Therapists
Which type of bleeding is generally considered the most dangerous?
A. Arterial
B. Capillary
C. Venous
D. External
A. Arterial
How would your treat severe hemorrhage from the arm?
Tourniquet application
TECC principles and the MARCHE acronym are only for use in high threat environments and are of no use in your day to day police functions.
A. True
B. False
B. False
What does RTF stand for?
Rescue Task Force
Your are treating a fellow officer who sustained a head injury and gunshot wound to the leg. The officer is armed and disoriented. What is the fist thing you should do?
A. Treat the gunshot wound with a tourniquet.
B. Roll the officer into the recovery position
C. Disarm the officer
D. Perform a head to toe assessment
C. Disarm the officer
What is a safe way of treating a severe extremity hemorrhage?
Application of a tourniquet
An officer with a gunshot wound to the chest is experiencing difficulty breathing after you applied a chest seal. It is okay for you, with your level of training, to perform a needle decompression to relieve the pressure.
A. True
B. False
B. False! That is outside your scope of practice
Which is NOT a phase of care for TECC?
A. Hot Zone / Direct Threat
B. Warm Zone / Indirect Threat
C. Boiling Zone / Imminent Danger
D. Cold Zone / Evacuation Care
C. Boiling Zone / Imminent Danger
Prior to placing a tourniquet on a patient’s leg you should check for and remove any items from their pants pocket as they could prevent effective placement.
A. True
B. False
A. True
You are helping medics triage at an ADB incident at ECLETA High school. The patient you assess cannot ambulate(walk), they have a chest laceration and are breathing 40 breaths per minute. They have a pulse but cannot follow simple commands. What color tag would assign them?
Red tag
Can’t walk…at least Yellow
Breathing over 30, Altered mental status ……either or both makes them Red
What is the most appropriate treatment for mild to moderate bleeding?
Direct pressure
You respond to an assault. The victim has a stab wound to the chest. The suspect has fled the scene. How would you treat this injury?
Chest Seal Application
What does CCP stand for?
Casualty Collection Point
You have treated a patient with penetrating chest trauma by placing a chest seal over the wound. 10 minutes after applying the seal the patient begins to have difficulty breathing. What should you do?
“Burp” the Seal
While triaging at an MCI scene you assess a patient that has a large entry wound on their chest, they are unresponsive and not breathing despite your opening the airway, they have no pulse. What START Triage color would you classify them?
Black
Unresponsive after opening the airway, you need to move on and help others.
You respond to a school shooting. You encounter the suspect. Your partner is hit and falls to the floor. What is your first priority?
Return fire. Stop the killing, then stop the dying
If you pack a wound with hemostatic gauze like Quick Clot, how long must you hold direct pressure to activate the hemostatic agent?
3 minutes
What is Law Enforcement’s primary function at a Casualty Collection Point?
Security
What does TECC stand for?
Tactical Emergency Casualty Care
When triaging you come across an ambulatory patient who is bleeding heavily from their arm. You should treat this massive hemorrhage before moving on to the next patient.
A. True
B. False
A. True
If a walking wounded patient can be treated quickly such as with a tourniquet, you should do so before moving on.
After neutralizing and securing the threat, you assess an injured officer. Which would be your 1st treatment priority?
A. Airway Obstruction
B. Sucking Chest wound
C. Severe hemorrhage from the arm
D. Broken Femur
C. Severe Hemorrhage from the arm
MARCHE stands for?
A. Massive Hemorrhage, Airway, Respirations, Circulation, Head Injury/Hypothermia, Everything Else
A. True
B. False
A. True
Words NOT associated with MARCHE
Responsiveness Entrance Wound
Hyperthermia Exit Wound
Massive Headache
Which of the following is an acceptable treatment for a patient with a massive extremity hemorrhage in a hot zone?
A. Tourniquet Application
B. Head to Toe Assessment
C. Wound packing
D. Chest Seal Application
A. Tourniquet Application
An individual with a severe arterial hemorrhage can “bleed out” in as little as?
A. 90 seconds
B. 3 seconds
C. 5 minutes
D. 10 minutes
A. 90 seconds
After treating a person with a severe extremity hemorrhage with a tourniquet placed high and tight, they are moved to a CCP. What do you need to do after moving the patient?
Reassess the tourniquet.