% of deaths occurring prehospital - answer87.3% combat deaths
75.7% classified as non-survivable
24.3% died from potentially survivable deaths
% of deaths attributed to hemorrhage - answer90%
13.5% due to extremity hemorrhage
19.2% junctional wounds
67.3% truncal hemorrhage
Wound Data - answer60% extremities
25% head and neck region
9%torso
tactical indications for spinal mobilization: - answer1) motor vehicle crashes
2) falls from greater than 15ft
3) IED blast involving a MRAP vehicle
When to do CPR in Combat environment - answer hypothermia, near-drowning,
electrocution
primary blast injury - answerCaused by the blast overpressure or wave from an
explosion. Damage to hollow organs(rupturing them)
secondary blast injury - answerCaused by debris or shrapnel from the explosion
tertiary blast injury - answercasualty is blown into a solid object such as wall or vehicle
and suffers blunt trauma
inhalation burns in a blast injury - answergreatest concern is airway edema resulting in
inadequate airway
#1 obstacle for care on battlefield - answerenemy fire
what takes precedence over medical care? - answerthe mission
who decides if casualties will be evacuated? - answertactical leader
What does "X" refer to? - answer"X" refers to place where casualty when down or was
wounded in battle
, Mild to moderate pain (meds) (casualty still able to fight) - answercombat wound
medication pack:
Tylenol-650mg bilayer caplet, 2 PO every 8hrs
Meloxicam-15mg PO once a day
moderate to severe pain (meds) (casualty IS NOT in shock or resp distress AND
casualty is not at risk for those) - answeroral transmucosal fentanyl citrate (OTFC)
800ug
-place lozenge between the cheek and the gum
-to not bite or chew lozenge
moderate to severe pain (meds) (casualty IS in hemorrhagic shock or resp distress OR
sig risk of those conditions) - answerketamine 50mg IM or IN OR 20mg slow IV push
-repeat doses q30min prn for IM or IN
-repeat doses q20min prn for IV or IO
-End points: control the pain or development of nystagmus
-the combat medic may administer morphine 5mg IV/IO as an alternate to OTFC
-repeat dose every 10 mins as necessary to control severe pain
-monitor for resp. depression
-zofran to counteract nausea from narcotics
True of False. Once you begin medical care for a casualty, you will remain with that
casualty until he or she reaches a medical officer (MO). - answerfalse
You are conducting your assessment on a casualty with bilateral amputations that is in
shock. Which pain medication should you give this patient? - answerKetamine, 20mg IV
You have an unconscious casualty during the Care Under Fire phase of care. How
should you manage their airway during this phase of care. - answerWait until the
Tactical Field Care phase
What is the tactical priority in Care Under Fire? - answerGaining fire superiority
A soldier walks over to you with a deep laceration on their arm. They start to describe
their pain and inform you that they can still carry their weapon. Which pain
medication(s) should you give this soldier? - answerTylenol or Meloxicam
Which antibiotic is given to patients that are able to swallow and is found in the Combat
Wound Medication Pack/ Combat Pill Pack? - answerMoxifloxacin 400mg
How should you administer Ketamine I.V. or IO while working on a combat casualty? -
answerSlow push, over 1 minute
What is the medical priority in Care Under Fire? - answerExtremity hemorrhage control
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