Team Carnage Field Craft 1
Urgent
A casualty is labeled _________ if they have a max of 1 hour for evac.
Urgent surgical
A casualty is labeled __________ if they have a max of 1 hour for evac. and need surgery
False
Battlefield documentation is not part of a Soldier's official and permanent medical record.
Care Level 5
CONUS DOD hospitals/ VA Hospital
Phases of battlefield casualty care
Care under fire, Tactical field care, Tactical evacuation care
Convenient
Casualty is labeled ___________ if they have no timeframe for evac.
Priority
Casualty is labeled ___________ if they need to be evac. within 4 hours
Routine
Casualty is labeled ____________ if they need to be evac. within 24 hours
Antibiotics
Casualty is not going to get to a medical facility within 3 hours you should give them
Care Level 1
First responder/ Medic
Hextend
Fluid of choice for casualties suffering from hemorrhaging, volume expander
300ml
For every 500ml of Hextend administered __________ml are pulled from the interstitial space
ET intubation
Golden Standard for airway management
Block 11 upper right hand corner initial it
How and where do you show you wrote the DD Form 1380?
25 seconds
How long do you have to transmit a MEDEVAC
1500ml
How much blood can each side of the chest hold
1 liter
How much blood can one thigh hold
10 liters
How much blood can the abdomen hold
1500ml
How much blood loss must occur to see a drop in blood pressure (aka Decompensated shock)
Heart muscle damage, Dysrhythmia, Valvular disruption
Intrinsic causes of cardiogenic shock
Aeromedical evacuation personnel
Loading onto a aeromedical ambulance is supervised by__________
Upper Right, Lower right, upper left, lower left
Loading sequence for four litter casualties
Collecting wounded, triage, care en route, casualty transportation
MEDEVAC encompasses
Written record of assessment findings and treatment given
Overall goal of medical documentation on the battlefield is....
4 Ps of wound packing
Peel, Push, Pile, Pressure
Emergency Cricothyroidotomy
Preferred advanced airway in the combat environment
Tactical Evacuation
Stage during which greatest amount of care is given
Lactated Ringer
The fluid of choice for casualties suffering from non-hemorrhagic causes of shock is?
Body Mechanics
Use of large leg muscles, slide or roll, back straight
75%
What percentage of casualties could not be saved regardless of the medical care rendered
6 and 9
What two lines of the 9 line MEDEVAC change during times of war and peace?
Hypothermia, Near-drowning, electrocution
When should you perform CPR in the combat environment
Tactical Leader
Who decides if casualties will be evacuated?
Provider or MO
Who signs the Field Medical Card?
Medic Performing Treatment
Who signs the TC3 Card?
Everyone will eventually receive ABX
Who will receive ABX?
Infiltration
accumulation of fluid in the tissue surrounding an IV needle site (S/S cool hard to the touch, pale, swollen)
Circulatory Overload
an increased vascular volume resulting from excessive IV fluid being infused too rapidly into the vein.
Enemy fire
biggest obstacle faced when providing battlefield care
Primary blast injuries
caused by blast wave
Care level 2
forward resuscitation care capability/ Medical company
Bloody vomiting
hematemesis
Coughing up blood
hemoptysis
CASEVAC
non-medical vehicle used to transport combat casualties
Anchor
object or structural component that will withstand a casualty or rescuers weight during egress
Simple Rescue
open fields, vehicles and/or structures, there are no hindrances to removing casualties
Sucking chest wound
open pneumothorax that is 2/3 the size of the trachea, presenting sucking sounds
Tertiary blast injuries
patient blown against a structure
1,3,4,7,9,11
required blocks of 1380 Field Medical Card
Friction
rubbing of one object or surface against another
Cover and Concealment
smoke, buildings, armored tactical vehicle
Personnel resources
soldiers trained in warrior tasks and battle drills, CLS, and medically trained soldiers are examples of what?
