Medications
All medications in CWMP?
Meloxicam - 15mg once daily
Acetaminophen - 500mg x 2 or 650mg x 2
Moxifloxacin - 400mg once daily
ALL PO
What lines in your 9-line need to be given to initiate your TACEVAC?
Difference between Lines 6 and 9 for wartime vs peacetime?
Lines 1-5
Peacetime:
Line 6 - Number of patients by wound type, injury, or illness
Line 9 - Terrain Description
Wartime
Line 6 - Security at pickup site
Line 9 - CBRN
Describe how you would properly apply a HPMK? (Active measure)
Done when patient is log rolled or at "H" in MARCH.
Warming Pad not directly placed on patient. Instead placed in warming pad sleeve or on top of HPMK
Best Medicine in CUF? First Step in CUF?
Fire Superiority
Return Fire and Take Cover
Three Objectives of TCCC
Treat the Casualty
Prevent Additional Casualties
Complete the Mission
Dose of Ondasentron and max dose?
4mg ODT/IM/IV/IO every 8 hrs PRN
MAX dose of 8mg in any 8hr interval
What is Line 3?
Patients by Precendence
A- Urgent
B- Urgent Surgical
C- Priority
D- Routine E- Convenience
At what point in your MARCH algorithm would you consider giving medications?
Circulation, Patient has received at minimum two 18 gauge IVs as standard for trauma patients.
Only Intervention done in CUF?
TQ
Needle D Gauge Size?
14 g x 3.25 in.
After __ hrs DO NOT ADMINISTER TXA
2g TXA, 20 ml or 2 10ml syringes over a minute
Given ASAP, hopefully within first hour of injury
3 hrs
What is Line 4 and Line 5?
A- None
B- Hoist
C- Extraction Equipment
D-Ventilator
Line 5: Patients by Type
L - Litter
A- Ambulatory
Marine suffered a GSW in their infraclavicular region, below the left clavicle. Hole appears frothy. How do you treat and when do you treat?
What is the Adam's Apple also called?
Thyroid Prominence
Penetrating head and neck injuries do not necessarily require c-spine stabilzation? True or False?
True
Dosage for OTFC? And how to give?
800 ug via OTFC lozenge. Instruct pt to place against cheek of gum and not to chew
Recite the entirety of the 9-Line
GIVE EMM ONEEEE
Casualties with moderate/severe TBI should be given supplemental oxygen when available to maintain SPO2 levels above what %?
90%
Your two preffered sites for IO access?
Proximal Humerous and Proximal Tibia
Given the Scenario:
Pt is electrocuted during building clearing in MOUT operations in Taipei, Taiwan. Nearest Role II is about a 7-8 minute drive. JLTV is on standby. Patient has no pulse and no breath. No other factors are affecting tactical situation as majority of combatant forces have been cleared out. Do you commence CPR?
Infusion Time for Ertapenem
30 min
Airway Management in TACEVAC:
Other than a cric or NPA, what other interventions can be considered for TACEVAC (Patient being loaded onto a helo with Flight Nurse / HMs)
Supraglottic Airway (For deeply unconscious patients)
Intubation
Treatment of ICP?
3% or 5% hypertonic solution, Elevate head 30 degrees, hyperventilate at 20bpm
EQUIPMENT AVAILABILITY
Environment
Sterility
Battlefield vs non battlefield
Lack of Personnel
How many people are in the COTCCC?
42 members both military and civilian