Meds
What is Tylenol (Acetaminophen) 500 mg 2 PO every 8 hours.
a collection of air between the lung and chest wall due to an injury to the chest and or lung.
Tension Pneumothorax
Where is the Tourniquet placed in CUF
High and tight and over the skin
Name the algorithm used for TFC.
M- massive hemorrhage
A- Airway
R- respiration
C- circulation
H - Head / Hypothermia
The treatment for a sucking chest wound as well as treatment if a tension pneumothorax
Chest seal (vented)
burp chest seal
What are the 3 most common causes of preventable death on the battlefield in order.
1. Extremity hemorrhage
2. Tension Pneuothorax
3. Airway
Treatment for pelvic fracture and where to place it at
Pelvic binder at the greater trochanters
Treatment for Moderate Pain with no signs of shock, hypotension, respiratory distress or AMS.
OTFC (Oral Transmucosal Fentanyl Citrate) 800 µg (between cheek and gum)
May be repeated after 15 minutes one time.
This device has a gel-filled cuff and is simpler to use.
IGEL and it is a extraglottic
Return Fire and take cover
Direct or expect casual to remain engaged as a combatant
Direct casual to move to cover and apply self aide
Keep casualty from sustaining additional wounds
Stop life threatening external hemorrhage
Move casualty to cover
Difference between care under fire and TFC
TFC has
reduced level of hazard from hostile fire
more time available to provide care based on the tactical situation
What are the evacuation categories for Line 3 of the 9 line
A- Urgent
B- Urgent Surgical
C - Priority
D - Routine
E - Convenience
The two landmarks and locations for NDC
2nd intercostal space midcavicular
5th intercostal space anterior axillary line inline with nipple (males), or infra-mammary fold of female
Every effort should be made to convert tourniquets in ....
less than 2 hours if bleeding can be controlled by other measures
Treatment for severe pain. Including the routes and doses
Ketamine 50-100mg via IM
30 mg via slow IVP
repeated every 20-30 minutes.
When all previous measures for airway management are unsuccessful. You should.
perform a surgical cricothyroidotomy
Name 2 types of carries for Care Under Fire
One-person drag
Two person drag
SEAL team Three Carry
Hawes Carry (pack strap carry)
Name the alternative hemostatic adjuncts
Combat gauze
Chito Gauze
Xstat
iTClamp
For patients in cardiac arrest who sustained possible chest or blast injuries should get what placed prior to stopping CPR
Bilateral NDC
Three phases of care under TCCC
Care Under Fire (CUF)
Tactical Field Care (TFC)TACEVAC
Tourniquets should be placed how
2-3 inches above the wound or joint directly on the skin
The oral dose of battle field antibiotics
Moxifloxacin 400 mg orals once a day
The best medicine on the battlefield is
Fire Superiority
Treatment for burn prevention in care under fire
Remove the casualty from burning vehicles or structures ASAP and move to cover
Stop burning with any non-flammable fluids readily accessible, by smothering, or by rolling on the ground.
The time you should hold pressure on a combat gauze
3 minutes
What are the three categories for casualty evacuations
Cat A - critical life-threatening
CAT B - Priority (serious injury)
CAT C - Routine (mild to moderate injury)
3 objectives of TCCC
Treat the casualty
Prevent prevent additional casualties
Complete the mission
Name the three IO access sites
Fast1 - below the sternal notch in the sternum
EZIO - Humeral Head (proximal humerus)
EZIO - Tibial plateau (Tibial tuberosity 2 cm medial)
The antibiotic used if the patient is unable to take PO.
Ertapenem IM 1 g + 3.2 ml of Lidocaine without Epi
Ertapenem IV 1 g + 10 ml of NS into 50 ml bag infused over 30 mins.
When is airway management take place
TFC
Signs of Life-threatening bleeding
When there is pulsing or steady bleeding from the wound
blood is pooling on the ground
the overlying clothes are soaked with blood
bandages or makeshift bandages used to cover wood are ineffective
traumatic amputation of an arm or leg
Prior bleeding and pt is in shock.
the three approved junctional tourniquets
CRoC - Combat Read Clamp
JETT - Junctional emergency Treatment Tool
SAM Junctional Tourniquet
The form that documents the clinical assessments, treatments rendered, and changes in the casualty's status
TCCC Casualty Card (DD form 1380)
The amount of blood it takes to lose until you lose your radial pulse
2500 ml
Treatment for Shock including all medications and fluids given.
1.) 2 g TXA IV/IO Via slow push
2.) 500 mL of Low titer O whole blood
3.) 1 g of Calcium
14 or 10 Gauge 3.25 inch needle
If a tourniquet is applied properly it should ....
stop the bleeding and eliminate the distal pulse.
The three cricothyroidotomy techniques
Cric-key
Bougie-aided
Standard open surgical technique
For burns greater than 20% of TBSA fluid resuscitation should be initiated at
% TBSA X 10 ml/hr for adults weighing 40 - 80 kg. and for every 10 kg above increase initial rate by 100 ml/hr.
C-spine should be held during movement under fire and TFC. True or False
False
Treatment for TBI including all medications and treatments.
1.) 250 ml 3% or 5% Hypertonic Saline Bolus
2.) 20 BPM Via BVM
3.) Raise the head to 30˚