 82ND 77 2ND Y 4 4 3 2 0 1 42 46 0.00PFC ISKANDAR, ANDIKA 82ND 78 2ND N 0 2 0 0 0 3 57 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Ft. Lee 80 2ND Y 4 3 3 0 0 1 58 0 0.00CPT LEFTWICH, ZACHARY Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509MAJ WOOD, GARRETT Ft. Lee 82 2ND N 4 4 2 3 0 2 53 0 0.00

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PFC GLASSER, KRISTA Ft. Lee 83 2ND N 0 2 0 0 0 2 36 0 0.00PFC ALBANITO, ALEXANDRE OLD GUARD (3rd USIR) 84 2ND N 0 0 0 2 0 4 39 0 0.00SPC BARTON, MATHEW OLD GUARD (3rd USIR) 85 2ND N 0 0 0 2 1 4 35 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509PFC COOPER, CHRISTOPHER OLD GUARD (3rd USIR) 86 2ND N 4 3 5 2 0 2 50 0 0.00PFC FRITZ, BRIAN OLD GUARD (3rd USIR) 87 2ND N 4 3 12 3 1 7 44 0 0.00PFC GEORGE, TREVOR OLD GUARD (3rd USIR) 88 2ND N 4 3 5 2 0 2 35 0 0.00PFC HERNANDEZ, VINCENT OLD GUARD (3rd USIR) 89 2ND N 4 3 2 5 2 1 48 0 0.00SGT SHARMA, SUNIL OLD GUARD (3rd USIR) 90 2ND N 0 0 0 1 1 5 33 0 0.00SPC VANGILDER, WILLIAM OLD GUARD (3rd USIR) 91 2ND N 0 0 0 1 0 4 43 0 0.00SPC WALKER, STEPHANIE OLD GUARD (3rd USIR) 92 2ND N 3 4 4 1 0 1 47 0 0.00SPC CHAVEZ, RAMIRO Walter Reed 93 2ND Y 4 3 2 1 0 2 57 0 0.00SPC GOMEZ, PAULA Walter Reed 94 2ND N 0 1 0 0 0 0 50 0 0.00SPC KOHLER, ALISHA Walter Reed 95 2ND Y 4 4 1 0 0 3 57 0 0.00SGT MARTINEZ, ROBERT Walter Reed 96 2ND N 4 4 2 4 0 0 55 0 0.00SFC MESSIER, PAUL Walter Reed 97 2ND Y 4 4 2 0 0 0 48 0 0.00CPT MOUNTNEY, ANDREA Walter Reed 98 2ND Y 4 4 3 1 1 2 58 0 0.00SPC OMBURO, DERICK Walter Reed 99 2ND N 3 4 1 3 0 0 48 0 0.00

CPT Walter Reed 100 2ND Y 4 4 3 0 0 2 55 0 0.00

SGT TUTT, JOSEPH Walter Reed 101 2ND Y 3 4 1 0 0 0 54 0 0.00SGT TURNER, KEVIN West Point 102 2ND N 4 3 3 3 0 4 52 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509PFC CARTER, DEXTER 1/7 ADA 111 3RD N 0 0 0 4 0 1 43 0 0.00PFC HILL, ANTHONY 1/7 ADA 112 3RD N 0 0 0 4 2 1 48 0 0.00SPC LEBS, AARON 1/7 ADA 113 3RD N 0 0 0 2 2 0 38 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC OCHOA, JUAN 1/7 ADA 114 3RD Y 4 4 1 2 0 0 39 52 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509PFC SPACH, RYAN 257TH DCAS 116 3RD N 0 0 0 4 3 1 45 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC BRADY, RA'SHON 257TH DCAS 133 3RD N 4 4 6 2 0 2 40 0 0.00PFC FERGUSON, SHADEE 257TH DCAS 134 3RD N 0 0 0 3 3 1 24 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509CPT RAMOS, ELLIOT 248TH MDVSS 131 3RD N 0 0 0 1 1 5 47 0 0.00CPT ULLMER, JEFFREY 248TH MDVSS 132 3RD Y 4 4 3 0 0 0 55 0 0.00SGT KLEIMOLA, ELIZABETH 257TH DCAS 136 3RD N 0 0 0 3 1 0 42 0 0.00SPC SHAKYA,BISWAS 257TH DCAS 137 3RD N 3 4 6 2 1 2 47 0 0.00SPC BOOKER,MICHAEL 83RD CA 138 3RD N 0 0 0 1 2 3 46 0 0.00SGT MARTIN, SHANNON 83RD CA 139 3RD Y 3 4 1 0 0 2 44 46 0.00SPC SARRAFAN, SIMA 83RD CA 140 3RD N 0 0 0 2 2 0 41 0 0.00SGT BABINO, ZACHARY USASOC 143 3RD N 0 2 1 1 1 3 47 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509CPT PRUDEN, JOSHUA USASOC 145 3RD N 0 0 0 2 0 5 48 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SGT STARLING, DAMON USASOC 147 3RD N 4 4 5 2 1 2 42 0 0.00PFC SIRIANNI,MATTHEW USASOC (3RD GRP) 148 3RD N 0 0 0 3 3 0 34 0 0.00SPC ATABEKOVA, CHOLPON USASOC, 95TH CA 149 3RD N 4 3 3 3 1 1 41 0 0.00

