Skin Deep
The Ring of Fire
Big Bone Energy
Did You Break It or Make It Worse
Framework Tango-Zulu-Sierra
100

Skin is intact, but bleeding may still be significant.

What is a closed fracture?

100

This structure forms a ring, not a single bone.

What is the pelvis?

100

This bone can hide up to 1–2 liters of blood when fractured.

What is the femur?

100

This check must be done before and after splinting.

What is a PMS (Pulse, Motor, Sensory) check?

100

This is the total number of bones in the adult human body.

What is 206?

200

This fracture carries a high infection risk even if bleeding looks controlled.

What is an open (compound) fracture?

200

Most pelvic fracture bleeding comes from this type of vessel.

What are venous vessels?

200

External rotation and shortening of the leg point to this problem.

What is a femur fracture?

200

Splinting before this step is a critical error.

What is hemorrhage control?

200

These bones act as levers and are most associated with hemorrhage.

What are long bones?

300

This fracture type may bleed more internally than an open forearm fracture.

What is a closed femur fracture?

300

Hypotension with no external bleeding should make you suspect this injury.

What is a pelvic fracture?

300

This intervention reduces bleeding and pain simultaneously.

What is traction splinting?

300

Splinting a limb in this position is recommended unless pulses are absent.

What is the position found?

300

These bones provide stability more than movement.

What are short bones?

400

Bone does not have to be visible for this fracture classification to apply.

What is an open fracture?

400

This is the correct landmark for pelvic binder placement.

What are the greater trochanters?

400

This associated injury would make traction splinting unsafe.

What is a suspected pelvic injury?

400

Pain control aside, splinting helps prevent this complication.

What is further bleeding or tissue damage?

400

This bone type primarily protects organs.

What are flat bones?

500

A tibial fracture with a puncture wound 6 inches away is classified as this.

What is an open fracture?



Why does distance from the fracture not matter?

500

You should apply a pelvic binder at this point in your Combat Casualty Assessment if indicated.

What is Step 2 in TFC?

500

A tourniquet doesn’t fix hypotension in this injury because of this reason.

What is internal hemorrhage into the thigh?


What else should you do?

500

You splint perfectly, but forget this step — NREMT fail.

What is reassessment? or PMS

500

Fracturing this bone category is most likely to kill the patient indirectly.

Fracturing this bone category is most likely to kill the patient indirectly.

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