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1. Motor vehicle accident, Fall greater than 15 ft, IED blast involving a MRAP- Ans What are the tactical indications for spinal immobilization 2. Primary Blast Ans Overpressure wave (internal damage to hollow organs) 3. Secondary Blast Ans Shrapnel and debris penetrating wounds 4. Tertiary Blast Ans Casualty is thrown into a solid object 5. Extremity Hemorrhage Ans What is the leading cause of preventable death on the battlefield 6. Not protected by body armor Ans Why is extremity hemorrhaging the leading cause of death on the battlefield 7. Hypothermia, Electrocution, near drowning Ans When should CPR be considered in the combat environment? 8. Enemy fire, medical equipment, variable evacuation time, tactical consider- ations, casualty transportation 1/ Ans Factors that influence care on the battlefield? 9. Warrior Aid and Litter Kit Ans What is a WALK kit? 10. several ground vehicles Ans Where can a WALK kit be found? 11. Acetaminophen, Mobic, Moxiflaxicin Ans What medication is found in the combat pill pack? 12. All will eventually, ABX should not be given at the point of injury unless evac. is delayed greater than 3 hours Ans Which combat casualties will receive ABX? 13. Accomplish the mission, prevent additional casualties, treat the casualty- Ans What are the goals of TCCC 14. Care under fire, tactical field care, tactical evacuation care Ans What are the phases of care? 15. Collecting the wounded, triage, provide a mode of transportation, provide care en route Ans What does MEDEVAC encompass? 16. Level 1 Ans First responder capability; Battalion Aid Station, Medical Platoon, Com- bat Medic 17. Level 2 Ans Forward Resuscitative Care Capability; Forward Surgical Team 2/ 26. Classifying casualties worse than they are; pulls medical assets that could be used else where Ans What is over classification and what is the impact on the mission? 27.6 and 9 Ans What are the lines of the 9line MEDEVAC for wartime and peace time? 28."I have a MEDEVAC request" Ans How do you request a 9 line MEDEVAC 29.25 seconds Ans How long do you have to transmit a 9 line MEDEVAC 30. Open field, no hindrances to removing casualty Ans What is a Simple rescue? 31. Vertical casualty movement, vehicle extrication, tactical search and res- cue Ans What makes up a complex rescue? 32. The point of wounding Ans Define the term "x"? 33. know your capabilities, use large leg muscles, slide or roll rather than lift Ans Describe the proper body mechanics of casualty movement? 34. 4 litter or 8 ambulatory or 2 litter and 4 ambulatory Ans What is the load capacity of a M997 35. 4 litter or 10 ambulatory or a combination Ans What is the load capacity of a M113 4] 36.3 litter or 6 ambulatory Ans What is the load capacity of a Haga 37. Sked, Jungle penetrator, stokes basket Ans What are the 3 most common devices used in hoist operations? 38. Extremity hemorrhage Ans What is the leading cause of preventable death on the battlefield? 39. provides a fluid environment for the other components and warmth for the body Ans Plasma 40. Carry oxygen to the tissue Ans Erythrocytes (RBCs) 41. Fight infection and consume dead tissue Ans Leukocytes (WBCs) 42. Specialized cells that form clots Ans Thrombocytes 43. Hypothermia, Acidosis, Hemodilution, High BP, Medication Ans What are the 5 factors that affect blood clotting? 44. Direct pressure can control the hemorrhage Ans What is the difference between Compressible hemorrhage and non- compressible hemorrhage 45. Bruising, hemoptysis, rectal bleeding, hematemesis Ans What are some S/S of Non-compressible hemorrhage 46. 10 liters Ans How many liters of fluid can the average adult hold in the 5/ 51. Directly to the skin; 2-3 inches above the wound; not over a joint; tightened till bleeding stopped or distal pulse absent Ans Describe a delibrate tourniquet? 52. Peel, Push, Pile, Pressure Ans What are the 4 P's of packing? 