Combat Medic 68W: Fieldcraft 1
Exam C168W144 – Questions with
Answers
Motor vehicle crashes, falls greater than 15 feet, IED blast involving and MRAP vehicle - -Tactical indications for C-spine precautions -primary, secondary, tertiary - -Three types of blast injuries -Enemy fire - -Single biggest obstacle to the Combat Medic's ability to provide care -The tactical leader - -Who makes the decision to extract casualties -DD Form 1380 - -Technical name for a Combat Casualty Care card -Warrior Aid and Litter Kit - -What is a WALK kit? -Acetaminophen (650 mg) and Meloxicam (Mobic) (15mg) - -Medications given for casualty with mild to moderate pain and is still able to fight: Option 1 -Oral transmuccosal fentanyl citrate (OTFC) 800 micrograms - -Medications given for casualty with moderate to severe pain. Casualty is NOT in shock or respiratory distress AND casualty is NOT at significant risk of developing either condition: Option 2 -Ketamine 50 mg IM/IN or Ketamine 20 mg slow IV or IO. End treatment with
development of nystagmus (rythmic back and forth movement of the eyes) - -Medications given for moderate to severe pain. Casualty IS in hemorrhagic shock or respiratory distress OR casualty IS at significant risk for either condition: Option 3 -Morphine 5 mg IV/IO - -Alternative medication to ketamine -Narcan 0.4 mg IV/IM - -Always used when administering morphine -Zofran (Ondansetron) 4-8 mg IV/IM/IO - -Medication given for soldiers with nausea or vomiting -Document mental status - -What should be done prior to administering opioids or ketamine? -Worsen the injury - -What can Ketamine and OTFC potentially due to severe TBI? -All penetrating wounds - -What are antibiotics recommended for? -Moxifloxacin (400 mg once daily) - -Antibiotic given to patient if ABLE to take PO -Ertapenum (1 g IV/IM once daily) - -Antibiotic given to patient if UNABLE to take PO -Burn casualties - -What is the most important contraindication to antibiotics? -Care under fire, tactical field care, tactical evacuation care - -The three Tactical Combat Casualty Care phases of care -Complete the mission, prevent additional casualties, treat the casualties - -
The three goals of Tactical Combat Casualty Care -The first medical care a soldier receives - -Role 1 -Operations operated by the area support squad, medical treatment platoon,
or medical companies - -Role 2 -Casualty treated at MTF - -Role 3 -Medical care found in CONUS-based hospitals - -Role 4 -1 hour - -Urgent classification evacuation time -1 hour - -Urgent-Surgical classification evacuation time -4 hours - -Priority classification evacuation time -24 hours - -Routine classification evacuation time -Whenever convenient - -Convenience classification evacuation time -Lines 1-5 - -Lines needed to get a helicopter in the air for a Nine Line MEDEVAC request -25 seconds - -Maximum time for a Nine Line MEDEVAC request -The callsign of the individual at the pickup site - -Who's callsign is to be given in line 2 of the Nine Line MEDEVAC
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