Heat injury
Q) Initial signs of heat exhaustion?
S) Act out an initial ASSESSMENT for heat exhaustion
Q) Heavy sweating, headache, dizziness, flushed skin
S) Assessed for headache, dizziness, nausea, and assess for excessive sweating
Q)There is a non life threatening bleeding wound. What are we doing to stop the bleeding?
S)Act out how you would stop the bleeding of a patient who fell and really scraped their knee
Q) provide pressure
What symptoms suggest worsening brain injury after head trauma?
Unequal pupils, confusion, slurred speech, drowsiness, weakness, vomiting, worsening headache, loss of consciousness
Your friend rolls their ankle while running. What are you telling them to do?
RICE it
Rest, Ice, Compression, Elevation
What is the #1 preventable cause of death in combat medicine?
Massive hemorrhage
Q) What are the interventions for heat exhaustion
S) Act out the interventions for heat exhaustion
Q) Remove excessive clothes, move to the shade, sit them down, sip water, cool neck, armpits, groin
Q) A MIDN is running an E-run, they trip and fall. They break their leg and have the tibia sticking through the skin. There is bright red spurting blood from the sight. What do you do?
S) Act out the intervention for the above scenario
Call 911, TTO, tourniquet the leg above the knee, DO NOT push the bone back in, minimize movement, and monitor the patient for shock indications.
Who is was our actress for concussion recognition?
Gabriela
After splinting/wrapping an injury, what do you need to assess?
Neurovascular assessment
When the Navy Nurse Corps was founded their were originally ___ members and they were called the _____?
20, the Sacred Twenty
Q)What education are we providing to our patients about recovery?
S)Act out an educational session about heat exhaustion recovery
Q) Educate the patient on hydration, electrolyte replenishment, dressing accordingly for the weather, and promote rest
S) Educate the patient on hydration, electrolyte replenishment, dressing accordingly for the weather, and promote rest
Q)What are the signs and symptoms of hemorrhagic shock?
Q) Rapid HR, cool clammy skin, anxiety, rapid shallow breaths, weakness
Give a 45 second informative brief on concussion recognition.
headaches, dizziness, confusion, nausea, and memory loss, often accompanied by sensitivity to light/sound, mood changes, and fatigue. Seek emergency care if you experience worsening headaches, repeated vomiting, or loss of consciousness
Act out some components of a neurovascular assessment. (hint bloodflow)
pain, pulse, pallor (color), paresthesia(numbness), paralysis, cap refill, poikilothermia(temp of limb)
A common nickname for HMs assigned to Marine units?
"Devil Docs"
You are a nurse op on a FEX and a Marine op is concerned about heat injury
Q) What education could you provide to help them prevent heat injury (Think specifics)
S) Give nurse club an at least a 45 second informative brief about preventing heat injury (Not clothing related)
Q) Salt food, maintain hydration, watch for excessive sweating or the absence of sweating. Liquid electrolytes, if available.
Q)What are the interventions for hemorrhagic shock
S)Your friend has an open fracture that is actively bleeding, act out how you would respond if you suspect they could go into shock
Call 911, tourniquet, maintain the airway, lay them flat, keep them warm, nothing by mouth, and provide comfort
Which O-Course obstacle is responsible for the most concussions in our unit?
Parallel bar/log obstacle
FUN QUESTION
What drug was asked if it could be used to treat a sprain injury during the sprains and strains station of the interactive practice meeting?
Ketamine
MARCH PAWS
Massive hemorrhage, Airway, Respirations, Circulation, hypothermia/head injury. Pain, Antibiotics, Wounds, Splints
Act out what intervention you will do if someone is having a seizure due to heat injury
Call 911, cool them down, assess for airway/HR, and place in the recovery position
First priority in TCCC
Massive hemorrhage
Your patient is unconscious after hitting their head; they do NOT have a neck/spinal injury, they do not need CPR, what do you do?
Put them in the recovery position
You are in a combat zone, your marine breaks their leg and can't get themselves to safety. What are some ways you could move that marine out of harm's way?
buddy drag/carry, litter, bear crawl, blanket drag, two rescuer carry
Navy Nurse Corps History:
What two things happened in 1968 that marked a huge advancement in the nurse corps?
Male answer
Female answer
Male: The first male Navy Nurse Officer
Female: They were allowed to get married, previously they had to be single to serve