WITH COMPLETE SOLUTIONS
GRADED A+
QUESTIONS AND ANSWERS
Hemorrhage 90.9%b. ANSWER -The majority of these potentially survivable deaths
were due to?
24%. ANSWER -What percent of combat fatalities are survivable by early
intervention with Combat Medic Tasks and rapid evacuation to a surgical facility?
Extremities 60%. ANSWER -Wound Data - Remember these areas are not protected
by body armor.
WW1 through today. ANSWER -Combat wounds have been consistent since when?
Tactical indications for spinal immobilization. ANSWER -Motor vehicle crashes, falls
from greater than 15 feet, IED Blast involving MRAP Vehicle
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.