68W ALC Phase 3 (Test 1) exam revision
guide questions and verified answers
What are the levels of care as defined in the PCC Guidelines? - ANS Tier 1: TCCC- All Service
Members
Tier 2: TCCC- Combat Life Saver
Tier 3: TCCC- Combat Medic/Corpsmen
TIer 4: TCCC- Combat Paramedic/Provider
What treatment algorithm do the PCC Guidelines follow? - ANS MARC2H3-PAWS-L
What do the letters of the treatment algorithm stand for? - ANS Massive hemorrhage, Airway,
Respirations, Circulation and Communication, Hyperthermia, Hypothermia, and Head, Pain,
Antibiotics, Wounds, Splinting, Logistics
Who maintains the Prolonged Casualty Care Guidelines? - ANS Joint Trauma System
Deployed Medicine
POI TCCC AAR Form (2 pages) - ANS Filled out as part of the AAR.
Include treatments/who did them.
Includes sustains, comments and improves.
Filled out for real and notional casualties.
TCCC PI Data Form (1 page) - ANS Filled out during or after.
Captures difficulties in treatment; check the boxes, useful for BAS.
Why is the DD 3019 not recommended for use in a Role 1 facility? - ANS 5 pages
Not designed for prehospital treatment, there are better products.
Very in-depth and needs proper training.
Focused on nursing/physician-level care in Role II.
Purpose of the DOD Advisor Line - ANS Consults from providers outside the area.
Basic Forms for PCC - ANS Prolonged Field Care Casualty Card
*not DOD recognized, but preferred for Role 1.
Benefits of the Prolonged Field CCC - ANS Provides a more in-depth care analysis.
What is POC testing? - ANS Near patient testing, remote testing, satellite testing, rapid
diagnostics.
, What factors can affect accuracy of lab results? - ANS Lack of skills, machine errors, patient
medications, a patient's age or gender.
Glucometers - ANS Test a patient's glucose level, small electronic device that must be QA/QC
regularly.
Urine Dipstick - ANS Tests produce results in 30-120 seconds.
Their accuracy is diminished if not read within a certain time window (normally has 6 panels to
read).
i-STAT Characteristics - ANS Mobile, 5-6 minutes for results, and has 11 total steps.
In current USAMMA sets.
Cartridges must be stores at 35-46F.
Cartridges must equalize at room temperature for 5 minutes and cannot be put back into fridge.
Unit cannot be stores in sunlight, 61-88F is ideal.
Piccolo Express Characteristics - ANS Stationary, 10-12 minutes for results, and has 3 total
steps.
Only requires 0.1cc of blood, serum, or plasma.
Stores 5,000 patient records.
Discs can be used right out of the fridge.
Complete Blood Count (CBC) - ANS Measures the major components of the blood. One of the
most common lab tests.
White Blood Cell Count
Hemoglobin
Hematocrit
Platelet Count
Basic Metabolic Panel (BMP) - ANS Sodium (Na+)
Chloride (Cl-)
Blood Urea Nitrogen (BUN)
Potassium (K+)
Sodium Bicarbonate (HCO3-)
Creatine (Cr)
Glucose (Glu)
Calcium (Chem 8)
Products of Choice Casualties in Hemorrhagic Shock - ANS Whole Blood
Plasma, RBC, and platelets in a 1:1:1 ratio
Plasma and RBCs in a 1:1 ratio
Plasma or RBCs alone
Crystalloid (Lactated Ringers or Plasma Lyte A)
guide questions and verified answers
What are the levels of care as defined in the PCC Guidelines? - ANS Tier 1: TCCC- All Service
Members
Tier 2: TCCC- Combat Life Saver
Tier 3: TCCC- Combat Medic/Corpsmen
TIer 4: TCCC- Combat Paramedic/Provider
What treatment algorithm do the PCC Guidelines follow? - ANS MARC2H3-PAWS-L
What do the letters of the treatment algorithm stand for? - ANS Massive hemorrhage, Airway,
Respirations, Circulation and Communication, Hyperthermia, Hypothermia, and Head, Pain,
Antibiotics, Wounds, Splinting, Logistics
Who maintains the Prolonged Casualty Care Guidelines? - ANS Joint Trauma System
Deployed Medicine
POI TCCC AAR Form (2 pages) - ANS Filled out as part of the AAR.
Include treatments/who did them.
Includes sustains, comments and improves.
Filled out for real and notional casualties.
TCCC PI Data Form (1 page) - ANS Filled out during or after.
Captures difficulties in treatment; check the boxes, useful for BAS.
Why is the DD 3019 not recommended for use in a Role 1 facility? - ANS 5 pages
Not designed for prehospital treatment, there are better products.
Very in-depth and needs proper training.
Focused on nursing/physician-level care in Role II.
Purpose of the DOD Advisor Line - ANS Consults from providers outside the area.
Basic Forms for PCC - ANS Prolonged Field Care Casualty Card
*not DOD recognized, but preferred for Role 1.
Benefits of the Prolonged Field CCC - ANS Provides a more in-depth care analysis.
What is POC testing? - ANS Near patient testing, remote testing, satellite testing, rapid
diagnostics.
, What factors can affect accuracy of lab results? - ANS Lack of skills, machine errors, patient
medications, a patient's age or gender.
Glucometers - ANS Test a patient's glucose level, small electronic device that must be QA/QC
regularly.
Urine Dipstick - ANS Tests produce results in 30-120 seconds.
Their accuracy is diminished if not read within a certain time window (normally has 6 panels to
read).
i-STAT Characteristics - ANS Mobile, 5-6 minutes for results, and has 11 total steps.
In current USAMMA sets.
Cartridges must be stores at 35-46F.
Cartridges must equalize at room temperature for 5 minutes and cannot be put back into fridge.
Unit cannot be stores in sunlight, 61-88F is ideal.
Piccolo Express Characteristics - ANS Stationary, 10-12 minutes for results, and has 3 total
steps.
Only requires 0.1cc of blood, serum, or plasma.
Stores 5,000 patient records.
Discs can be used right out of the fridge.
Complete Blood Count (CBC) - ANS Measures the major components of the blood. One of the
most common lab tests.
White Blood Cell Count
Hemoglobin
Hematocrit
Platelet Count
Basic Metabolic Panel (BMP) - ANS Sodium (Na+)
Chloride (Cl-)
Blood Urea Nitrogen (BUN)
Potassium (K+)
Sodium Bicarbonate (HCO3-)
Creatine (Cr)
Glucose (Glu)
Calcium (Chem 8)
Products of Choice Casualties in Hemorrhagic Shock - ANS Whole Blood
Plasma, RBC, and platelets in a 1:1:1 ratio
Plasma and RBCs in a 1:1 ratio
Plasma or RBCs alone
Crystalloid (Lactated Ringers or Plasma Lyte A)
