Solutions 2024
what are 3 preventable causes of death on battlefield? - Answer- 1. hemorrhage (90% died from)
2. tension pneumothorax (2% died from)
3. airway obstruction (8% died from)
what are 3 locations of wounds on battlefield and the percentages of each one - Answer- 1. extremities
(60%)
2. head/neck (25%)
3. torso (9%)
what is the leading cause of death on battlefield and the percentages of each category? - Answer-
hemorrhage is leading cause of death
categories of hemorrhage
-extremity (13.5%)
-junctional (19.2%)
-truncal (67.3%)
what are combat wounds are predominantly due to? - Answer- penetrating trauma
what are civilian wounds are predominantly due to? - Answer- blunt trauma
what are 3 tactical indications for spinal immobilization? - Answer- -motor vehicle crashes
-falls > 15ft
-IED blast involving MRAP vehicle
MRAP = mine resistant ambush protected (picture)
,in a combat environment cpr should be considered for non-traumatic disorders such as: - answer-
hypothermia, near-drowning, electrocution, or if your casualty was alive and lost vital signs while en
route to a mtf
primary blast injury is caused by: - answer- the blast overpressure (or pressure wave) from an explosive
secondary blast injury is caused by: - answer- debris or shrapnel from an explosion
tertiary blast injury is when: - answer- the casualty is blown into a solid object such as a wall or vehicle
and suffers blunt trauma.
inhalation burns occur in ________ _____ & cause: - answer- inhalation burns occur in confined spaces
& causes airway edema resulting in an inadequate airway. prepare to perform a surg cricothyroidoctomy
why is spinal immobilization limited on the battlefield? - answer- 1) time consuming
2) only 1.4% penetrating neck injuries require immobilization
3) less blunt trauma, more penetrating trauma
under what conditions would you consider spinal precautions? - answer- 1) motor vehicle crashes
2) falls > 15'
3) ied blast involving mrap vehicles (mraps are top heavy & more likely to roll)
what is the most significant obstacle to the combat medic's ability to provide care? - answer- enemy fire
the ________ ______ is always in command and will decide if casualties will be evacuated. the ______
_____ can only provide recommendations for evac. - answer- the tactical leader is always in command
and will decide if casualties will be evacuated. the combat medic provides recommendations for evac
only.
when is battlefield CPR *not* appropriate? - Answer- casualty has sustained blast or penetrating trauma
with no signs of life
,when *might* battlefield CPR be appropriate? - Answer- casualty loses vital signs and is close to
definitive care facility with penetrating trauma (brief periods of CPR may be beneficial)
in a combat environment, what 3 non-traumatic disorders should CPR be considered for? - Answer- -
hypothermia
-near-drowning
-electrocution
describe the levels of blast injuries - Answer- primary
-*due to wave itself*
secondary
-*caused by debris or shrapnel from explosion*
tertiary
-*impact with another object*
-casualty blown into a solid object and suffers blunt force trauma
during the primary level of blast injuries, how are hallow organs affected? - Answer- -lungs (pulmonary
hemorrhage with hypoxia)
-colon (ruptured colon with hemorrhage and fecal contamination of peritoneum)
-stomach (gastric hemorrhage with shock)
-middle ear/ eardrum (tympanic membrane rupture)
what are 2 types of significant penetrating trauma MOIs? - Answer- ballistics and blast injuries
what are some distinct characteristics of ballistic injuries? - Answer- -caused by projectiles that penetrate
casualty (typically bullets or shrapnel and debris from explosions)
-causes significant tissue disruption and hemorrhage when a bone is struck
-discrete entrance wounds (hard to detect)
-irregular, unpredictable wound paths
, -require assessment for exit wound due to high kinetic energy of projectile
what does the term "x" refer to? - answer- "x" refers to where the casualty went down or wounded; also
known as the "hot spot" in the immediate danger area.
what are the 3 warrior tasks? - answer- 1) opening airway by positioning
2) insertion of an npa
3) hemorrhage control
what are the tasks of cls? - answer- includes all 3 warrior tasks & the following:
1) occlusive dressings with needle chest decompression
2) use of hemostatic agents
*cls do not initiate ivs.
walk - answer- w - arrior
a - aid
and
l - litter
k - kit
what is in a walk & where would you find one? - answer- first aid supplies for hemorrhage control &
shock treatment and a folding talon liter
found on vehicles in case of ied strike
on the battlefield, where is the first place you should consider when accessing medical supplies? - answer-
casualtie's ifak
what is the greatest concern with inhalation burns? - Answer- greatest concern is airway edema
(be prepared to perform surgical cricothyroidotomy)