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COMBAT MEDIC 68W FIELDCRAFT 1 EXAM
C168W144 Exam Questions and Answers Latest
Update 2024 GRADE A+
Tactical indications for C-spine precautions - Correct Answer Motor vehicle crashes, falls greater than 15 feet, IED blast involving and MRAP vehicle Three types of blast injuries - Correct Answer primary, secondary, tertiary Single biggest obstacle to the Combat Medic's ability to provide care - Correct Answer Enemy fire Who makes the decision to extract casualties - Correct Answer The tactical leader Technical name for a Combat Casualty Care card - Correct Answer DD Form 1380
What is a WALK kit? - Correct Answer Warrior Aid and Litter Kit Medications given for casualty with mild to moderate pain and is still able to fight: Option 1 - Correct Answer Acetaminophen (650 mg) and Meloxicam (Mobic) (15mg) Medications given for casualty with moderate to severe pain. Casualty is NOT in shock or respiratory distress AND casualty is NOT at significant risk of developing either condition: Option 2 - Correct Answer Oral transmuccosal fentanyl citrate (OTFC) 800 micrograms Medications given for moderate to severe pain. Casualty IS in hemorrhagic shock or respiratory distress OR casualty IS at significant risk for either condition: Option 3 - Correct Answer Ketamine 50 mg IM/IN or Ketamine 20 mg slow IV or IO. End treatment with development of nystagmus (rythmic back and forth movement of the eyes) Alternative medication to ketamine - Correct Answer Morphine 5 mg IV/IO
Antibiotic given to patient if UNABLE to take PO - Correct Answer Ertapenum (1 g IV/IM once daily) What is the most important contraindication to antibiotics? - Correct Answer Burn casualties The three Tactical Combat Casualty Care phases of care - Correct Answer Care under fire, tactical field care, tactical evacuation care The three goals of Tactical Combat Casualty Care - Correct Answer Complete the mission, prevent additional casualties, treat the casualties Role 1 - Correct Answer The first medical care a soldier receives Role 2 - Correct Answer Operations operated by the area support squad, medical treatment platoon, or medical companies Role 3 - Correct Answer Casualty treated at MTF
Role 4 - Correct Answer Medical care found in CONUS-based hospitals Urgent classification evacuation time - Correct Answer 1 hour Urgent-Surgical classification evacuation time - Correct Answer 1 hour Priority classification evacuation time - Correct Answer 4 hours Routine classification evacuation time - Correct Answer 24 hours Convenience classification evacuation time - Correct Answer Whenever convenient Lines needed to get a helicopter in the air for a Nine Line MEDEVAC request - Correct Answer Lines 1- 5 Maximum time for a Nine Line MEDEVAC request - Correct Answer 25 seconds
M997 casualty load capacity - Correct Answer 4 litters or 8 ambulatory or 2 litter and 4 ambulatory M113 APC casualty load capacity - Correct Answer 4 litter or 10 ambulatory or a combination of the two Armored Medical Evacuation Vehicle casualty load capacity - Correct Answer 4 Litters or 8 ambulatory casualties M1133 Stryker Medical Evacuation Vehicle casualty load capacity - Correct Answer 4 Litters or 6 ambulatory casualties or a combination of the two MaxPro MRAP ambulance casualty load capacity - Correct Answer 2 litter or 3 ambulatory HAGA MRAP ambulance casualty load capacity - Correct Answer 3 litter or 6 ambulatory
What way are casualties loaded into vehicles? - Correct Answer head first In what way are the most seriously wounded loaded? - Correct Answer Loaded last UH-60 maximum casualty loading capacity - Correct Answer 6 litter and 1 ambulatory or 7 ambulatory How should casualties be oriented when in a helicopter? - Correct Answer Head will be forward in the cabin When do you reassess Ketamine IM or IN? - Correct Answer Every 30 minutes When do you reassess Ketamine IV or IO? - Correct Answer Every 20 minutes When do you reassess morphine dosages? - Correct Answer Every 10 minutes
When the body suffers from shock and lactic acid builds up as a result - Correct Answer acidosis When too much intravenous crystalloid fluid such as saline or lactated ringers has been given - Correct Answer hemodillution How long aspirin can inhibited clotting - Correct Answer 5 - 10 days How does acidosis affect clotting? - Correct Answer Decreases the pH of the blood At what point should the Combat Medic prevent or treat the casualty for hypothermia? - Correct Answer As soon as the casualty is identified An adult can bleed up to __________ into each side of the chest - Correct Answer 1500 ml
An adult can hemorrhage up to _________ of blood and IV fluid into the abdomen even though there is only _______ in circulation - Correct Answer 10 L, 6 L An adult can bleed _________ of blood into one thigh - Correct Answer 1 L How does transexamic acid work? - Correct Answer Prevents the body from breaking down clots Time frame for administration of transexamic acid - Correct Answer Within the first three hours of injury Dosage and administration of transexamic acid - Correct Answer 1 g IV/IO during 6a and after giving hextend Indications of an NPA - Correct Answer unconscious casualty with spontaneous respiration and NO respiratory distress, no airway obstruction, altered casualty with intact gag reflex
Amount of fluid loss to indicate hypovolemic shock - Correct Answer 20 percent or more Signs of compensated shock - Correct Answer Increased heart rate and blood pressure Signs of decompensated shock - Correct Answer falling blood pressure Non-hemorrhagic causes of hypovolemic shock - Correct Answer Dehydration, dehydration secondary to vomiting and diarrhea, burns greater than 20% of body surface area How much blood can be lost before the casualty's blood pressure will begin to drop? - Correct Answer 1500 - 2000 ml or 30-40% Percentage of the total amount of water in the body fluids - Correct Answer 70 percent
Current prehospital choice for combat trauma casualties suffering from hemorrhagic shock in the absence of blood components - Correct Answer Hextend How long the effects of hextend last - Correct Answer 8 hours Solution of choice for burn casualties - Correct Answer Lactated Ringer's Solution of choice for dehydration if not able to swallow - Correct Answer Lactated Ringer's The ONLY solution to be used in conjunction with a blood transfusion - Correct Answer Saline solution Minimum blood pressure to perfuse all organs - Correct Answer 80 mmHg systolic Blood pressure high enough to dislodge any blood clots - Correct Answer 93 mmHg systolic
Math equation for IVs - Correct Answer (volume to be infused X Drops/ml of infusion set) / Total infusion time in minutes