SPC USASOC, 95TH CA 150 3RD N 0 1 0 2 1 0 48 0 0.00

SGT SPARKS, ANNAMARIE USASOC, 95TH CA 151 3RD N 0 0 0 3 2 0 35 0 0.00CPT SPAYDE, JAMIE USASOC, 95TH CA 152 3RD N 0 1 0 2 1 2 46 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509

MAJ CHANTHAVILAY, YOUYKAM WAMC 154 3RD Y 4 4 3 2 1 0 55 0 0.00

PFC GARCIA, RICARDO WAMC 155 3RD N 0 2 0 2 1 1 40 0 0.00SPC GONZALEZ, ERICA WAMC 156 3RD N 0 0 0 3 2 5 40 0 0.00SGT JOHNSON, NATHANIEL WAMC 157 3RD N 4 4 7 5 1 1 48 0 0.00PFC KELLEY, CAMERON WAMC 158 3RD N 4 3 5 2 1 2 36 0 0.00SPC SCHONEWOLF, RYAN WAMC 159 3RD N 0 0 0 3 0 0 49 0 0.00SPC YSETH, DEREK WAMC 160 3RD N 3 3 7 2 0 1 46 0 0.00SSG MENTZER, SCOTT XVIII ABC 161 3RD Y 4 4 3 2 0 1 48 0 0.00PFC WENTWORTH, MADISON XVIII ABC 162 3RD N 0 1 0 2 0 3 50 0 0.00

