update) Assured success| grade A+
1. The majority of these potentially survivable Hemorrhage 90.9%b
deaths were due to?
2. What percent of combat fatalities are surviv- 24%
able by early intervention with Combat Medic
Tasks and rapid evacuation to a surgical facili-
ty?
3. Wound Data - Remember these areas are not Extremities 60%
protected by body armor.
4. Combat wounds have been consistent since WW1 through today
when?
5. Motor vehicle crashes, falls from greater than Tactical indications for spinal immo-
15 feet, IED Blast involving MRAP Vehicle bilization
6. What is not appropriate to perform on a pa- CPR
tient who has sustained blast or penetrating
trauma and has no signs of life?
7. In a combat environment CPR should be con- Hypothermia, near drowning, elec-
sidered for the following non-traumatic disor- trocution
ders.
8. This injury is caused by the blast overpressure Primary blast injury
(or wave) from an explosive.
9. Blast overpressure is more effective in this type Enclosed area
of area.
10. Inhalation burns occur with greater frequency Confined spaces
in fires in these areas.
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11. Single most significant obstacle to the Combat Enemy Fire
medics ability to provide care.
12. Factors influencing care on the battlefield. Enemy fire, medical equipment lim-
itations, widely variable evacuation
time.
13. Who is always in command and will decide if Tactical Leader
casualties will be evacuated?
14. Combat medics should use what before using Casualty's IFAK
their own supplies in their aid bag?
15. This contains a folding talon litter and a robust Warrior Aid and Litter Kit (WALK)
amount of first aid supplies suitable for hem-
orrhage control and treatment for shock.
16. Not every injured casualty will require what? Intravenous fluids
17. Option 1 for mild to moderate pain, casualty is Pill Pack self administered
still able to fight - Medications on the battle-
field.
18. Option 2 for moderate to severe pain, casualty Oral Transmuccal Fentanyl Citrate
is not in shock or respiratory distress. Casualty (OTFC) 800 ug
is not at significant risk of developing either
condition.
19. Option 3 for moderate to severe pain, casualty Ketamine 50 mg IM/IN or Ketamine
is in hemorrhagic shock or respiratory distress 20mg slow IV or IO
or is at risk of developing either condition.
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20. Alternative to OTFC if IV access has been ob- IV Morphine 5 mg IV/IO
tained.
21. This drug should be available when using opi- Naloxone (Narcan) 0.4 mg IV or IM
oid analgesics (OTFC and Morphine)
22. This drug is given every 6 hours as needed for Zofran, (Ondansetron) 4-8mg
nausea and vomiting. IV/IM/IO
23. This intervention may be needed after admin- Disarm the casualty
istering OTFC, Ketamine or Morphine
24. For casualties given opioids or ketamine en- Monitor airway, breathing and circu-
sure to do this. lation
25. Which drugs have the potential to worsen se- Ketamine and OTFC
vere TBI?
26. This drug is a useful adjunct to reduce the Ketamine
amount of opioids required to provide effec-
tive pain relief. It is safe to give to a casual-
ty who had previously received morphine or
OTFC. Should be given over 1 minute if IV.
27. Kills or inhibits the growth of bacteria, recom- Antibiotics
mended for all penetrating combat wounds.
28. Moxifloxacin (If able to take PO) 400 mg PO once a day (in the pill
pack)
29. Cefotetan (If unable to take PO) 2 mg IV (slow piush over 3-5 minutes
or IM every 12 hours)