AND SOLUTIONS GRADED A+
✔✔Minimal - ✔✔Ambulatory or walking wounded. Patients in the this groups have
relatively minor injuries and can effectively care for themselves or be rendered minimal
medical care.
These casualties may also constitute a manpower resource utilized to assist with
movement of care of the injured.
✔✔Examples of Minimal category injuries include: - ✔✔Minor laceration or abrasions
Contusions
Sprains and strains
Minor combat stress problems
Burns, first or second degree under 20% TBSA and involving hands, feet, genitalia, or
perineum.
Upper extremity fractures without neurovascular compromise
Behavioral disorders or other psychiatric disturbances
Suspicion of blast injury (suspected ruptured TMs)
Symptomatic but unquantified radiation exposure
✔✔Expectant - ✔✔Casualties in the expectant categories have wounds that are so
extensive that even if they were the sole casualty and had the benefit of optimal medical
resources application, their survival would be very unlikely.
Expectant casualties should be separated from the view of other casualties but should
not be abandoned. Attempt to make them comfortable if possible and have a medic
available for pain control.
✔✔Examples of Expectant category injuries include: - ✔✔Unresponsive casualties with
penetrating head wounds and signs of impending death
Burns, mostly third degree covering more than 85% TBS without reasonable chance of
survivable
Cervical (high) spinal cord injuries
Mutilating explosive wounds involving multiple anatomical sites and organs
,Profound shock with multiple injuries
Agonal respirations
Convulsions and vomiting within 24 hours of post-radiation exposure
Any casualty arriving without vital signs or signs of life regardless of MOI
Transcranial GSW with coma
Open pelvic injuries with uncontrolled bleeding and shock (pelvic binder!)
✔✔Responding to a MASCAL site should be considered similar to... - ✔✔responding to
a casualty on the X. The location is dangerous and minimal time should be spent
controlling any life-threatening extremity hemorrhage.
Apply the appropriate interventions (hasty TQs) and evacuate to the nearest CCP
✔✔Who determines the location of the CCP? - ✔✔The unit first sergeant with guidance
form company/platoon medics.
The CCP location will depend on the unit location, tactical situation, and number of
casualties to be evacuated.
✔✔What marking should a CCP have? - ✔✔Immediate, delayed, minimal, and
expectant.
The triage area should have a day and night marking system.
✔✔What is an Ambulance Exchange Point (AXP)? - ✔✔AXPs are defined as a location
where a patient is transferred from one ambulance to another enroute to a medical
treatment facility.
These points are normally preplanned and part of the HSS appendix to the operation
plan (OPLAN).
They should be frequently changed to preclude attracting enemy fires.
✔✔Ambulance Shuttle System - ✔✔A system consisting of one or more ambulance
loading points, relay points, and when necessary, ambulance control points, all
echeloned forward from the principal group of ambulances, the company location, or
basic relay points as tactically required. The system includes:
- ambulance loading point: this is the point in the shuttle system where one or more
empty ambulances are stationed ready to receive patients for evacuation.
, - ambulance relay point: this is a point the in system where one or more EMPTY
ambulances are stationed to advance to a loading point or to the next relay post to
replace departed ambulances
- ambulance control point: a manned traffic regulating point at a crossroad or junction
where ambulances are directed to one of two or more directions to reach loading pints
and MTFs.
✔✔What are the advantages of the ambulance shuttle system? - ✔✔Places
ambulances at CCPS and BASs as needed
Permits a steady flow of pts through the system to MTFs
Avoids unnecessary massing of transport in forward areas
Minimizes the danger of damage to ambulances by the enemy
Permits the commander to control their elements and enables them to extend their
activities without advancing their headquarters.
Facilitates administration and maintenance
Maximizes the use of small command elements to operate the ambulance shuttle
Provides for flexible use of other ambulances assets for specific situations
✔✔U.S. law requires what for each soldier who dies on the battlefield? - ✔✔For death
certificate to be prepared
✔✔Who is responsible for the transportation and disposition of remains? - ✔✔The
quartermaster
✔✔The only remains that a medical unit handles... - ✔✔..are those of its own unit
members or of casualties who are DOA or who died of wounds DOW while in their care.
✔✔What is a temporary morgue for medical units? - ✔✔An area established behind a
natural barrier such as a tree-line or set-off by using tents and tarps.
This is not an actual morgue as it has neither the required staff or equipment. It is only a
temporary holding area until the quartermaster can assume custody of the body(s).
✔✔When moving a pt to another ambulance at an AXP, does the medic go with the pt?
- ✔✔No, the medic returns to their unit.