68W FC1 Questions With Complete Solutions
CPR - ANSWER -What is not appropriate to perform on a patient who
has sustained blast or penetrating trauma and has no signs of life?
Hypothermia, near drowning, electrocution - ANSWER -In a combat
environment CPR should be considered for the following non-traumatic
disorders.
Primary blast injury - ANSWER -This injury is caused by the blast
overpressure (or wave) from an explosive.
Enclosed area - ANSWER -Blast overpressure is more effective in this
type of area.
Confined spaces - ANSWER -Inhalation burns occur with greater
frequency in fires in these areas.
Enemy Fire - ANSWER -Single most significant obstacle to the
Combat medics ability to provide care.
Enemy fire, medical equipment limitations, widely variable evacuation
time. - ANSWER -Factors influencing care on the battlefield.
Tactical Leader - ANSWER -Who is always in command and will
decide if casualties will be evacuated?
Casualty's IFAK - ANSWER -Combat medics should use what before
using their own supplies in their aid bag?
, Warrior Aid and Litter Kit (WALK) - ANSWER -This contains a
folding talon litter and a robust amount of first aid supplies suitable for
hemorrhage control and treatment for shock.
Intravenous fluids - ANSWER -Not every injured casualty will require
what?
Pill Pack self administered - ANSWER -Option 1 for mild to moderate
pain, casualty is still able to fight - Medications on the battlefield.
Oral Transmuccal Fentanyl Citrate (OTFC) 800 ug - ANSWER -Option
2 for moderate to severe pain, casualty is not in shock or respiratory
distress. Casualty is not at significant risk of developing either condition.
Ketamine 50 mg IM/IN or Ketamine 20mg slow IV or IO - ANSWER -
Option 3 for moderate to severe pain, casualty is in hemorrhagic shock
or respiratory distress or is at risk of developing either condition.
IV Morphine 5 mg IV/IO - ANSWER -Alternative to OTFC if IV
access has been obtained.
Naloxone (Narcan) 0.4 mg IV or IM - ANSWER -This drug should be
available when using opioid analgesics (OTFC and Morphine)
Zofran, (Ondansetron) 4-8mg IV/IM/IO - ANSWER -This drug is
given every 6 hours as needed for nausea and vomiting.
Disarm the casualty - ANSWER -This intervention may be needed after
administering OTFC, Ketamine or Morphine
, Monitor airway, breathing and circulation - ANSWER -For casualties
given opioids or ketamine ensure to do this.
Ketamine and OTFC - ANSWER -Which drugs have the potential to
worsen severe TBI?
Ketamine - ANSWER -This drug is a useful adjunct to reduce the
amount of opioids required to provide effective pain relief. It is safe to
give to a casualty who had previously received morphine or OTFC.
Should be given over 1 minute if IV.
Antibiotics - ANSWER -Kills or inhibits the growth of bacteria,
recommended for all penetrating combat wounds.
400 mg PO once a day (in the pill pack) - ANSWER -Moxifloxacin (If
able to take PO)
2 mg IV (slow piush over 3-5 minutes or IM every 12 hours) -
ANSWER -Cefotetan (If unable to take PO)
1 gm IV/IM once a day - ANSWER -Ertapenem (If unable to take PO)
Tactical Combat Casualty Care Goals - ANSWER -Complete the
mission, prevent additional casualties and treat the casualty are what?
Care under fire, Tactical field care and Tactical evacuation phase -
ANSWER -What are the three phases of tactical combat casualty care?
Tactical field care phase - ANSWER -During this phase the combat
medic provides updates of evacuation category and changes in casualty
CPR - ANSWER -What is not appropriate to perform on a patient who
has sustained blast or penetrating trauma and has no signs of life?
Hypothermia, near drowning, electrocution - ANSWER -In a combat
environment CPR should be considered for the following non-traumatic
disorders.
Primary blast injury - ANSWER -This injury is caused by the blast
overpressure (or wave) from an explosive.
Enclosed area - ANSWER -Blast overpressure is more effective in this
type of area.
Confined spaces - ANSWER -Inhalation burns occur with greater
frequency in fires in these areas.
Enemy Fire - ANSWER -Single most significant obstacle to the
Combat medics ability to provide care.
Enemy fire, medical equipment limitations, widely variable evacuation
time. - ANSWER -Factors influencing care on the battlefield.
Tactical Leader - ANSWER -Who is always in command and will
decide if casualties will be evacuated?
Casualty's IFAK - ANSWER -Combat medics should use what before
using their own supplies in their aid bag?
, Warrior Aid and Litter Kit (WALK) - ANSWER -This contains a
folding talon litter and a robust amount of first aid supplies suitable for
hemorrhage control and treatment for shock.
Intravenous fluids - ANSWER -Not every injured casualty will require
what?
Pill Pack self administered - ANSWER -Option 1 for mild to moderate
pain, casualty is still able to fight - Medications on the battlefield.
Oral Transmuccal Fentanyl Citrate (OTFC) 800 ug - ANSWER -Option
2 for moderate to severe pain, casualty is not in shock or respiratory
distress. Casualty is not at significant risk of developing either condition.
Ketamine 50 mg IM/IN or Ketamine 20mg slow IV or IO - ANSWER -
Option 3 for moderate to severe pain, casualty is in hemorrhagic shock
or respiratory distress or is at risk of developing either condition.
IV Morphine 5 mg IV/IO - ANSWER -Alternative to OTFC if IV
access has been obtained.
Naloxone (Narcan) 0.4 mg IV or IM - ANSWER -This drug should be
available when using opioid analgesics (OTFC and Morphine)
Zofran, (Ondansetron) 4-8mg IV/IM/IO - ANSWER -This drug is
given every 6 hours as needed for nausea and vomiting.
Disarm the casualty - ANSWER -This intervention may be needed after
administering OTFC, Ketamine or Morphine
, Monitor airway, breathing and circulation - ANSWER -For casualties
given opioids or ketamine ensure to do this.
Ketamine and OTFC - ANSWER -Which drugs have the potential to
worsen severe TBI?
Ketamine - ANSWER -This drug is a useful adjunct to reduce the
amount of opioids required to provide effective pain relief. It is safe to
give to a casualty who had previously received morphine or OTFC.
Should be given over 1 minute if IV.
Antibiotics - ANSWER -Kills or inhibits the growth of bacteria,
recommended for all penetrating combat wounds.
400 mg PO once a day (in the pill pack) - ANSWER -Moxifloxacin (If
able to take PO)
2 mg IV (slow piush over 3-5 minutes or IM every 12 hours) -
ANSWER -Cefotetan (If unable to take PO)
1 gm IV/IM once a day - ANSWER -Ertapenem (If unable to take PO)
Tactical Combat Casualty Care Goals - ANSWER -Complete the
mission, prevent additional casualties and treat the casualty are what?
Care under fire, Tactical field care and Tactical evacuation phase -
ANSWER -What are the three phases of tactical combat casualty care?
Tactical field care phase - ANSWER -During this phase the combat
medic provides updates of evacuation category and changes in casualty
