68W Fc1 Questions And Answers|Verified 100% Correct

68W FC1 QUESTIONS AND ANSWERS|VERIFIED 100% CORRECT What is not appropriate to perform on a patient who has sustained blast or penetrating trauma and has no signs of life? - ANSWER CPR In a combat environment CPR should be considered for the following non-traumatic disorders. - ANSWER Hypothermia, near drowning, electrocution This injury is caused by the blast overpressure (or wave) from an explosive. - ANSWER Primary blast injury Blast overpressure is more effective in this type of area. - ANSWER Enclosed area Inhalation burns occur with greater frequency in fires in these areas. - ANSWER Confined spaces Single most significant obstacle to the Combat medics ability to provide care. - ANSWER Enemy Fire Factors influencing care on the battlefield. - ANSWER Enemy fire, medical equipment limitations, widely variable evacuation time. Who is always in command and will decide if casualties will be evacuated? - ANSWER Tactical Leader Combat medics should use what before using their own supplies in their aid bag? - ANSWER Casualty's IFAK This contains a folding talon litter and a robust amount of first aid supplies suitable for hemorrhage control and treatment for shock. - ANSWER Warrior Aid and Litter Kit (WALK) Not every injured casualty will require what? - ANSWER Intravenous fluids Option 1 for mild to moderate pain, casualty is still able to fight - Medications on the battlefield. - ANSWER Pill Pack self administered Option 2 for moderate to severe pain, casualty is not in shock or respiratory distress. Casualty is not at significant risk of developing either condition. - ANSWER Oral Transmuccal Fentanyl Citrate (OTFC) 800 ug Option 3 for moderate to severe pain, casualty is in hemorrhagic shock or respiratory distress or is at risk of developing either condition. - ANSWER Ketamine 50 mg IM/IN or Ketamine 20mg slow IV or IO Alternative to OTFC if IV access has been obtained. - ANSWER IV Morphine 5 mg IV/IO This drug should be available when using opioid analgesics (OTFC and Morphine) - ANSWER Naloxone (Narcan) 0.4 mg IV or IM The majority of these potentially survivable deaths were due to? - ANSWER Hemorrhage 90.9%b What percent of combat fatalities are survivable by early intervention with Combat Medic Tasks and rapid evacuation to a surgical facility? - ANSWER 24% Wound Data - Remember these areas are not protected by body armor. - ANSWER Extremities 60% Combat wounds have been consistent since when? - ANSWER WW1 through today Motor vehicle crashes, falls from greater than 15 feet, IED Blast involving MRAP Vehicle - ANSWER Tactical indications for spinal immobilization This drug is given every 6 hours as needed for nausea and vomiting. - ANSWER Zofran, (Ondansetron) 4-8mg IV/IM/IO This intervention may be needed after administering OTFC, Ketamine or Morphine - ANSWER Disarm the casualty For casualties given opioids or ketamine ensure to do this. - ANSWER Monitor airway, breathing and circulation Which drugs have the potential to worsen severe TBI? - ANSWER Ketamine and OTFC This drug is a useful adjunct to reduce the amount of opioids required to provide effective pain relief. It is safe to give to a casualty who had previously received morphine or OTFC. Should be given over 1 minute if IV. - ANSWER Ketamine Kills or inhibits the growth of bacteria, recommended for all penetrating combat wounds. - ANSWER Antibiotics Moxifloxacin (If able to take PO) - ANSWER 400 mg PO once a day (in the pill pack) Cefotetan (If unable to take PO) - ANSWER 2 mg IV (slow piush over 3-5 minutes or IM every 12 hours) Ertapenem (If unable to take PO) - ANSWER 1 gm IV/IM once a day Complete the mission, prevent additional casualties and treat the casualty are what? - ANSWER Tactical Combat Casualty Care Goals What are the three phases of tactical combat casualty care? - ANSWER Care under fire, Tactical field care and Tactical evacuation phase During this phase the combat medic provides updates of evacuation category and changes in casualty status. Assesses for and treats preventable causes of death and disability. Non-life