EFMB CORRECT COMPREHENSIVE ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔T/F: When providing point of injury care to a burn patient, you must immediately
debride blisters and cover burns with loose, moist gauze wraps or a wet clean sheet. -
✔✔FALSE. In the field, Interrupt the Burning Process and address any life threatening
bleeding, airway compromise, or tension pneumothorax as directed by Tactical Combat
Casualty Care guidelines.
Do not debride blisters until the patient has reached a facility with surgical capability.
Cover burns with loose, DRY gauze wraps or a clean sheet.
✔✔Calculate a burn patient's initial burn size using the Rule of __________. - ✔✔Nines
✔✔Which type of burn is NOT included in the estimation of Total Body Surface Area
(TBSA) used for fluid resuscitation? - ✔✔Superficial Burns (1st Degree)
✔✔Which classification of burns appear red, do not blister, and blanch readily? -
✔✔Superficial Burns (1st Degree)
✔✔Which classification of burns are moist and sensate, blister, and blanch? - ✔✔Partial
Thickness Burns (2nd Degree)
✔✔Which classification of burns appear leathery, dry, non-blanching, are insensate,
and often contain thrombosed vessels? - ✔✔Full Thickness Burns (3rd Degree)
✔✔What is the Rule of 10s burn fluid resuscitation equation? (Ensure You Can Apply It)
- ✔✔Use the Rule of Tens to Determine Fluid Requirements for the First 24 Hours Post-
Burn.
10 mL/hr x %TBSA > 40kg and < 80kg.
,If > 80kg, Add 100 mL/hr to IV fluid rate for Every 10 kg > 80kg
For Children, 3 x TBSA x Body Weight (kg) gives the Volume for the First 24 Hours
✔✔For children suffering burn injuries, __________ x Total Body Surface Area (TBSA)
x Body Weight (kg) gives the volume for the first 24 hours of fluid resuscitation. - ✔✔3
✔✔T/F: A hypotonic solution is the preferred resuscitation fluid for a burn patient. -
✔✔FALSE. Lactated Ringer's (LR), Plasmalyte (Baxter International, Deerfield, II) or
other isotonic solution is the preferred
✔✔T/F: Both under- and over- fluid resuscitation of burn patients can result in serious
morbidity and even mortality; patients who receive over 250 mL/kg in the first 24 hours
are at increased risk for severe complications including acute respiratory distress
syndrome and both abdominal and extremity compartment syndromes. - ✔✔TRUE
✔✔At 8-12 hours post-burn, if the hourly IV fluid rate exceeds 1500mL/hr, or if the
projected 24 hour total fluid volume approaches 250 mL/kg, initiate 5% __________
infusion for an adult burn patient. - ✔✔albumin
✔✔What are the clinical signs of inhalation injury? - ✔✔1. Progressive Voice Changes
2. Soot About the Mouth and Nares
3. Hypoxia
4. Shortness of Breath
"PSHS"
✔✔Definitive care for U.S. Service Members suffering from burn injuries is provided at
__________ - ✔✔USAISR Burn Center in San Antonio, Texas
✔✔T/F: Early ambulation and physical therapy is critical to the long-term functional
outcome in burn patients. Once post-operative dressings are removed, perform range of
motion of all affected joints. - ✔✔TRUE
✔✔__________ is the most common infectious complication with pediatric burn patients
and usually presents within five (5) days of injury. - ✔✔Cellulitis
✔✔A patient has suffered burn injuries to the entire anterior torso (chest and abdomen),
the anterior and posterior of both arms, and the anterior of his face and neck. Calculate
the patient's initial burn size using the Rule of Nines. - ✔✔Anterior Torso - 18%
Anterior & Posterior of Both Arms - 4.5% x 4 = 18%
Anterior of Face & Neck - 4.5%
Total of 40.5%
,✔✔A patient has suffered burn injuries to anterior and posterior legs and the perineum.
