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What are the indications for a surgical cricothyroidotomy?
- severe facial trauma
- airway obstruction
- inhalation burns
What are the complications of a cric?
Venous bleeding, arterial bleeding from the thyroid artery, misplacement of tube , esophageal
laceration, hematoma, vocal cord paralysis
Name the 3 manual maneuvers to open a casualty's airway
1. Head tilt chin lift
2. Jaw thrust
3. Recovery position
What may lead to profound bradycardia and hypotension and how do you prevent it?
Vagal nerve stimulation; limit suctioning to 15 seconds
What is the preferred advanced airway in combat?
Surgical cric
The cricothyroid membrane is located between the ______ cartilage and the ______ cartilage
Thyroid and cricoid
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,What are the complications of the King LT
Sore throat, dysphagia, upper airway hematoma, esophageal rupture, vomiting
A penetrating wound at the _______ intercostal space or lower should be assumed to be an abdominal
and thoracic injury
Fourth
For a sucking chest wound to be present the would must be at least ______ the size of the trachea
2/3 rds
What is the complete collapse of the lung?
Tension pneumothorax
Caused by the accumulation of air within the potential space between the visceral and parietal pleura
Pneumothorax
How long is the NCD effective for?
4 hours
What is the landmark for an NCD?
2nd ICS
What is the size needle used for an NCD?
14g 3.25 inch needle
What are the signs of a pneumothorax?
Progressive respiratory distress, diminished breath sounds, anxiety, apprehension, agitation, tracheal
deviation, hypotension
What is the definitive treatment for a pneumothorax?
Chest tube
how long is an NCD effective for?
4 hours
What is the first choice of pain medication for a patient who has mild to moderate pain and is NOT in
shock or respiratory distress?
Tylenol (2 650 mg bilayered caplets) or Mobic (15 mg)
What percentage of combat wounds were to extremities?
60%
Name the three tactical indications for spinal immobilization:
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, 1. Moor vehicle crashes
2. Falls from greater than 15 feet
3. IED blast involving an MRAP vehicle
Which type of injury is caused by blast overpressure (or wave) from an explosive?
Primary blast injury
What is damage to hollow organs from a blast called?
Blast lung (pulmonary hemorrhage with hypoxia)
This is caused by debris or shrapnel from an explosion
Secondary blast injury
This is when the casualty is blown into a solid object such as a wall of vehicle and suffers blunt trauma
Tertiary blast injury
What is the single most significant obstacle to the combat medic's ability to provide care?
Enemy fire
Who is in command and will decide if casualties will be evacuated?
Tactical leader
This refers ton the place where the casualty went down or was wounded in battle
The "X"
Both ________ and _____ have the potential to worsen TBI
Ketamine and OTFC
Antibiotics are indicated for what?
All penetrating trauma
What does APEL stand for?
Authorized Protective Eyewear List
When the green end of the earpro is visable you are protected from what?
Protection during weapons fire while allowing the wearer to hear tactically
When the yellow end of the earpro is visable what is provided?
Maximum protection
What are the goals of TCCC?
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