2nd intercostal space at the midclavicular line
4th or 5th intercostal space at the ANTERIOR axillary line
Mini sponges rapidly expand on contact with blood, compressing the wound to stop
bleeding. The sponges expand in approx. 20 seconds. (segments of applicator may break
away and be left in the wound)
30-80 mL/min by gravity
120 mL/min utilizing pressure infusion (BP cuff)
250 mL/min using syringe forced infusion
,Definition 3 of 104
How often should you flush an IV line with 5 mL of NS to keep it open?
3-4 hours
2-3 hours
1-2 hours
2-4 hours
Definition 4 of 104
What fluid resuscitation is best and worst when treating for shock?
Hextend is best, Crystalloids (NS) is worst
Albumin is best, dextrose is worst
Hetastarch is best, Lactated ringer's is worst
Plasma is best, saline is worst
Definition 5 of 104
How is Ketamine (ketalar) administered?
50 mg (IM or IN) q30 minutes
or
20 mg (slow IV or IO) q20 minutes
(max: 100 mg)
250 mL of Hypertonic Saline (3-5%), elevate the head 30 degrees, and hyperventilate
4 mg OTD/IV/IO/IM q8 hrs for nausea and vomiting (replaces promethazine)
1 gram (IM or IV) q24 hours
IM: 3.2 mL of 1% lidocaine without epinephrine
IV: reconstitute with 10 mL of NS over 30 minutes
,Definition 6 of 104
List the 4 main causes of altered status of consciousness
TBI
Shock
Hypoxia
Pain medication
Hypovolemic shock, respiratory distress, unconsciousness, and severe head injury
Talk to the PT to receive a response
Hypotension
Definition 7 of 104
How is Moxifloxacin (Avelox) administered?
a 400 mg tablet or via IV
a 200 mg capsule or via Im
a 600 mg liquid suspension or via inhalation
a 800 mg extended-release tablet or via subcutaneous injection
Definition 8 of 104
What are the 3 flow rates of a FAST 1
98% or higher at sea level
86% at 12,000 ft
30-80 mL/min by gravity
120 mL/min utilizing pressure infusion (BP cuff)
250 mL/min using syringe forced infusion
Treat the casualty, prevent additional casualties, complete the mission
1 gram fused with 100 milliliters of normal saline over 10 minutes (with a maximum of two
doses to safely administer to the PT)
, Definition 9 of 104
List 4 improvements to medical care
Better PPE, TCCC, faster evac time, and better trained medic
Improved cafeteria food, better hospital uniforms, faster elevator speed, and increased
visitor restrictions
New hospital building, more parking spaces, additional paperwork, and longer lunch
breaks
Increased hospital beds, more administrative staff, longer waiting times, and older
equipment
Definition 10 of 104
What is the ideal bp of a casualty WITH a suspected TBI?
20% tbsa or greater
100 mmhg or higher
90 mmHg or higher
130 mmhg or higher
Definition 11 of 104
Mild to moderate injury (ex: concussion, GSW to extremity with no tq, burns less than 10%, closed
fracture with intact distal pulses etc.)
Category C Routine
Hypotension
"popping The Clot"
Tq Conversion
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