Airway Management
How long should you suction an airway?
15 seconds
What are the three phases of TCCC?
Care Under Fire, Tactical Field Care, Tactical Evacuation Care
What is the leading cause of preventable battlefield death?
Hemorrhage
Is cardiogenic shock a hose, pump, or tank failure?
Pump
What is the initial treatment for an open chest wound?
Occlusive chest seal
Opening statement for any medevac request is?
“I have a medevac request”
TXA must be given within how many hours of injury?
3 hours
What is the preferred airway adjunct in combat and why?
NPA – better tolerated and less likely to dislodge
What is the first medical priority during Care Under Fire?
Control massive hemorrhage
What type of trauma is most common in combat?
Penetrating trauma
What is a primary heart complication seen in neurogenic shock?
Bradycardia
When should thoracic injuries be treated in TCCC? (phase and step)
Tactical Field Care during Respirations
Casualties are loaded in what orientation while on an ambulance?
Head first to reduce further injury
TXA dose and route?
2g IV over 1–2 minutes
During what phase of care is airway first fully managed?
Tactical Field Care
Medevac (blank) as soon as a medic receives a casualty?
Begins
What is the single biggest obstacle to providing battlefield care?
Enemy fire
What is the estimated systolic BP if a radial pulse is present?
~80 mmHg
What two findings suggest a tension pneumothorax in combat?
Torso trauma + progressive respiratory distress
Normal UH60 patient load?
4 litter and 1 ambulatory patient
What is the corrective action if a tourniquet is placed and radial pulses return?
Tighten the tourniquet
What is the preferred advanced airway in a combat environment?
Surgical cricothyroidotomy
What are the three goals of TCCC?
Complete the mission, prevent additional casualties, treat casualties
What percentage of penetrating head/neck injuries require spinal immobilization?
~1.4%
What is the fluid of choice for burn trauma?
Lactated Ringer’s
What is the next step after chest seal if respiratory distress worsens?
Needle decompression
What are the four components of MEDEVAC?
Collect, triage, transport, treat en route
What is your formula for drops per minute?
Volume × gtts ÷ time (minutes)
What is the minimum tube size required for adequate oxygenation in an adult surgical airway?
6 mm
Why must correct interventions be timed appropriately in combat?
Wrong timing can cause additional casualties due to tactical risk
Why is CPR generally not performed on traumatic arrest in combat? (2 Primary Reasons)
Extremely low survival and increases risk to providers/mission
After IV infusion, a patient develops SOB, JVD, tachycardia, and elevated BP—what is the likely issue?
Circulatory overload
What is the definitive treatment for pneumothorax?
Chest tube
What is the difference between MEDEVAC and CASEVAC?
MEDEVAC = dedicated medical platform with personnel
CASEVAC = non-medical transport with limited care
What are the 9-line CBRN Brevity Codes?
N - Nuclear, B - Biological, C - Chemical