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68W COMBAT MEDIC FIELDCRAFT MODULES I-
III -with 100% verified solutions-2024-
What are the tactical indications for spinal immobilization Motor vehicle accident, Fall greater than 15 ft, IED blast involving a MRAP Overpressure wave (internal damage to hollow organs) Primary Blast Shrapnel and debris penetrating wounds Secondary Blast Casualty is thrown into a solid object Tertiary Blast What is the leading cause of preventable death on the battlefield Extremity Hemorrhage Why is extremity hemorrhaging the leading cause of death on the battlefield Not protected by body armor When should CPR be considered in the combat environment? Hypothermia, Electrocution, near drowning Factors that influence care on the battlefield? Enemy fire, medical equipment, variable evacuation time, tactical considerations, casualty transportation
What is a WALK kit? Warrior Aid and Litter Kit Where can a WALK kit be found? several ground vehicles What medication is found in the combat pill pack? Acetaminophen, Mobic, Moxiflaxicin Which combat casualties will receive ABX? All will eventually, ABX should not be given at the point of injury unless evac. is delayed greater than 3 hours What are the goals of TCCC Accomplish the mission, prevent additional casualties, treat the casualty What are the phases of care? Care under fire, tactical field care, tactical evacuation care What does MEDEVAC encompass? Collecting the wounded, triage, provide a mode of transportation, provide care end route First responder capability; Battalion Aid Station, Medical Platoon, Combat Medic Level 1 Forward Resuscitative Care Capability; Forward Surgical Team (FST) Level 2 Theater Hospitalization Capability; Combat Support Hospital
How do you request a 9 line MEDEVAC "I have a MEDEVAC request" How long do you have to transmit a 9 line MEDEVAC 25 seconds What is a Simple rescue? Open field, no hindrances to removing casualty What makes up a complex rescue? Vertical casualty movement, vehicle extrication, tactical search and rescue Define the term "x"? The point of wounding Describe the proper body mechanics of casualty movement? know your capabilities, use large leg muscles, slide or roll rather than lift What is the load capacity of a M 4 litter or 8 ambulatory or 2 litter and 4 ambulatory What is the load capacity of a M
4 litter or 10 ambulatory or a combination What is the load capacity of a Haga 3 litter or 6 ambulatory What are the 3 most common devices used in hoist operations? Sked, Jungle penetrator, stokes basket What is the leading cause of preventable death on the battlefield? Extremity hemorrhage Plasma provides a fluid environment for the other components and warmth for the body Erythrocytes (RBCs) Carry oxygen to the tissue Leukocytes (WBCs) Fight infection and consume dead tissue Thrombocytes Specialized cells that form clots
What is the only medical treatment done in the Care under fire phase? Hasty Tourniquets Describe a delibrate tourniquet? Directly to the skin; 2-3 inches above the wound; not over a joint; tightened till bleeding stopped or distal pulse absent What are the 4 P's of packing? Peel, Push, Pile, Pressure When should you not loosen a tourniquet? If casualty will arrive at surgical facility less than 2 hours; TQ has been place for longer than 6 hours; Amputations; Casualties in profound shock What is the 1st step in the assessment for circulation? Treat significant non-pulsating hemorrhage with packing and pressure What is the respiratory response to increased CO2 production As CO2 increases; respiratory rate increases What is the normal respiratory rate for an adult 12- What is the normal respiratory rate for a child
What is the normal respiratory rate for an infant 25- What are the complications of suctioning Will cause hypoxemia, cardiac dysrhythmia, vagus nerve stimulation What are the essential Airway skills Positioning, manual maneuvers, suctioning, NPA What is the "Gold Standard" in Advanced airway management? Endotracheal intubation What is the perferred advanced airway in the combat environment? Emergency Cricothryoidotomy What are the landmarks for an emergency cric? Thyroid Cartilage; Cricothyroid membrane, cricoid cartilage What are the indications for a Cric? Severe maxillofacial trauma, airway obstruction, structural deformities, inhalation burns, unconscious and unable to secure own airway
What are the S/S of respiratory distress? Tachypnea, bradypnea, labored breathing, retractions, hemoptysis, one or two word sentences, agitation or air hunger Describe a sucking chest wound? An open wound that is 2/3 the size of the trachea Describe the placement of a Needle Chest decompression 2nd ICS, mid-clavicular line, over the 3rd rib What are the troubleshooting procedures for a NCD Place 2nd needle lateral to the 1st, flush catheter with 1-2 ml of iv solution, burp the wound What are the 4 types of distributive shock? Spetic, Neurogenic, anaphylactic, psychogenic What are the intrinsic causes of Cardiogenic shock Heart muscle damage, dysrhythmia, vavular disruption Extrinsic causes of Cardiogenic shock Cardiac Tampnade, pneumothorax Describe decompensated shock?
When the body can no longer compensate and casualty's BP drops How much blood must be lost to see a decrease in BP 1500ml Systolic of at least 80 Radial Systolic of at least 70 Femoral Systolic of at least 60 Carotid Fluid of choice for burns, dehydration Lactated Ringer used in conjunction with blood transfusion, restoring the loss of body fluid Normal Saline Calorie replacement, hypoglycemia D5W
Redness, swelling of site, pt c/o fever, chills malaise, sudden rise in temp., purulent drainage Infection Use only eye and motor scales and add a "T" to score If the casualty is intubated, (ETT, Combitube, King LT) how is the GCS scored? Increased blood pressure (hypertension). Decrease in pulse rate (bradycardia). Respiratory rate to increase, decrease and/or become irregular. What is Cushing's Triad brainstem injury is probable if both pupils are dilated and do not react to light What if both pupils are dilated and do not react to light hyperextension of the legs and flexion at the arms and elbows with the hands oming in toward the cnter of the body. Injury to the upper midbrain Decorticate
Teeth clenched arms and legs extended wrist flexed usually caused by secere injury to the midbrain Decerebrate To determine if there is a change in the casualty Why is it important to take serial GCS assessments