Calculate the patient's initial burn size using the Rule of Nines. - ✔✔Anterior Legs - 9%
x 2 = 18%
Posterior Legs 9% x 2 = 18%
Perineum = 1%
Total of 37%
✔✔A patient has suffered burn injuries to the anterior of her face, neck, and torso (chest
and abdomen). Calculate the patient's initial burn size using the Rule of Nines. -
✔✔Anterior Face & Neck - 4.5%
Anterior Torso - 18%
Total of 22.5%
✔✔Section 4: Military Working Dogs - ✔✔-
✔✔T/F: In addition to providing immediate care to preserve life, limb, or eye sight when
veterinary personnel are not available, human healthcare providers are also responsible
for providing routine medical, dental, or surgical care to Military Working Dogs in combat
or austere areas of operation. - ✔✔FALSE. Routine medical, dental, or surgical care is
NOT to be provided by Human Healthcare Providers (HCPs).
✔✔The __________ is the best person to control the Military Working Dog; they have
the most accurate information about past medical problems and the current situation,
and they have first aid training and can assist in care. - ✔✔dog handler
✔✔__________ is the normal temperature (rectal) range for a Military Working Dog at
rest. - ✔✔101 - 103 Degrees F
✔✔__________ is the heart/pulse rate range for a Military Working Dog at rest. - ✔✔60
- 80 bpm
✔✔T/F: The normal blood pressure for a Military Working Dog at rest is systolic 120
mmHg / diastolic 80 mmHg. - ✔✔TRUE. Systolic 120 mmHg, Diastolic 80 mmHg
✔✔Use the __________ vein for long-term fluid therapy, large volume fluid delivery,
and repeated blood sampling on Military Working Dogs. - ✔✔external jugular vein
✔✔T/F: When introducing a catheter into a Military Working Dog, it is acceptable to
create a small nick over the intended catheter insertion site to facilitate penetration of
the dog's thick skin. - ✔✔TRUE. This nick can be made with the tip of a #11 scalpel
blade or the bevel of an 18-gauge needle
, ✔✔The arterial pulse of a Military Working Dog is best palpated at the __________
artery on the medial aspect of the proximal thigh in the inguinal area, or at the dorsal
metatarsal artery on the dorsal aspect of the proximal hind paw. - ✔✔femoral
✔✔Pulse oximetry probes used for people (typically finger probes) are best placed on
the __________ for optimal reliability in unconscious, sedated, or anesthetized dogs. -
✔✔tongue
✔✔What are the three (3) characteristic breathing patterns typically displayed in Military
Working Dogs in respiratory distress? - ✔✔1. Parenchymal
2. Restrictive
3. Obstructive
"PRO"
✔✔When performing a tracheostomy on a Military Working Dog, make a transverse
incision completely through the __________ ligament. - ✔✔annular
✔✔While placing an endotracheal tube in a Military Working Dog, you palpate the dog's
neck and feel two (2) tubes. This indicates that the endotracheal tube is in the dog's
__________. - ✔✔esophagus
✔✔When performing cardiopulmonary resuscitation on a Military Working Dog, begin
sustained, forceful chest compressions with the MWD in lateral recumbency (on either
side) at a rate of __________ compressions per minute. Sustain compression for at
least 2-3 minutes per cycle. - ✔✔100
✔✔T/F: If single-person cardiopulmonary resuscitation is performed on a Military
Working Dog, the responder should only perform ventilation, as this optimizes
circulation. - ✔✔FALSE. The responder should only perform chest compressions, as
this optimizes circulation.
✔✔T/F: Conventional human tourniquets applied to the limb of a Military Working Dog
are an unreliable intervention to effectively control hemorrhage. - ✔✔TRUE.
Tourniquets are unreliable on the limbs of dogs due to the anatomic shape of the leg.
✔✔Calculate the approximate safe but effective crystalloid bolus volume for a 55 pound
Military Working Dog experiencing signs and symptoms of shock. - ✔✔ADD a ZERO (0)
to the Dog's Body Weight (in Pounds) to Approximate a Safe but Effective Bolus
Volume.
