field craft 1
Minimum blocks that must be completed on field medical card?
1,3,4,7,9, and 11
how many pairs of ribs are they ?
12 pair with ten connected to the sternum and 2 pair floating
breathing rates for child
15-30
breathing rates for infant
25-50
what bp is need to maintain vital organs?
80
what BP will bust a clot?
93
what is definitive treatment for pneumothorax?
A chest tube
what is a pneumothroax?
An abnormal collection of gas or air in the space between lungs and chest
What are the goals of TC3
Complete the mission, prevent additional, casualties, treat the casualty
single biggest obstacle on the battle field?
Enemy fire
60% of wound are to the.....
Extremities
once providing medical care you will remain with the casualty?
Generally no
priority II
Priority with transport time within four hours
priority iv
Routine with transport at the bird convenience
priority III
Routine with transport time with in 24hrs
Standard field documentation?
TC3 card and Field medical card
who determines medical evacuation?
The senior medical person present
Priority one A
Urgent surgical with transport time of one hour
where is the WALK located and what can you find in it?
Warrior aid and litter kit
what can disrupt you ability to document medical care
a tactical situation
where is the cricothyroid membrane located?
between the tyroid cartilage and cricoid cartilage
what are the phases of care
care under fire, tactical field care and tactical evacuation care
how does hypothermia effect clotting?
chemical reaction of the clotting mech are affected by the decrease in blood temp and blood clotting will not occur.
Four major aspects of medevac
collecting the wounded, triage, transport, and medical interventions
does the diaphragm contract or relax during inhalation?
contract
level five of care
conus DoD hospital providing restorative and rehabilitation.
level four of care
definitive care being convalescents, restorative, or rehabilitation
signs and symptoms of non compressible hemorrhage
ecchymosis, hemoptysis, rectal bleeding, abdominal
the leading cause of battlefield death?
extremity hemorrhage
when PT is loaded in to UA-60 from right they are loaded?
feet first
level one of care
first responder providing front line care and stablization
level two of care
forward resuscitation care provide stability surgery performed close to point of injury
normal config of black hawk(UA-60)
four litter and one ambulatory
casualty capacity of Armored Medical vehicle?
four litters and eight ambulatories
Casualty capacity of ground ambulance(m997)
four litters or eight ambulatory or two litters and four ambulatory
casualty capacity of stryker?
four litters or six ambulatories or combo of the two
casualty capacity of tank(m113)?
four litters or ten ambulatories or combo of the two
line two of nine line
frequency
25% of wounds are to the.....
head and neck region
when PT is loaded in to UA-60 from left they are loaded?
head first
in combat CPR should be considered for?
hypothermia, near drowning or electrocution
secondary blast
injuries from shrapnel or debris
primary blast
injuries from wave of blast
how does acidosis affect clotting?
lactic acid builds up causing an irregular PH
Trouble shooting for NDC?
laterally apply another NDC, flush the NDC with 1-2cc of saline, burp the wound, stick gloved finger in wound.
what two lines of nine line change during war time?
line six from security of pick up to number and type of wounded and line nine from NBC contamination to terrain
which line must be transmitted to get medevac request started
lines one through five
line one of nine line
location of pick up
list the disadvantages of orotracheal and nasotracheal intubation?
low suction rate, requires additional equipment,
parietal pleura
membrane attached to the surface of the chest wall
visceral pleura
membrane attached to the surface of the lung
line 7 of nine line
method of marking pick up sight
What are tactical indications for spinial immobilization
motor vehicular crashes, falles grater than 15ft, and IED blast involving MRAP
thrombocytes
platelets
how does clotting work?
platelets and red blood cells stick to the fibrin net forming a clot.
line 8 of nine line
pt nationality and status
erthrocytes
red blood cells
non-standard field documentation?
sharpie on tape and sharpie on skin
max evac config for UA-60
six litters and one ambulatory
what personnel resources maybe available on the battle field
soldiers trained in warrior tasks and skills, combat life saver, and medics
What are the responsibilities of medic on ground ambulance?
the ambulance, driver maintenance, assistant driver duties, and etc
fast place to consider when accessing medical supplies
the casualties IFAK
what is the mediastinum ?
the cavity between the lungs containing heart and greater vessels. also known as the cardiac box
name the preferred adv airway in a combat environment?
the emergency cricothyroidotomy
what is the golden standard?
the endotracheal intubation (ET tube)
where on the body are the majority of cobat wounds suffered?
the extremities
Your casualty has a thoracic entrance and exit wound. In what order should they be treated?
the first wound found is treated
how does blood pressure effect clotting?
the higher the bp the faster it will bleed
who is responsible and supervises the loading of an air ambulance?
the loading is supervised by aeromedical evac team
Who signs the TC3
the medic performing treatment
who signs the field medical card?
the medical officer
three most common device used in hoist op?
the stokes basket, the jungle penetrater, and the sked litter
When should penetrating thoracic wound be considered an abdominal wound also?
the wound is at the fourth intercostal space(Nipple line) or lower
level three of care
theater hospitalization care providing medical/surgical care
when should casualty be treat for hypothermia?
then there temp drops below 93 degrees or soon as casualty is ID
how do hemostatic agents work?
they have chemical properties that stimulate clotting
casualty capacity HAGA MRAP?
three litters or six ambulatories
what is the purpose of the med evac system?
to ensure sick and injured are moved quickly into and through the combat health support system.
why do you load pts head first in m997?
to prevent motion sickness and to protect from collisions
goals of battle field doc?
to provide written record of findings, treatment, prevent overdose, alert of special needs, and become part of pt permanent record.
why do we convert tourniquets?
to reduce damage to the extremities
9% of wounds are to the...
torso
casualty capacity of Maxpro MRAP?
two litters or three ambulatory
Priority one
urgent with transport time of one hour
plasma
water fluid with proteins that make up half of blood
tertiary blast
when casualty is blown into solid object
leukocytes
white blood cells
how do you show you wrote the card?
you inital in block 11
how does fight of flight affect ability to complete mission?
you lose fine motor skills
