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68W COMBAT MEDIC FIELDCRAFT MODULES I-III QUESTIONS AND ANSWERS LATEST UPDATE 2024 GRADED, Exams of Military Strategy and Training

United States Army War College (USAWC)Military Strategy and Training

1. What are the tactical indications for spinal immobilization: Motor vehicle accident, Fall greater than 15 ft, IED blast involving a MRAP 2. Overpressure wave (internal damage to hollow organs): Primary Blast 3. Shrapnel and debris penetrating wounds: Secondary Blast 4. Casualty is thrown into a solid object: Tertiary Blast 5. What is the leading cause of preventable death on the battlefield: Extremity Hemorrhage 6. Why is extremity hemorrhaging the leading cause of death on the battle- field: Not protected by body armor 7. When should CPR be considered in the combat environment?: Hypothermia, Electrocution, near drowning 8. Factors that influence care on the battlefield?: Enemy fire, medical equipment

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68W COMBAT MEDIC FIELDCRAFT MODULES I-III QUESTIONS AND ANSWERS

LATEST UPDATE 2024 GRADED A+

1. What are the tactical indications for spinal immobilization: Motor vehicle

accident, Fall greater than 15 ft, IED blast involving a MRAP

2. Overpressure wave (internal damage to hollow organs): Primary Blast

3. Shrapnel and debris penetrating wounds: Secondary Blast

4. Casualty is thrown into a solid object: Tertiary Blast

5. What is the leading cause of preventable death on the battlefield: Extremity

Hemorrhage

6. Why is extremity hemorrhaging the leading cause of death on the battle-

field: Not protected by body armor

7. When should CPR be considered in the combat environment?: Hypothermia,

Electrocution, near drowning

8. Factors that influence care on the battlefield?: Enemy fire, medical equipment,

variable evacuation time, tactical considerations, casualty transportation

9. What is a WALK kit?: Warrior Aid and Litter Kit

10. Where can a WALK kit be found?: several ground vehicles

11. What medication is found in the combat pill pack?: Acetaminophen, Mobic,

Partial preview of the text

Download 68W COMBAT MEDIC FIELDCRAFT MODULES I-III QUESTIONS AND ANSWERS LATEST UPDATE 2024 GRADED and more Exams Military Strategy and Training in PDF only on Docsity!

68W COMBAT MEDIC FIELDCRAFT MODULES I-III QUESTIONS AND ANSWERS LATEST UPDATE 2024 GRADED A+

What are the tactical indications for spinal immobilization: Motor vehicle accident, Fall greater than 15 ft, IED blast involving a MRAP
Overpressure wave (internal damage to hollow organs): Primary Blast
Shrapnel and debris penetrating wounds: Secondary Blast
Casualty is thrown into a solid object: Tertiary Blast
What is the leading cause of preventable death on the battlefield: Extremity Hemorrhage
Why is extremity hemorrhaging the leading cause of death on the battle- field: Not protected by body armor
When should CPR be considered in the combat environment?: Hypothermia, Electrocution, near drowning
Factors that influence care on the battlefield?: Enemy fire, medical equipment, variable evacuation time, tactical considerations, casualty transportation
What is a WALK kit?: Warrior Aid and Litter Kit
Where can a WALK kit be found?: several ground vehicles
What medication is found in the combat pill pack?: Acetaminophen, Mobic,

Moxiflaxicin

Which combat casualties will receive ABX?: All will eventually, ABX should not be given at the point of injury unless evac. is delayed greater than 3 hours
What are the goals of TCCC: Accomplish the mission, prevent additional casu- alties, treat the casualty
What are the phases of care?: Care under fire, tactical field care, tactical evacuation care
What does MEDEVAC encompass?: Collecting the wounded, triage, provide a mode of transportation, provide care en route
First responder capability; Battalion Aid Station, Medical Platoon, Combat Medic: Level 1
Forward Resuscitative Care Capability; Forward Surgical Team (FST): Level 2
Theater Hospitalization Capability; Combat Support Hospital: Level 3
Definitive Care Capability Outside of the Combat Zone; CONUS and OCONUS (Germany): Level 4
CONUS DOD Hospitals; DOD Hospital, VA Hospital: Level 5
What are the authorized methods of documenting care on the battlefield?- : DD1380 FMC, DA7656 TC3 Card, Sharpie on skin, Sharpie on tape

What is over classification and what is the impact on the mission?: Clas- sifying casualties worse than they are; pulls medical assets that could be used else where
What are the lines of the 9line MEDEVAC for wartime and peace time?: 6 and 9
How do you request a 9 line MEDEVAC: "I have a MEDEVAC request"
How long do you have to transmit a 9 line MEDEVAC: 25 seconds
What is a Simple rescue?: Open field, no hindrances to removing casualty
What makes up a complex rescue?: Vertical casualty movement, vehicle extrication, tactical search and rescue
Define the term "x"?: The point of wounding
Describe the proper body mechanics of casualty movement?: know your capabilities, use large leg muscles, slide or roll rather than lift
What is the load capacity of a M997: 4 litter or 8 ambulatory or 2 litter and 4 ambulatory
What is the load capacity of a M113: 4 litter or 10 ambulatory or a combination
What is the load capacity of a Haga: 3 litter or 6 ambulatory
What are the 3 most common devices used in hoist operations?: Sked, Jungle penetrator, stokes basket