Approximate Safe Bolus Volume = 550 mL
QUESTIONS AND ANSWERS SURE A+
✔✔T/F: When providing point of injury care to a burn patient, you must immediately
debride blisters and cover burns with loose, moist gauze wraps or a wet clean sheet. -
✔✔FALSE. In the field, Interrupt the Burning Process and address any life threatening
bleeding, airway compromise, or tension pneumothorax as directed by Tactical Combat
Casualty Care guidelines.
Do not debride blisters until the patient has reached a facility with surgical capability.
Cover burns with loose, DRY gauze wraps or a clean sheet.
✔✔Calculate a burn patient's initial burn size using the Rule of __________. - ✔✔Nines
✔✔Which type of burn is NOT included in the estimation of Total Body Surface Area
(TBSA) used for fluid resuscitation? - ✔✔Superficial Burns (1st Degree)
✔✔Which classification of burns appear red, do not blister, and blanch readily? -
✔✔Superficial Burns (1st Degree)
✔✔Which classification of burns are moist and sensate, blister, and blanch? - ✔✔Partial
Thickness Burns (2nd Degree)
✔✔Which classification of burns appear leathery, dry, non-blanching, are insensate,
and often contain thrombosed vessels? - ✔✔Full Thickness Burns (3rd Degree)
✔✔What is the Rule of 10s burn fluid resuscitation equation? (Ensure You Can Apply It)
- ✔✔Use the Rule of Tens to Determine Fluid Requirements for the First 24 Hours Post-
Burn.
10 mL/hr x %TBSA > 40kg and < 80kg.
,If > 80kg, Add 100 mL/hr to IV fluid rate for Every 10 kg > 80kg
For Children, 3 x TBSA x Body Weight (kg) gives the Volume for the First 24 Hours
✔✔For children suffering burn injuries, __________ x Total Body Surface Area (TBSA)
x Body Weight (kg) gives the volume for the first 24 hours of fluid resuscitation. - ✔✔3
✔✔T/F: A hypotonic solution is the preferred resuscitation fluid for a burn patient. -
✔✔FALSE. Lactated Ringer's (LR), Plasmalyte (Baxter International, Deerfield, II) or
other isotonic solution is the preferred
✔✔T/F: Both under- and over- fluid resuscitation of burn patients can result in serious
morbidity and even mortality; patients who receive over 250 mL/kg in the first 24 hours
are at increased risk for severe complications including acute respiratory distress
syndrome and both abdominal and extremity compartment syndromes. - ✔✔TRUE
✔✔At 8-12 hours post-burn, if the hourly IV fluid rate exceeds 1500mL/hr, or if the
projected 24 hour total fluid volume approaches 250 mL/kg, initiate 5% __________
infusion for an adult burn patient. - ✔✔albumin
✔✔What are the clinical signs of inhalation injury? - ✔✔1. Progressive Voice Changes
2. Soot About the Mouth and Nares
3. Hypoxia
4. Shortness of Breath
"PSHS"
✔✔Definitive care for U.S. Service Members suffering from burn injuries is provided at
__________ - ✔✔USAISR Burn Center in San Antonio, Texas
✔✔T/F: Early ambulation and physical therapy is critical to the long-term functional
outcome in burn patients. Once post-operative dressings are removed, perform range of
motion of all affected joints. - ✔✔TRUE
✔✔__________ is the most common infectious complication with pediatric burn patients
and usually presents within five (5) days of injury. - ✔✔Cellulitis
✔✔A patient has suffered burn injuries to the entire anterior torso (chest and abdomen),
the anterior and posterior of both arms, and the anterior of his face and neck. Calculate
the patient's initial burn size using the Rule of Nines. - ✔✔Anterior Torso - 18%
Anterior & Posterior of Both Arms - 4.5% x 4 = 18%
Anterior of Face & Neck - 4.5%
Total of 40.5%
,✔✔A patient has suffered burn injuries to anterior and posterior legs and the perineum.
