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Flashcards in Phase 3 Mod 1 Deck 1 Deck (100)
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1

________ is the movement of casualties via non-specialized vehicles (air or ground) with or without a trained medical attendant.

CASEVAC is the movement of casualties via non-specialized vehicles (air or ground) with or without a trained medical attendant.

2

In what condition does stress inoculation occur best at?

Stress inoculation occurs best at Condition Red.

3

What is the minimum weight for the use of the Rule of Tens for a burn patient?

The minimum weight for the use of the Rule of Tens for a burn patient is 40 kg (88 lbs).

4

According to the Rule of Tens, how much additional fluid per hour is added for a patient who weighs in between 110-119 kg (242 - 263 lbs)?

300 mL

Formula: TBSA (rounded to nearest 10) x 10 + 300 =

5

What is the battle field analgesia option for a patient experiencing moderate to severe pain, who is unable to stay in the fight and is not in shock or respiratory distress (and not at significant risk of developing shock or respiratory distress)?

The battle field analgesia option for a patient experiencing moderate to severe pain, who is unable to stay in the fight and is not in shock or respiratory distress (and not at significant risk of developing shock or respiratory distress) is:

1 - Oral Transmucosal Fentanyl Citrate (OTFC) 800 mg

6

Fear and performance are based on levels of physiological stimulation during battle, which are categorized with five conditions. What are those five conditions?

Fear and performance are based on levels of physiological stimulation during battle, which are categorized with five conditions. Those five conditions are:

1 - Condition White
2 - Condition Yellow
3 - Condition Red
4 - Condition Black
5 - Condition Grey

7

Narcan is indicated for patients experiencing:

Narcan is indicated for patients experiencing respiratory depression due to narcotic analgesics.

8

What are the two field antibiotics recommend for use per TC3 guidelines?

The two field antibiotics recommend for use per TC3 guidelines are:

1 - Moxifloxacin (avelox): 400 mg PO/IV qd
2 - Ertapenem (Invanz): 1 g IV/IM q 24 hr

9

What injury is contraindicated for the use of antibiotics?

Burn injuries are contraindicated for the use of antibiotics.
***using antibiotics on a burn patient can set the stage for severe infections later on***

10

What is line 5 of the 9-Line MEDEVAC?

Line 5 of the 9-Line MEDEVAC is the number of casualties by type.

L - Number of litter patients
A - Number of ambulatory patients
E - Number of escorts

11

What is the maximum time window for the administration of TXA?

The maximum time window for the administration of TXA (tranexamic acid) is 3 hours.

12

What is an effective way to bring the sympathetic nervous system under control when experiencing threat stress?

Breathing control is an effective way to bring the sympathetic nervous system under control when experiencing threat stress.

Controlled breathing stimulates the parasympathetic nervous system to counteract the sympathetic stimulation.

13

What is the standard dose of Zofran (ondansetron)?

The standard dose of Zofran (ondansetron) is 4 mg; Dose may be repeated after 20 minutes if symptoms persist.
***Max dose of 8 mg in 8 hours***

14

________ is anything that stimulates the sympathetic nervous system (fight or flight).

Threat stress is anything that stimulates the sympathetic nervous system (fight or flight).

Ex. Being under fire during combat

15

According to the Rule of Tens, how much additional fluid per hour is added for a patient who weighs in between 100-109 kg (220 - 241 lbs)?

200 mL

Formula: TBSA (rounded to nearest 10) x 10 + 200 =

16

Pupil dilation, tremors, tachycardia, vasoconstriction, bronchodilation, blood shunting and enhanced neuro stimulation are effects of which nervous system sub-division?

Pupil dilation, tremors, tachycardia, vasoconstriction, bronchodilation, blood shunting and enhanced neuro stimulation are effects of the Sympathetic Nervous System (fight or flight).

17

What is line 7 of the 9-Line MEDEVAC?

Line 7 of the 9-Line MEDEVAC is the LZ marking.

A - Panels
B - Pyrotechnics
C - Smoke
D - None
E - Other (specify)

18

Using the Rule of Nines:
What is the TBSA of the head, burned circumferentially?

The Total Burned Surface Area of the head, burned circumferentially, is 9%

(4.5% for front and 4.5% for the back of the head)

19

Why is it important that antibiotics be administered as soon as possible after injury?

It is important that antibiotics be administered as soon as possible after injury to maximize their ability to prevent wound infections.

20

What is line 6 of the 9-Line MEDEVAC?

Line 6 of the 9-Line MEDEVAC is the security at the LZ.

N - No enemy
P - Possible enemy
E - Enemy in area
X - Armed escort required

21

What is line 3 of the 9-Line MEDEVAC?

Line 3 of the 9-Line MEDEVAC is the number AND precedence of casualties.

A - Urgent
B - Priority
C - Routine

22

What is the battle field analgesia option for a patient experiencing mild to moderate pain and still able to fight?

The battle field analgesia option for a patient experiencing mild to moderate pain and still able to fight is:

1 - Tylenol 650 mg (APAP) x2, every 8 hours
2 - Meloxicam (mobic) 15 mg x1 daily.

23

What areas need to be thoroughly examined during the blood sweep (M of MARCH)?

The areas that need to be thoroughly examined during the blood sweep (M of MARCH) are the extremities, neck, axillary and inguinal areas.

24

The physiological effects seen from threat stress are under the influence of the (1)___________, which is a sub-system of the (2)_____________.

The physiological effects seen from threat stress are under the influence of the Autonomic Nervous System, which is a sub-system of the Peripheral Nervous System.

25

What is the standard dose of promethazine (Phenergan)?

The standard dose of promethazine (Phenergan) is 12.5 - 25 mg IV

***promethazine (Phenergan) has a black box warning due to risk of serious tissue injury if administered incorrectly***

26

What treatment and/or interventions are performed during the TFC phase of TCCC?

Assessment and treatment of preventable causes of death (MARCH algorithm) are performed to include all interventions within the scope of practice are performed during the Tactical Field Care of Tactical Combat Casualty Care.

27

According to the Rule of Tens, how much additional fluid per hour is added for a patient who weighs in between 90-99 kg (198 - 219 lbs)?

100 mL

Formula: TBSA (rounded to nearest 10) x 10 + 100 =

28

Using the Rule of Nines:
What is the TBSA of the torso, burned circumferentially?

The Total Burned Surface Area of the torso, burned circumferentially, is 36%

(18% for the front and 18% for the back of the torso)

29

What is stress inoculation?

Stress inoculation is the process of building a person's resistance to the effects of threat stress.

(similar to inoculating a person to a disease and building resistance to it)

30

When is the 9-Line MEDEVAC called?

The 9-Line medevac is called during the Tactical Field Care phase of Tactical Field Care of Tactical Combat Casualty Care.