Untitled document - 2023-12-29T220308.123
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Date
Nov 24, 2024
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TCCC 2024
What are the 3 goals of TCCC? -
ANS Treat the casualty
Prevent additional casualities
Complete the mission
What % of all combat deaths occur before a casuality reaches a MTF? -
ANS
75 - 90%
What % of combat deaths today are potential preventable? -
ANS 20%
What are the 3 most common cause of preventable death on the battlefield? -
ANS Hemorrhage from extremity
Tension pneumothorax
Airway problems
What are the 3 phases of care in TCCC? -
ANS Care under fire
Tactical field care
Tactical Evac Care (TACEVAC)
T or F. Airway management is generally best deferred until the Tactical Field
Care. -
ANS True
What is the best medicine on the battlefield? -
ANS Fire superiority (returning
fire)
What are the different carries for Care Under Fire? -
ANS 1 person with/without
line
2 person with/without line
Fireman's carry
Hawes carry
Seals Team 3 care
What is the most frequent cause of preventable battlefield deaths? -
ANS
Extremity hemorrhage
How many minutes does it take someone to bleed to death from a femoral artery
lac? -
ANS 3 minutes
How far do you place the tourniquet? -
ANS 2-3 inches above the wound
How long do you apply direct pressure when using combat gauze? -
ANS 3
minutes
T or F. You always have to use c-spine mobalization in a tactical environment. -
ANS False
What care is relative and given during a reduced level of hazard from hostile fire?
-
ANS Tactical Field Care
What type of airway would you give to an unconscious casualty without an airway
obstruction? -
ANS Nasopharyngeal airway
What size of tube do you use for a surgical airway? -
ANS 6.0
What is the target area for the surgical airway? -
ANS Cricothyroid Membrane
What is the 1st landmark for a surgical airway? -
ANS Thyroid bone
What is the 2nd landmark for a surgical airway? -
ANS Cricoid bone
Where is the needle placement for a tension pneumothorax? -
ANS
Midclavicular, 2nd intercostal space, top of the 3rd rib space
What is the 2nd most common cause of preventable death encountered on the
battlefield? -
ANS Tension pneumothorax
What functions are impaired with a tension pneumothorax? -
ANS Lung and
heart
What should you use as an adjunct to tourniquet removal (if evacuation time is
anticipated to be longer than 2 hours). -
ANS Combat gauze
T or F. When a tourniquet has been applied, do not periodically loosen it to allow
circulation to return to the limb. -
ANS True
Never take off a tourniquet if has been on more than how many hours? -
ANS 6
hours
What resuscitation fluids do you give for someone in shock? -
ANS Hextend
500 ml IV bolus
How many times can you give Hextend? -
ANS One more 500ml bag for a total
of 1000ml
How long do you wait to administer the 2nd Hextend bag if your patient is still in
shock? -
ANS 30 minutes after the first bag
What is the best tactical indcation of shock? -
ANS Decreased state of
consciousness
Abnormal character of the radial pulse
What is the radial palpable pulse you want to achieve with fluid resuscitation? -
ANS 80 mm Hg
What is the cartoid palpable pulse you want to achieve with fluid resuscitation? -
ANS 60 mm Hg
What is the amount of blood loss a person can have that will cause death. -
ANS 2.5 liters
What is a normal pulse O2 reading for a person at sea level? -
ANS 98%
What is the normal pulse O2 reading for a person at 12,000 feet? -
ANS 86%
What situations do you want to obtain a pulse O2? -
ANS Penetrating Chest
Trauma
Chest contusion
Unconscious
Traumatic Brain Injury
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What is the medications of choice to treat pain management (non-narcotic)? -
ANS Tylenol 650 mg bilayer caplet x 2 q 8hrs
Mobic 15 mg PO once a day
What two analgesic medications can not be given due it interefering with blood
clotting formation? -
ANS Motrin
Asprin
Toradol
What is the preferred narcotic medication given in the field? -
ANS Oral
transmucosal fentanyl citrate 800 ug
How many mg of morphine do you give for a pt unable to fight? -
ANS 5 mg IV
How many minutes do you wait to give additional IV/IM morphine? -
ANS 10
minutes
How many minutes do you wait to give additional morphine when using the
morphine injector? -
ANS 45 to 60 minutes
What is the initial dose given when administering the morphine injector? -
ANS
10 mg
When is it contraindicated to give morphine and fentanyl? -
ANS Hypovolemic
shock
Respiratory distress
Unconsciousness
Severe head injury
T or F. Antibiotics are recommended for all open compound wounds. -
ANS
True
What antibiotics are recommended to give to pt by mouth? -
ANS Moxifloxacin
400 mg (given 1 a day)
What antibiotics are recommended to give if pt can't take anything by mouth? -
ANS Cefotetan, 2 g IV or IM q 12hrs
Ertapenem 1 g IV/IM q daily