TECC CORE EXAMS TEST QUESTIONS AND SOLUTIONS
RATED A+
✔✔When packing a wound how long do you hold it for? - ✔✔Hemostatic gauze: 3 mins
Non-hemo gauze: 5-10 mins
✔✔If packing fails what do you do? - ✔✔Remove old packing and re-pack with new
gauze
✔✔What are the ways of providing direct pressure? - ✔✔- Manually (ie. finger)
- packing
- dressing
✔✔What are the ways of providing indirect pressure? - ✔✔- TK
- manually (ie. knee, fist, etc.)
✔✔Consideration when packing? - ✔✔Manually apply pressure first by using your
fingers to enter wound and apply pressure proximally (toward the heart)
✔✔What are some possible airway obstructions? - ✔✔- tongue
- bodily fluids
- foreign bodies
- swelling / inflammation (ie. allergic rxn)
✔✔How do you prevent the tongue from obstructing the airway? - ✔✔- recovery position
- head tilt chin-lift
- jaw thrust
- NPA
✔✔What is something to consider if in DTC and you have casualties? - ✔✔RECOVERY
POSITION
As time and space permits, you can quickly place someone in the recovery position
while returning fire
✔✔What is the preferred airway for TECC care? - ✔✔NPA
✔✔What is an option is major facial trauma? - ✔✔Surgical airway (ie. cric)
✔✔How do you know if your ventilation apparatus is working? - ✔✔- Equal rise and fall
of chest
- SPO2 monitor
- CO2 exchange monitor
- feel of chest expanding and contracting
, ✔✔General signs and symptoms of respiratory distress? - ✔✔- mech. of injury (ie.
GSW)
- coughing blood
- failure of chest to expand normally
- rapid, weak pulse
- bruising or obvious fractures
- distended neck veins or trachael deviation (generally for prolonged pneumothorax)
✔✔How do you assess chest injury? - ✔✔"IPPA" - perform during "R" upon getting
them trauma naked
- Inspection
- Palpation
- Percussion
- Auscultation
✔✔Define flail chest? - ✔✔Fracture 2 or more ribs in 2 or more places normally
resulting in pulmonary contusion.
Pneumo / hemothorax possible
✔✔If suffering from flail chest what can you do before pain medication ("E") and during
("R") - ✔✔- leave in position of comfort
- ventilation / oxygen
- hold something soft against impacted side (ie. pillow, extra layers, etc.). Acts as splint
✔✔Important thing to consider during open pneumothorax? - ✔✔It could develop into
tension pneumothorax
✔✔Treatment of open pneumothorax - ✔✔- Apply chest seal
- Maintain airway
- monitor for tension pneumothorax (have supplies for burping and needle D ready)
✔✔S&S of open pneumo - ✔✔- SOB
- shock
- trachael deviation (later stages)
- mech of injury
- Absent breath sounds during auscultation
- chest not expanding properly
- absent radial pulse
- subcutaneous emphysema ('rice krispy' sounding chest upon palpation)
- larger neck veins
✔✔S&S of hemothorax - ✔✔- flat neck veins (because blood built up in chest as
compared to pneumothorax which would result in larger neck veins)
RATED A+
✔✔When packing a wound how long do you hold it for? - ✔✔Hemostatic gauze: 3 mins
Non-hemo gauze: 5-10 mins
✔✔If packing fails what do you do? - ✔✔Remove old packing and re-pack with new
gauze
✔✔What are the ways of providing direct pressure? - ✔✔- Manually (ie. finger)
- packing
- dressing
✔✔What are the ways of providing indirect pressure? - ✔✔- TK
- manually (ie. knee, fist, etc.)
✔✔Consideration when packing? - ✔✔Manually apply pressure first by using your
fingers to enter wound and apply pressure proximally (toward the heart)
✔✔What are some possible airway obstructions? - ✔✔- tongue
- bodily fluids
- foreign bodies
- swelling / inflammation (ie. allergic rxn)
✔✔How do you prevent the tongue from obstructing the airway? - ✔✔- recovery position
- head tilt chin-lift
- jaw thrust
- NPA
✔✔What is something to consider if in DTC and you have casualties? - ✔✔RECOVERY
POSITION
As time and space permits, you can quickly place someone in the recovery position
while returning fire
✔✔What is the preferred airway for TECC care? - ✔✔NPA
✔✔What is an option is major facial trauma? - ✔✔Surgical airway (ie. cric)
✔✔How do you know if your ventilation apparatus is working? - ✔✔- Equal rise and fall
of chest
- SPO2 monitor
- CO2 exchange monitor
- feel of chest expanding and contracting
, ✔✔General signs and symptoms of respiratory distress? - ✔✔- mech. of injury (ie.
GSW)
- coughing blood
- failure of chest to expand normally
- rapid, weak pulse
- bruising or obvious fractures
- distended neck veins or trachael deviation (generally for prolonged pneumothorax)
✔✔How do you assess chest injury? - ✔✔"IPPA" - perform during "R" upon getting
them trauma naked
- Inspection
- Palpation
- Percussion
- Auscultation
✔✔Define flail chest? - ✔✔Fracture 2 or more ribs in 2 or more places normally
resulting in pulmonary contusion.
Pneumo / hemothorax possible
✔✔If suffering from flail chest what can you do before pain medication ("E") and during
("R") - ✔✔- leave in position of comfort
- ventilation / oxygen
- hold something soft against impacted side (ie. pillow, extra layers, etc.). Acts as splint
✔✔Important thing to consider during open pneumothorax? - ✔✔It could develop into
tension pneumothorax
✔✔Treatment of open pneumothorax - ✔✔- Apply chest seal
- Maintain airway
- monitor for tension pneumothorax (have supplies for burping and needle D ready)
✔✔S&S of open pneumo - ✔✔- SOB
- shock
- trachael deviation (later stages)
- mech of injury
- Absent breath sounds during auscultation
- chest not expanding properly
- absent radial pulse
- subcutaneous emphysema ('rice krispy' sounding chest upon palpation)
- larger neck veins
✔✔S&S of hemothorax - ✔✔- flat neck veins (because blood built up in chest as
compared to pneumothorax which would result in larger neck veins)