What is the leading cause of preventable death on the battlefield?: Extrem- ity hemorrhage
Plasma: provides a fluid environment for the other components and warmth for the body
Erythrocytes (RBCs): Carry oxygen to the tissue
Leukocytes (WBCs): Fight infection and consume dead tissue
Thrombocytes: Specialized cells that form clots
What are the 5 factors that affect blood clotting?: Hypothermia, Acidosis, Hemodilution, High BP, Medication
What is the difference between Compressible hemorrhage and non-com- pressible hemorrhage: Direct pressure can control the hemorrhage
What are some S/S of Non-compressible hemorrhage: Bruising, hemoptysis, rectal bleeding, hematemesis
How many liters of fluid can the average adult hold in the abdomen?: 10 liters
How many liters of fluid can the average adult hold in 1 thigh?: 1 liter
How much fluid can be held on one side of the chest?: 1500 mL
How fast can the intercostals muscles bleed?: 100 mL per minute
What is the only medical treatment done in the Care under fire phase?: -

Describe a delibrate tourniquet?: Directly to the skin; 2 - 3 inches above the wound; not over a joint; tightened till bleeding stopped or distal pulse absent
What are the 4 P's of packing?: Peel, Push, Pile, Pressure
When should you not loosen a tourniquet?: If casualty will arrive at surgical facility less than 2 hours; TQ has been place for longer than 6 hours; Amputations; Casualties in profound shock
What is the 1st step in the assessment for circulation?: Treat significant non-pulsating hemorrhage with packing and pressure
What is the respiratory response to increased CO2 production: As CO increases; respiratory rate increases
What is the normal respiratory rate for an adult: 12 - 20
What is the normal respiratory rate for a child: 15 - 30
What is the normal respiratory rate for an infant: 25 - 50
What are the complications of suctioning: Will cause hypoxemia, cardiac dysrhythmia, vagus nerve stimulation
What are the essential Airway skills: Positioning, manual maneuvers, suction- ing, NPA
What is the "Gold Standard" in Advanced airway management?: Endotra- cheal intubation

What is the perferred advanced airway in the combat environment?: Emer- gency Cricothryoidotomy
What are the landmarks for an emergency cric?: Thyroid Cartilage; Cricothy- roid membrane, cricoid cartilage
What are the indications for a Cric?: Severe maxillofacial trauma, airway obstruction, structural deformities, inhalation burns, unconscious and unable to secure own airway
Define diagphram?: A musculofibrous partition separating the thoracic abdom- inal cavities
what is the difference between visceral and parietal pleura: Visceral at- tached to lung, parietal attached to chest wall
Describe inhalation: diaphragm and intercostal muscles contract; lungs ex- pand, intrathoracic pressure decreases
Describe exhalation: diaphragm and intercostal muscles relax; intrathoracic pressure increases
What type of wound is considered both an ABD and a thoracic injury: Pen- etrating wound below the 4th intercostals space
Describe a pneumothorax: Air within the pleural space
Describe a tension pneumothorax: Air builds up pressure and prevents the

What are the S/S of respiratory distress?: Tachypnea, bradypnea, labored breathing, retractions, hemoptysis, one or two word sentences, agitation or air hunger
Describe a sucking chest wound?: An open wound that is 2/3 the size of the trachea
Describe the placement of a Needle Chest decompression: 2nd ICS, mid-clavicular line, over the 3rd rib
What are the troubleshooting procedures for a NCD: Place 2nd needle lateral to the 1st, flush catheter with 1-2 ml of iv solution, burp the wound
What are the 4 types of distributive shock?: Spetic, Neurogenic, anaphylac- tic, psychogenic
What are the intrinsic causes of Cardiogenic shock: Heart muscle damage, dysrhythmia, vavular disruption
Extrinsic causes of Cardiogenic shock: Cardiac Tampnade, pneumothorax
Describe decompensated shock?: When the body can no longer compensate and casualty's BP drops
How much blood must be lost to see a decrease in BP: 1500ml
Systolic of at least 80: Radial
Systolic of at least 70: Femoral

