Junctional hemorrhage - Answers These types of wounds are often caused by IEDS
Tension Pneumothorax - Answers •Air escapes from injured lung- pressure builds up on chest
•Air pressure collapses lung and pushes on heart
•Heart compressed- not able to pump as well
2nd intercostal and 4th or 5th - Answers Placement for decompression in tension pneumothorax
Tension pneumothorax - Answers SECOND LEADING cause of preventable death on battlefield after
hemorrhage
(1) Treat the casualty
(2) Prevent additional casualties
(3) Complete mission - Answers What are the 3 objectives of TCCC
CoTCCC - Answers Who is in charge of TCCC
67 - Answers How many successful tourniquets between 2005-2006
Ketamine - Answers What is the "Triple Option" for battlefield analgesia
Beginning of 2005 - Answers When did special operations and conventional units increase the usage of
TCCC
Tactical and environmental factors - Answers What two factors have a profound impact on trauma care
rendered on the battlefield
Up to 24% - Answers What percentage of combat deaths today are potentially preventable
(1) Care under fire (CUF)
(2) Tactical field care (TFC)
(3) TACEVAC care - Answers What are the 3 phases of care in TCCC
•return fire
•move patient
•apply tourniquet - Answers Care Under Fire
Fire Superiority - Answers What is the best medicine on the battlefield?
No - Answers Do penetrating head and neck injuries require C-Spine stabilization?
, When not under hostile fire - Answers When is the ONLY time you would apply C-Spine in a tactical
combat setting
•one person drag with/without line
•two-person drag with/without line
•SEAL team three carry (also called shoulder-belt carry)
•Hawes Carry (also called modified firearms carry or pack strap carry) - Answers Types of carries for care
under fire
Control of severe hemorrhage - Answers The number one medical priority in CUF is
Extremity hemorrhage - Answers What was the most frequent cause of preventable battlefield deaths
Over 2500 - Answers How many deaths occurred in Vietnam secondary to hemorrhage from extremity
wounds
Shock and death - Answers Injury to a major vessel can quickly lead to
Tactical Field Care (TFC) - Answers •reduced level of hazard from hostile fire
•more time available to provide care based on the tactical situation
•medical gear is still limited
•May consist of rapid treatment of the most serious wounds with expectations of a re-engagement with
hostile forces at any moment OR there may be ample time to render whatever care is possible
•time to evacuation may vary from minutes to hours
M: MASSIVE HEMORRHAGE
A: Airway
R: RESPIRATIONS
C: CIRCULATION
H: HYPOTHERMIA/ HEAD INJURY
P: PAIN MEDICATION - Answers The sequence of care in TFC is compatible with what algorithm
(1) establish a security perimeter
(2) maintain situational awareness
(3) triage casualties - Answers Tactical field care guidelines