68W10 Fieldcraft 1 (Shock)

When would the combat medic use the Res-Q guard?

Treating hypovolemia in spontaneously breathing casualties.

You have started fluid resuscitation with Hextend, when do you stop administering Hextend?

When radial pulses return.

What systolic blood pressure must be maintained for perfusion of vital organs?

A BP of at least 80mmHg must be maintained to properly perfuse organs.

What is distributive shock?

Distributive shock occurs when the vascular container enlarges without a proportional increase in the fluid volume.

Neurogenic shock is caused by:

Neurogenic shock is usually caused by spinal cord injury.

What is the only solution to be used in conjunction with a blood transfusion?

Normal Saline is used in conjunction with a blood transfusion.

The patient has an altered mental status and a present radial pulse. You will gain vascular access with a ______________.

Saline Lock.

If unable to initiate a peripheral IV after two unsuccessful IV attempts, initiate a ______________ to provide fluids.

Sternal intraossseous.

The fluid of choice for casualties suffering from non-hemorrhagic shock is:

Lactated Ringer's.

How do the signs and symptoms of neurogenic shock differ from the other types of shock?

Usually comes with a spinal cord injury, as well as bradycardia, warm dry skin, oriented and lucid in supine position.

What is anaphylactic shock?

Anaphylactic shock is the body's hypersensitive reaction to the antigen causing severe bronchospasm and vasodilation.

What is cardiogenic shock?

Cardiogenic shock occurs when the hearts pumping mechanism no longer functions correctly which results in inadequate perfusion to the tissue and organs. "Pump Failure".

What is the casualty's systolic blood pressure if they have a pulse in the following locations: carotid, femoral and radial.

Carotid 60mmHg, Femoral 70mmHg and Radial 80mmHg.

Do crystalloids have the ability to carry oxygen?

Crystalloids do not carry oxygen.

The patient has an altered mental status and an absent radial pulse. You will gain vascular access with a ______________.

Direct line IV.

You have initiated a direct line to administer Hextend. You later find that radial pulses have returned. What do you do?

Discontinue the flow of Hextend.

If a casualty is not nauseated, dehydrated and able to swallow you should:

Have them drink water.

What is the pre-hospital fluid of choice for combat casualties?

Hextend is the pre-hospital fluid of choice for combat casualties.

Hypovolemic shock occurs when you lose more than ______________ of your body's bloody supply.

Hypovolemic shock occurs when you lose more than 20% of your body's blood supply.

What is the solution of choice for burn casualties?

Lactated Ringer's is the choice solution for burn casualties.

For casualties suffering from any cause of shock other than hypovolemia, you would administer what type of fluid?

Lactated Ringer's.