Tactical combat casualty care Questions
With Complete Solutions
A C.A.T. should be loosened for one minute every 30 minutes to
prevent ischemic
damage to the limb Correct Answers False
A casualty has suffered a gunshot wound to the chest with more
difficulty breathing. The HM should... Correct Answers Needle
decompression for a suspected tension pneumothorax
A casualty has sustained a gunshot wound to the face. He is
conscious and maintaining his airway by sitting up and leaning
forward. HM manages airway by... Correct Answers Allow
him to continue to sit up and lean forward as care is rendered
A casualty who has suffered a severe TBI may exhibit signs of
cerebral herniation. If unilateral pupillary dilation occurs with a
decreasing level of consciousness during Tactical Evacuation
Care, all of the following should be performed Correct Answers
-Hyperventilation with oxygen
-Administer 250 cc of 3% or 5% hypertonic saline IV bolus
-Elevate the casualty's head to 30 degrees
A casualty with a palpable radial pulse has a systolic blood
pressure of approximately 80mmHg or higher Correct Answers
True
A casualty with a sucking chest wound has been treated with an
occlusive dressing. She begins to have increasing difficulty
,breathing. You suspect a developing tension pneumothorax.
Which of the following would be a preferred first step to
manage this condition in Tactical Field Care? Correct Answers
-Lift one side of the occlusive dressing to allow air to escape
from the chest
-Perform a needle decompression.
A serious need for an emergent CASEVAC Correct Answers A
casualty who was shot in the abdomen and who now has an
absent radial pulse.
Administering large quantities of fluids to a casualty who has
bleeding sites inside the chest or abdomen may worsen his or
her hemorrhage by diluting clotting factors or by interfering
with clot formation at the bleeding site. Correct Answers True
Advantage of fentanyl lozenges over morphine in
the tactical setting Correct Answers -No need to start an IV to
administer
-Works faster than IM morphine
After administering 500 ml of Hextend to an unconscious
casualty, his mental status has not improved and his radial pulse
remains absent. At this point you should: Correct Answers
Administer a second 500 ml bolus of Hextend
All combat casualties should have an IV started as soon as
possible. Correct Answers False
Amount of blood associated with death from hemorrhagic shock
Correct Answers 2.5 liters
, Amount of time to bleed to death from a femoral
wound/hemorrhage Correct Answers 3 minutes
Analgesia regimen for someone with moderately painful but non
life threatening wounds where they can still function as
combatant is Correct Answers Mobic and Tylenol ER
Analgesic agents part of the TCCC- recommended Triple-
Option analgesia plan Correct Answers -Meloxicam
-Oral transmucosal fentanyl citrate
-Ketamine
Antibiotics are recommended for all combat casualties who
sustain open wounds Correct Answers True
Best dressing to put over a sucking chest wound Correct
Answers Vented chest seal
Best location to apply a limb tourniquet when the most proximal
source of bleeding is not readily visible during Care Under Fire
Correct Answers Over the casualty's uniform as high on the
injured limb as possible
Best person to move a casualty to cover during Care Under Fire
Correct Answers The casualty herself
Casualties that may benefit from supplemental oxygen in TEC
Correct Answers -A casualty with an abdominal wound who is
in shock
-An semi-conscious casualty with TBI
With Complete Solutions
A C.A.T. should be loosened for one minute every 30 minutes to
prevent ischemic
damage to the limb Correct Answers False
A casualty has suffered a gunshot wound to the chest with more
difficulty breathing. The HM should... Correct Answers Needle
decompression for a suspected tension pneumothorax
A casualty has sustained a gunshot wound to the face. He is
conscious and maintaining his airway by sitting up and leaning
forward. HM manages airway by... Correct Answers Allow
him to continue to sit up and lean forward as care is rendered
A casualty who has suffered a severe TBI may exhibit signs of
cerebral herniation. If unilateral pupillary dilation occurs with a
decreasing level of consciousness during Tactical Evacuation
Care, all of the following should be performed Correct Answers
-Hyperventilation with oxygen
-Administer 250 cc of 3% or 5% hypertonic saline IV bolus
-Elevate the casualty's head to 30 degrees
A casualty with a palpable radial pulse has a systolic blood
pressure of approximately 80mmHg or higher Correct Answers
True
A casualty with a sucking chest wound has been treated with an
occlusive dressing. She begins to have increasing difficulty
,breathing. You suspect a developing tension pneumothorax.
Which of the following would be a preferred first step to
manage this condition in Tactical Field Care? Correct Answers
-Lift one side of the occlusive dressing to allow air to escape
from the chest
-Perform a needle decompression.
A serious need for an emergent CASEVAC Correct Answers A
casualty who was shot in the abdomen and who now has an
absent radial pulse.
Administering large quantities of fluids to a casualty who has
bleeding sites inside the chest or abdomen may worsen his or
her hemorrhage by diluting clotting factors or by interfering
with clot formation at the bleeding site. Correct Answers True
Advantage of fentanyl lozenges over morphine in
the tactical setting Correct Answers -No need to start an IV to
administer
-Works faster than IM morphine
After administering 500 ml of Hextend to an unconscious
casualty, his mental status has not improved and his radial pulse
remains absent. At this point you should: Correct Answers
Administer a second 500 ml bolus of Hextend
All combat casualties should have an IV started as soon as
possible. Correct Answers False
Amount of blood associated with death from hemorrhagic shock
Correct Answers 2.5 liters
, Amount of time to bleed to death from a femoral
wound/hemorrhage Correct Answers 3 minutes
Analgesia regimen for someone with moderately painful but non
life threatening wounds where they can still function as
combatant is Correct Answers Mobic and Tylenol ER
Analgesic agents part of the TCCC- recommended Triple-
Option analgesia plan Correct Answers -Meloxicam
-Oral transmucosal fentanyl citrate
-Ketamine
Antibiotics are recommended for all combat casualties who
sustain open wounds Correct Answers True
Best dressing to put over a sucking chest wound Correct
Answers Vented chest seal
Best location to apply a limb tourniquet when the most proximal
source of bleeding is not readily visible during Care Under Fire
Correct Answers Over the casualty's uniform as high on the
injured limb as possible
Best person to move a casualty to cover during Care Under Fire
Correct Answers The casualty herself
Casualties that may benefit from supplemental oxygen in TEC
Correct Answers -A casualty with an abdominal wound who is
in shock
-An semi-conscious casualty with TBI
