TCCC TEST PREP 2023 WITH 100% CORRECT ANSWERS
1) Care Under Fire (CUF) 2) Tactical Field Care (TFC) 3) TACEVAC Phases of care(?) Tactical Evacuation Care, encompasses both MEDIVAC (dedicated non-combatant vehicles needing fire support) and CASEVAC (lifts of opportunities that include gunships) What is TACEVAC? Objectives of TCCC 1) Treat the casualty 2) Prevent additional casualties 3) Complete the mission 1) Oral medication 2) OTFC 3) Ketamine Triple option for meds P - Patient/Provider Safety M - Massive hemorrhages (91% of casualties) A - Airway R - Respiration (tension pneumothorax) C - Circulation (IV/IO) H - Head/Hypothermia P - Pain management PMARCHP 1) Weak radial pulse/absent pulse 2) Altered mental status Tactical indicators for hemorrhagic shock 1) Hextend bolus (500ml), wait 30 min and check for improvement 2) Hextend bolus (additional 500 ml) Max dose is 1000ml in 24 hrs Treatment for hemorrhagic shock 1) Uses suppressing fire / cover and concealment 2) Directs patient to self-care 3) Uses correct carry "Hey man, let Jim hold your weapon while I check you out." Action elements in "Patient Safety" (P)MARCHP 1) Direct pressure *PASS FAIL* 2) Effective tourniquet - Placement - Safeties (Velcro/windlass) - Bleeding controlled - 2:30 *PASS FAIL* 3) Reassess all tourniquets placed on patient after moving 4) Primary blood sweeps for additional bleed sites (big pipes / little pipes) Action elements in "Massive Hemorrhage" P(M)ARCHP
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