Everyday Casualties
What are the four first steps for typical casualties per Coast Guard Health Manuals
Start self first aid or buddy first aid, obtain needed assistance if necessary, report and begin plotting from control stations, and locate the nearest gun bag/first aid bag
AET3 Scarface is using a computer before LTJG Canon falls and the knife he was holding punctures AET3 Scarface's face. What steps should you take to control the bleeding?
Pinch the wound closed, do not place any hands on exposed bone, use pressure points
IT3 Saban has injured himself while working. HS2 Belicheck quickly rushes over and realizes it is a sucking chest wound. How should HS2 dress the wound to make sure IT3 lives?
First HS2 should wipe blood and sweat around the wound, cover the wound with a piece of plastic, with three sides taped down the IT3s body, and the lower flap left open to support drainage, reinforce the seal with battle dress, and properly secure everything
HS3 Polamalu is playing football on the forecastle and is hit and breaks his elbow. Where should splints be placed if HS3 Polamalu breaks his elbow? And how should the battle dress be set up?
The splint should cover the joint above and below the broken bone, extending from near the shoulder to the hand. The battle dress should be used and is wrapped in a criss-cross manner around the limb in order to apply even pressure over the entire dressing?
When arriving with a stretcher what should you bring with you and what attire should you be in?
first aid kit (gun bag) and battle dress
A casualty occurs in climate control. What actions should the bridge take per coast guard medical
Plot at controlling stations
CWO2 Bunyard falls down the stairs. You arrive on the scene and examine the body. You realize he is not breathing. What steps do you take?
Establish airway using head-tilt, chin lift or jaw thrust maneuver, Look, listens and feels for breathing, and Looks and feels for foreign objects in the mouth
IT3 Saban is treated by HS2 Belicheck for his sucking chest wound, as he walks away though SN Gronkowski looks up and sees a massive gaping exit would. SN Gronkowski uses his first aid knowledge and properly treats the wound but cannot remember how many sides the exit wound should be sealed on?
The exit wound should be sealed on all 4 sides with an appropriate size dressing applied.
HS3 Polamalu is bleeding everywhere with his broken elbow. Furthermore, there is a giant bone sticking out of his forearm. How many battle dress should be placed on the tourniquet and how is bleeding controlled effectively?
Bleeding is controlled effectively by applying pressure to the sides of the wound versus directly over the exposed bones and at least 2 battle dress should be applied before using any tourniquet.
You arrive on scene and evaluate the situation, as you approach the casualty what should you check first before moving them onto a stretcher?
Check for further injury and see if there is damage to the spine or C spine precautions
HS3 Williams walks into a smoke filled room to try and find his favorite pocketknife. He collapses after an extended period of time. What steps do you take to save HS3 Williams
Safely vent the room and remove HS3 Williams, establish an open airway using the head tilt chin technique, look listen and feel for exchange of breaths, if necessary, perform rescue breaths and/or CPR, perform reassessments as necessary and if possible use an oxygen bag
EM2 Fenn is working on an electrical outlet. Suddenly he is electrocuted. FN Madden sees it happen. What steps should FN Madden take to try to save EM2 Fenn?
Secure the power, move Fenn to a safe place,
FN Curry is running in the engine room, falls and is badly injured. His intestines are protruding. ENS Irving arrives on scene and tries to help. What should ENS Irving specifically NOT do in terms of the intestines protrouding from the abdominal cavity?
ENS Irving should not try to push the intestines back inside the abdominal captivity and should not attempt to apply pressure.
Fn Johnny has had his arm amputated in a freak accident with a potato peeler. To prevent him from bleeding out how should you control the bleeding?
Use direct pressure, elevation and pressure point utilized in an attempt to control the bleeding,and do not place hands on exposed bone
What are the proper steps to set up a stretcher
After you have saved HS3 Williams, his pulse has returned and he is breathing fine on his own, what check should you do to make sure there is nothing else wrong
Head to toe check
ENS Franklin has been burned on her face. What steps do you take for treatment?
Decide the type and severity of burn, do not break blister, use sterile dressing, and elevate patient properly for drainage, if a facial burn monitor circulation and airway
ENS Irving is helping FN Curry with his abdominal wound. How should ENS Irving treat the wound and help FN Curry?
Sterilize the bandage with clean potable water, if none is available then leave dry, position the bandage properly, secure the bandage properly, place member on their back, bend the knees and secure the lower legs, spread the feet and keep toes pointed inward
Fn Johnnys bleeding will not stop. As a last resort you apply a tourniquet. How should it be applied and in what circumstances do you loosen it?
As close to the wound as possible, mark with a T and the time as it is applied, use battle dress, never loosen.
You are transporting someone up a stairwell in a stretcher. How many turns around a permanent stanchion are your safety lines?
3-4