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What are the three preventable causes of death on battlefield? - 90% hemorrhage - 8% Airway Obstruction - 2% Tension Pneumothorax What categories are common wounds located? - 67% Truncal - 20% Junctional - 13% Extremity What is Primary Blast Injury caused by? Damage to what organs? - Blast overpresure/wave - Hollow organs(4): Lungs, Colon, Stomach, Tympanic Membrane What causes Secondary Blast Injuries? - Debris or shrapnel from explosion What causes Tertiary Blast Injury? When casualty is blown into a solid object such as a wall or vehicle and suffers blunt trauma What is the single most significant obstacle that Combat Medics face? Enemy Fire Who is always in command and will decide if casualties will be evacuated? Tactical Leader What Analgesics should be administered if casualty has Mild to Moderate pain, and is still able to fight? - Tylenol - Meloxicam What Analgesics should be administered if casualty has Moderate to Severe pain and is not in shock or respiratory distress and casualty is not at significant risk of developing either conditions? - OTFC @ 800ug - IV Morphine 5m IV/IO, diluted in 5ccs of sterile solution What Analgesics should be administered if casualty has Moderate to Severe pain and is in hemorrhagic shock or respiratory distress or casualty is at significant risk of developing either condition? - Ketamine 50 mg IM/IN or 20mg slow IV or IO What is nystagmus? -Rhythmic back and forth movement of eyes. What other available medicines should Medics have? - Naloxene for OD - Zofran aka Ondansetron 4-8mg IV/IM/IO for nausea or vomiting What Analgesics have the potential to worsen TBI(Traumatic Brain Injury?) - Ketamine - OTFC What complaint will the casualty have that indicated Analgesics will not likely worsen TBI? pAiN What Antibiotics are administered if casualty is able to take PO - Moxifloxacin, 400mg once a day What Antibiotics are administered if casualty is not able to take PO - Cefotetan, 2gm IV (slow push over 3-5 min) or IM every 12 hrs - Ertapenem, 1gm IV/IM once a day What are the TCCC Goals? - Complete the Mission - Prevent additional casualties - Treat the Casualty Why should you document when caring for a casualty?(6) - Is Part of soldier's official and permanent medical record. - Aids medical treatment staff by having a record of care initiated and rendered in the field - May prevent accidental med overdose - Alert receiving MTF for any special care needs - Provides accurate record of care already given - May be used to record outpatient treatment when medical record is not available What is the overall goal of medical documentation? - To provide written record of assessment findings and treatments given Check abbreviations on pg. 28 - Go To Page 28 nerd. This is a Threat YeEtUs DeLeTuS


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