Ringer's Lactate
solution of choice for burns, solution of choice for dehydration
arrive at surgical facility within 2 hours, TQ has been in place longer than 6 hours, amputations
3 times you do not loosen a TQ
M997
4 litters or 8 ambulatory casualties or 2 litters and 4 ambulatory
Septic, Neurogenic, Physcogenic, Anaphylatic
4 types of distributive shock
Acidosis, Medication, Hemodilution, Hypothermia, Blood Pressure
5 factors that affect clotting
Extremities
60% of wounds are found in this area
93mmHg
A BP about _________ will dislodge any blood clot
80mmHg
A systolic blood pressure of ________ will perfuse all vital organs
Burn
ABX are not given to what kind of casualties
Secondary blast injuries
Caused by debris and shrapnel
TC3 Card
DA Form 7656 Casualty Card
Chest tube
Definitive care for a tension pneumothorax
Copper wire
FMC has what to attach it to a casualty
Battlefield PPE
IBA, DAPS, SAPI plates, ACH, gloves, ACS, eye pro, ear pro... these are examples of what?
Spinal immobilization
Limited on the battlefield due to time constraints
Contraindications of applying a NPA
Maxillofacial trauma, exposed brain matter, CSF
Casualties IFAK
Medics should use the _____________ _____________ contents before using the contents of their aid bag.
Spinal Immobilization
Motor Vehicle Crashes, Falls >15 ft, IED blast with MRAP-V (are indications for what?)
Tactical Indications for C-Spine immobilization
Motor vehicle crashes, Falls greater than 15 feet, IED blast involving a MRAP vehicle
1000ml
No more than __________ml of Hextend should be given to any single casualty pre-hospital
Bruising, coughing up blood, rectal bleeding, bloody vomiting
Signs and symptoms of non-compressible bleeding
True
True or False: Statistically, the majority of combat fatalities are non-survivable.
True
True or False: The most seriously injured are located last so that they will be the first to be off-loaded
Number and type of wound, injury or illness
What does line 6 during peacetime?
Security of pickup site
What does line 6 during wartime?
Terrain
What does line 9 during peacetime?
NBC contamination
What does line 9 during wartime?
I have a MEDEVAC request
What initiates a MEDEVAC request
Tylenol, Mobic, MoxiFloxi
What is found in the combat pill pack?
Four major aspects of MEDEVAC
collecting the wounded, triage for evacuation, transportation, emergency medical interventions and care en route
Combat Gauze
comes as a roll of gauze impregnated with kaolin
Goals of TC3
complete the mission, prevent additional casualties, treat the casualty
Colloids
contains high molecular weight molecules such as protein or starches
Care Level 4
definitive care outside of combat zone? Germany
Lack of documentation and resources
disrupts ability to thoroughly document medical care provided
Crystalloids
do not have the ability to carry oxygen, not the fluid of choice for combat trauma casualties that require intravascular volume expansion due to hemorrhage
Bruising
ecchymosis
Factors influencing care on battlefield
enemy fire, medical equipment limitations, tactical considerations, casualty transportation, wide variable evacuation times
Cardiac tamponade, Tension pneumothorax
extrinsic causes of cardiogenic shock
Size and location
in the prehospital setting the _______ and ______ of the IV catheter should be noted within the casualty documentation
Phlebitis
inflammation of the wall of the vein (S/S swelling, pain, tenderness, redness and warmth at the site)
Extremity hemorrhage
leading cause of preventable death on the battlefield
MEDEVAC
medical vehicle used to transport combat casualties
Over-classification
tendency to classify a wound as more sever than it really is
Hemodilution
the clotting proteins, platelets and RBC have been "washed out"
Air Embolism
the obstruction of a blood vessel by air carried via the bloodstream
Care Level 3
theater hospitalization capability? Combat support hospital
WALK litter
this litter is located in the ground vehicle and has an array of medical supplies
Control life threats
treatment goal during care under fire
Intercostal vessels
up to 100ml per minute each
Blackhawk
used as the primary dedicated air ambulance
Complex Rescue
vertical casualty movement, doors, hatchets, window, hasty stabilization, collapsed buildings
Point of wounding (X)
where and when the medical evacuation procces starts
Extremities
where the majority of combat wounds are suffered
Tactical leader
who decides whether there will be an evacuation?
very few penetrating head/neck injuries require immobilization
why c-spine immobilization has limited application in combat