CPT HARRISON, CHRISTOPHER 82nd 166 4TH Y 4 3 2 2 0 1 54 0 0.00

PFC BUSBY, FORREST 82nd 167 4TH N 0 0 4 1 0 0 55 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC KOCH, GARRETT 82nd 171 4TH Y 4 3 2 1 0 0 46 0 0.00SPC LOPEZ, HECTOR 82nd 172 4TH Y 3 3 1 2 0 2 42 48 0.00SPC TEACHEY, JARED 82nd 173 4TH Y 4 4 3 0 0 1 47 0 0.00SGT MARTINEZ, CARLOS 82nd 174 4TH Y 4 3 3 2 0 2 49 0 0.00SPC PARRISH, MICHAEL 82nd 175 4TH Y 4 4 3 2 1 3 46 0 0.00PFC MARSHALL, SAGE 82nd 176 4TH N 0 0 5 1 0 1 49 0 0.00PFC ZUVER, JOSHUA 82nd 177 4TH N 0 0 7 2 0 0 44 0 0.002LT MORALES, KATHY 82nd 178 4TH Y 4 4 1 0 0 1 51 0 0.00SGT ALLEN, BRYAN 82nd 179 4TH N 0 0 5 0 0 1 48 0 0.00SPC HARRIS, DEMETRE 82nd 180 4TH Y 4 4 2 1 0 2 52 0 0.00PFC GARCIA, THOMAS 82nd 181 4TH N 0 0 4 0 0 2 38 0 0.00PFC HUMPHREY, MIKE 82nd 182 4TH N 0 0 9 0 0 2 40 0 0.00PFC AVERA, GREGORY 82nd 183 4TH N 0 0 5 1 0 1 40 0 0.00SGT DUNCAN, STEPHANIE 82nd 184 4TH Y 4 4 2 0 1 0 45 0 0.00PFC HENDERSON, DAVID 82nd 185 4TH N 0 0 6 1 0 0 37 0 0.00SPC BLANKS, DAVID 82nd 186 4TH N 0 0 8 1 0 1 38 0 0.00SGT WHITE, JAMEZ 82nd 187 4TH N 0 0 5 1 0 1 49 0 0.00SPC LEAL, MARBELLA 82nd 188 4TH Y 3 4 1 2 0 3 47 0 0.002LT MORGAN, TIESHEMA 82nd 189 4TH Y 4 4 2 0 1 2 49 0 0.00CPT DILLASHAW, JASON 82nd 190 4TH Y 4 4 2 1 0 1 51 0 0.00SGT SANCHEZ, ROBERTO 82nd 191 4TH Y 4 4 3 2 0 1 49 0 0.001LT SANTANA, CHANELLE 82nd 192 4TH Y 4 4 2 0 0 0 57 0 0.00SPC GUITROZ, PERRY 82nd 193 4TH N 0 0 8 0 0 0 37 0 0.00SGT PORRITT, JOSHUA 82nd 194 4TH N 0 0 6 1 0 1 39 0 0.00SPC GLASS, MARC 82nd 195 4TH N 0 0 5 1 0 0 45 0 0.00SPC CASTILLO, CHRISTOPHER 82nd 196 4TH N 0 0 2 3 0 0 46 0 0.00SPC PHELPS, NATHAN 82nd 197 4TH N 0 0 2 5 4 2 45 0 0.00SPC MAILE, CODY 82nd 198 4TH N 0 0 3 3 0 0 47 0 0.00SPC COTA, RYSA 82nd 199 4TH N 0 0 8 2 0 1 35 0 0.00PFC HURST, KEITH 82nd 200 4TH N 0 0 2 2 2 0 36 0 0.00SPC O'TOOLE, PATRICIA 82nd 201 4TH Y 3 3 2 1 0 2 48 0 0.002LT CHILDS, CHRISTOPHER 82nd 202 4TH N 0 0 1 3 2 1 48 0 0.00### Err:509 Err:509 ### ### ### ### ### ### ### ### ### ### ### Err:509SPC MORALES, JORDAN 82nd 204 4TH N 0 0 4 1 0 1 44 0 0.00CPT WILLIE, BETINA 82nd 205 4TH N 0 0 4 0 0 0 49 0 0.00

REMESZ-GUERRETTE, JOSEPH

PONG PACHARAPAN, NOPPON

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D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Road

Mar

ch

EXPERT FIELD MEDICAL BADGE QUALIFICATION RECORD(For use of this form, see AMEDDC&S Pam 350-10, the proponent is MCCS-OP-T)

PRIVACY ACT STATEMENTAUTHORITY: 5 U.S.C., section 301.PURPOSE: To award the individual the Expert Field Medical Badge.ROUTINE USES: To provide the local PAC this information so orders are issued for award of the badge.

1. THRU 2. TO 3. FROM

5. GRADE 6. MOS 7. SSN

8. UNIT

CRITICAL PERFORMANCE AREAS TEST TEST DATEGO NO-GOAND TASKS REQUIREMENTS (YYYYMMDD) SCORE

9. ARMY PHYSICAL FITNESS TEST180 POINTS

(60 PER EVENT)

10. WEAPONS QUALIFICATION MARKSMAN

11. CARDIOPULMONARY RESUSCITATION CERTIFICATION CURRENT

12. WRITTEN TEST

45 OF 60

45 OF 60

13. LAND NAVIGATION TASKS

3 OF 4 POINTS

3 OF 4 POINTS

14. COMMUNICATION TASKS 4 OF 5 TASKS

15. WARRIOR SKILLS TASKS 10 OF 13 TASKS

b. Decontaminate yourself using chemical decontaminating kits.

d. Perform self-aid for mild nerve agent poisoning.

h. Disassemble, assemble, and perform a function check on a M9 pistol.

i. Move under direct fire.

k. React to indirect fire.

l. Move over, through, or around obstacles.

m. React to an UXO or possible IED.

MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL NOT PROVIDING INFORMATION: While the individual has the right to refuse disclosure of his/her Social Security number, this information is needed to issue the orders. Failure to provide the Social Security number may result in denial of the award of the badge.

4. NAME (Last, First, MI)

CANDIDATE

a. Written Test – First attempt.

b. Written Test – Second attempt (Only if failed the first attempt).

a. Navigate from one point to another during the day.

b. Navigate from one point to another during the night.

a. Assemble and operate a SINCGARS or SINCGARS (ASIP).

b. Load FH/COMSEC data and conduct radio check using SINCGARS or SINCGARS (ASIP).

c. Prepare and transmit a MEDEVAC request.

d. Submit NBC 1 report.

e. Submit Explosive Hazard Spot Report.

a. Protect yourself from chemical/biological contamination using your assigned protective mask.

c. Protect yourself from CBRN injury/contamination with MOPP or JSLIST gear.

e. Protect yourself from biological or chemical injury/contamination when removing MOPP or JSLIST gear.

f. Store the M40-series protective mask with or without hood.

g. Correct malfunction of an M4 carbine or M16-series rifle.

j. Disassemble, assemble, and perform a functions check an M16-series rifle or M4/M4A1 carbine.

CRITICAL PERFORMANCE AREAS TEST TEST DATEGO NO-GOAND TASKS REQUIREMENTS (YYYYMMDD) SCORE

16. TACTICAL COMBAT CASUALTY CARE TASKS 11 OF 14 TASKS

e. Initiate treatment for hypovolemic shock and prevent hypothermia.

f. Initiate a saline lock and intravenous infusion.

g. Insert a nasopharyngeal airway.

17. MEDICAL AND CASUALTY EVACUATION TASKS 8 OF 10 TASKS

e. Load casualties onto nonstandard vehicle (1 ¼-ton, 4x4, M998).

f. Extricate casualties from a vehicle.

g. Evacuate a casualty using a SKED litter.

h. Evacuate casualties using one-person carries or drags.

j. Evacuate casualties using litter carries.

18. FOOT MARCH 3 HOURS

20. REMARKS

21. TYPED NAME, GRADE, AND BRANCH OF EFMB CHAIRPERSON 22. SIGNATURE

AMEDDC&S FORM 1232, 1 AUG 2010 Page 1 of 2CANDIDAT

E

a. Perform a tactical combat casualty care patient assessment.

b. Control bleeding using a tourniquet.

c. Control bleeding using a hemostatic device.

d. Triage casualties.

h. Treat a penetrating chest wound.

i. Perform needle chest decompression.

j. Treat an open abdominal wound.

k. Control bleeding using dressings.

l. Treat an open head injury.

m. Treat lacerations, contusions, and extrusions of the eye.

n. Immobilize a suspected fracture of the arm.

a. Establish a helicopter landing point.

b. Load casualties onto medical evacuation platform (UH-60 or HH-60L, M996, 997, M113, or M1113 STRYKER MEV).

c. Load casualties onto a different medical evacuation platform (UH-60 or HH-60L, M996, 997, M113, or M1113 STRYKER MEV).

d. Load casualties onto nonstandard vehicle (5-Ton M-1085, M-1093, or 2 ½-Ton M-1081) or (2 ½ -ton, 6x6 or 5-ton, 6x6, cargo truck).

i. Evacuate casualties using two-person carries or drags.

19. ¨ QUALIFIED ¨ NOT QUALIFIED FOR AWARD OF EFMB (IAW AMEDDC&S PAM 350-10)

23. DATE (YYYYMMDD)

21. TYPED NAME, GRADE, AND BRANCH OF EFMB CHAIRPERSON 22. SIGNATURE 23. DATE (YYYYMMDD)

AMEDDC&S FORM 1232, 1 AUG 2010 Page 2 of 2

SSN UNITNAME (Red = Dropped as of 9 Oct) Gend

er

Gend

er

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