53. 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 Ans - When should you not loosen a tourniquet? 54. Treat significant non-pulsating hemorrhage with packing and pressure Ans - What is the 1st step in the assessment for circulation? 55. As CO2 increases; respiratory rate increases Ans What is the respiratory re- sponse to increased CO2 production 56. 12-20 Ans What is the normal respiratory rate for an adult 57.15-30 Ans What is the normal respiratory rate for a child 58. 25-50 Ans What is the normal respiratory rate for an infant 59. Will cause hypoxemia, cardiac dysrhythmia, vagus nerve stimulation Ans What are the complications of suctioning 60. Positioning, manual maneuvers, suctioning, NPA Ans What are the essential Airway skills 61. Endotracheal intubation Ans What is the "Gold Standard" in Advanced airway management? 62. Emergency Cricothryoidotomy Ans What is the perferred advanced airway in the combat environment? 63. Thyroid Cartilage; Cricothyroid membrane, cricoid cartilage Ans What are the landmarks for an emergency cric? 64. Severe maxillofacial trauma, airway obstruction, structural deformities, inhalation burns, unconscious and unable to secure own airway Ans What are the indications for a Cric? 65. A musculofibrous partition separating the thoracic abdominal cavities Ans - Define diagphram? 66. Visceral attached to lung, parietal attached to chest wall Ans what is the differ- ence between visceral and parietal pleura 67. diaphragm and intercostal muscles contract; lungs expand, intrathoracic pressure decreases Ans Describe inhalation 68. diaphragm and intercostal muscles relax; intrathoracic pressure increas- es Ans Describe exhalation 72. Tachypnea, bradypnea, labored breathing, retractions, hemoptysis, one or two word sentences, agitation or air hunger Ans What are the S/S of respiratory distress? 73. An open wound that is 2/3 the size of the trachea Ans Describe a sucking chest wound? 74. 2nd ICS, mid-clavicular line, over the 3rd rib Ans Describe the placement of a Needle Chest decompression 75. Place 2nd needle lateral to the ist, flush catheter with 1-2 ml of iv solution, burp the wound Ans What are the troubleshooting procedures for a NCD 76. Spetic, Neurogenic, anaphylactic, psychogenic Ans What are the 4 types of distributive shock? 77. Heart muscle damage, dysrhythmia, vavular disruption Ans What are the intrin- sic causes of Cardiogenic shock 78. Cardiac Tampnade, pneumothorax Ans Extrinsic causes of Cardiogenic shock 79. When the body can no longer compensate and casualty's BP drops Ans De- scribe decompensated shock? 80. 1500ml Ans How much blood must be lost to see a decrease in BP 81. Radial Ans Systolic of at least 80 82. Femoral Ans Systolic of at least 70 83. Carotid Ans Systolic of at least 60 84. Lactated Ringer Ans Fluid of choice for burns, dehydration 85. Normal Saline Ans used in conjunction with blood transfusion, restoring the loss of body fluid 86. DSW Ans Calorie replacement, hypoglycemia 87. Blood and Blood components, Hextend Ans What are the types of Colloid Solu- tions? 88. Median cubital, cephalic, basilic Ans What is the vein order of precedence for vascular access 89. Small children, trauma to the extremities, two unsuccessful IV attempts and casualty is in shock Ans What are the indication for an intraosseuous infusion 90. Infiltration Ans 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 91. Phlebitis Ans Inflammation of the vein wall, sluggish flow rate, swelling, pt c/o pain and tenderness, redness and warmth of the site 11/ 93. Circulatory overload Ans Increase in vascular volume resulting in too much IV fluid pushed too fast; elevated BP, JVD, rapid breathing, SOB, tachcycardia, rhonchi or rales, fluid intake greater than urinary output 94. Infection Ans Redness, swelling of site, pt c/o fever, chills malaise, sudden rise in temp., purulent drainage 