Systolic of at least 60: Carotid
Fluid of choice for burns, dehydration: Lactated Ringer
used in conjunction with blood transfusion, restoring the loss of body fluid: Normal Saline
Calorie replacement, hypoglycemia: D5W
What are the types of Colloid Solutions?: Blood and Blood components, Hextend
What is the vein order of precedence for vascular access: Median cubital, cephalic, basilic
What are the indication for an intraosseuous infusion: Small children, trau- ma to the extremities, two unsuccessful IV attempts and casualty is in shock
Fluid accumulation in the tissue surrounding IV site, flow rate slower, infusion site cool hard to touch, pale, swollen, pt complains of tenderness, pain burning: Infiltration
Inflammation of the vein wall, sluggish flow rate, swelling, pt c/o pain and tenderness, redness and warmth of the site: Phlebitis
Obstruction of a blood vessel caused by air in the bloodstream, abrupt drop in BP, weak and rapid pulse, cyanosis, chest pain: Air Embolism

Teeth clenched arms and legs extended wrist flexed usually caused by secere injury to the midbrain: Decerebrate
To determine if there is a change in the casualty: Why is it important to take serial GCS assessments
Being dazed, confused, "saw stars" or lost consciousness, even momen- tarily as a result of an explosion/blast, fall, motor vehicle crash.: Who should the MACE assessment be administered on
Unequal pupils, Deteriorating examination Decreasing or loss of consciousness: What are the RED FLAGS of a head injury
An injury to the brain resulting from an external force and/or accelera- tion/deceleration mechanism from an event: Traumatic Brain injury
Brain trauma can cause a broad range of physical, cognitive emotional and social problems.: Significance of TBI
AMS, headache, nausea, vomiting, dizziness/balance problems, fatigue, insomnia, sleep disturbances, drowsiness, sensitivity to light and noise, blurred vision, difficulty remembering and/or difficulty concentrating.: What are the signs and symptoms of a TBI

Decreased memory and attention/concentration, slower thinking, irritabil- ity, depression, impaired vision, mood swings, balance problems, headaches, and nausea.: Post concussion symptoms
Mild-GCS 14 - 15 80% of head injuries Usually full recovery within weeks. Moderate-GCS = 9 to 10% of head injuries most are admitted/observed due to potential for deterioration. Severe- GCS = < 9 10% of head injuries Mortality approx. 40% long term: Levels of TBI
massive systemic infection that includes hypotension, decreased urine output and altered mental status: Sepsis
inflammation of the peritoneum or lining of the abdominal cavity: Peritoni- tis
greater life threat difficult to diagnose ma not appear for hours.: Blunt Trauma
organs are crushed between solid objects: Compression Injuries
tearing forces exerted against the supporting ligaments of solid organs- : Shearing injuries
an adult peritoneal cavity can hold up to 1.5 liters of fluid before evidence of distention is apparent: Soft Tissue injury

With a Snellen Chart: How is visual acuity assessed in a clinic?

Gross Vision Examination: How is visual acuity assessed under less favor- able circumstances?
moxifloxacin (Avelox) is one of the few antibiotics that can affect the eye.: What is special about the antibiotic found in a combat pill pack?
facial burns, singed eyebrows, carbonacous sputum: Sign of inhalation burns
prevent shock, prevent infection and minimize disfiguration: what is goal of burn wound care
no it will kills god bacteria: do you administer antibiotics to casualties suffer- ing only burns
2nd Degree burns >20%TBSA and 3rd or 4th degree. Burns to the face, hands, feet, genitalia, perineum or major joints.: Which burn casualties get transported as Urgent Surgical? Inhalation injuries.
Increased chance of compromise to distal circulation due to swelling and edema. Constrict the chest wall to such a degree that the casualty suffocates from inability to take a deep breath.: How do circumferential burns complicate casualty

damaged muscle tissue releases myoglobin and potassium: What is crush syndrome
pain, paralysis, pallor, pulselessness, parethesias: What are the 5P's of compartment syndrome
before and after splinting: when should PMS be completed
cause when arterial blood flow continues into an extremity but venous flow is restricted from returning to the system: Compartment syndrome
isolated non life threatening musculoskeletal trauma. non life threatening multisystem life threatening trauma. definite musculoskeletal life threatening injuries(pelvic and femur fracture): what are the three categories of muscu- loskeletal injury
the medical sorting of casualties according to the type and seriousness of the injury; affords the greatest number of casualties the greatest chance of survival: Triage
when the soldier medic has more than one seriously injured soldier to care for at one time: MASCAL
survey and classify casualties for the most efficient use of available resources, number and location of the injured: Responsibilities of triage
Airway obstruction

Open Pneumothorax w/ resp. distress tension pneumothorax unstable abd wounds w/ shock massive external bleeding open long bone fx hypovolemic (hemorrhagic shock) burns of face, neck, hands, feet, genitals: IMMEDIATE

open chest wound no resp distress abd wounds no shock eye and CNS injuries soft tissue wounds requiring debridement other fx's other burns maxillofacial wounds w/ out airway compromise GI tract disruption: DELAYED
Minor lacs contusions sprains/strains 1st/2nd deg burns less than 20%

68W COMBAT MEDIC FIELDCRAFT MODULES I-III QUESTIONS AND ANSWERS LATEST UPDATE 2024 GRADED, Exams of Military Strategy and Training

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