Calculate the patient's initial burn size using the Rule of Nines. - ✔✔Anterior Legs - 9%
x 2 = 18%
Posterior Legs 9% x 2 = 18%
Perineum = 1%
Total of 37%
✔✔A patient has suffered burn injuries to the anterior of her face, neck, and torso (chest
and abdomen). Calculate the patient's initial burn size using the Rule of Nines. -
✔✔Anterior Face & Neck - 4.5%
Anterior Torso - 18%
Total of 22.5%
✔✔Section 4: Military Working Dogs - ✔✔-
✔✔T/F: In addition to providing immediate care to preserve life, limb, or eye sight when
veterinary personnel are not available, human healthcare providers are also responsible
for providing routine medical, dental, or surgical care to Military Working Dogs in combat
or austere areas of operation. - ✔✔FALSE. Routine medical, dental, or surgical care is
NOT to be provided by Human Healthcare Providers (HCPs).
✔✔The __________ is the best person to control the Military Working Dog; they have
the most accurate information about past medical problems and the current situation,
and they have first aid training and can assist in care. - ✔✔dog handler
✔✔__________ is the normal temperature (rectal) range for a Military Working Dog at
rest. - ✔✔101 - 103 Degrees F
✔✔__________ is the heart/pulse rate range for a Military Working Dog at rest. - ✔✔60
- 80 bpm
✔✔T/F: The normal blood pressure for a Military Working Dog at rest is systolic 120
mmHg / diastolic 80 mmHg. - ✔✔TRUE. Systolic 120 mmHg, Diastolic 80 mmHg
✔✔Use the __________ vein for long-term fluid therapy, large volume fluid delivery,
and repeated blood sampling on Military Working Dogs. - ✔✔external jugular vein
✔✔T/F: When introducing a catheter into a Military Working Dog, it is acceptable to
create a small nick over the intended catheter insertion site to facilitate penetration of
the dog's thick skin. - ✔✔TRUE. This nick can be made with the tip of a #11 scalpel
blade or the bevel of an 18-gauge needle
, ✔✔The arterial pulse of a Military Working Dog is best palpated at the __________
artery on the medial aspect of the proximal thigh in the inguinal area, or at the dorsal
metatarsal artery on the dorsal aspect of the proximal hind paw. - ✔✔femoral
✔✔Pulse oximetry probes used for people (typically finger probes) are best placed on
the __________ for optimal reliability in unconscious, sedated, or anesthetized dogs. -
✔✔tongue
✔✔What are the three (3) characteristic breathing patterns typically displayed in Military
Working Dogs in respiratory distress? - ✔✔1. Parenchymal
2. Restrictive
3. Obstructive
"PRO"
✔✔When performing a tracheostomy on a Military Working Dog, make a transverse
incision completely through the __________ ligament. - ✔✔annular
✔✔While placing an endotracheal tube in a Military Working Dog, you palpate the dog's
neck and feel two (2) tubes. This indicates that the endotracheal tube is in the dog's
__________. - ✔✔esophagus
✔✔When performing cardiopulmonary resuscitation on a Military Working Dog, begin
sustained, forceful chest compressions with the MWD in lateral recumbency (on either
side) at a rate of __________ compressions per minute. Sustain compression for at
least 2-3 minutes per cycle. - ✔✔100
✔✔T/F: If single-person cardiopulmonary resuscitation is performed on a Military
Working Dog, the responder should only perform ventilation, as this optimizes
circulation. - ✔✔FALSE. The responder should only perform chest compressions, as
this optimizes circulation.
✔✔T/F: Conventional human tourniquets applied to the limb of a Military Working Dog
are an unreliable intervention to effectively control hemorrhage. - ✔✔TRUE.
Tourniquets are unreliable on the limbs of dogs due to the anatomic shape of the leg.
✔✔Calculate the approximate safe but effective crystalloid bolus volume for a 55 pound
Military Working Dog experiencing signs and symptoms of shock. - ✔✔ADD a ZERO (0)
to the Dog's Body Weight (in Pounds) to Approximate a Safe but Effective Bolus
Volume.
Approximate Safe Bolus Volume = 550 mL
