FIELDCRAFT 2 UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Cushing's Triad - ✔✔response to increse in ICP. Increase BP, Decrease HR,
irregular respirations
✔✔Low BP due to head injury usually indicates - ✔✔terminal event
✔✔Hypovolemic shock doesnt result from... - ✔✔isolated head injury. Look for another
reason
✔✔Evaluate TBI using - ✔✔MACE
✔✔MACE components - ✔✔history/symptoms
Neuro Exam
Cognitive screen w/ score
✔✔Where is MACE exam performed - ✔✔in combat theater, BN station
✔✔MACE is not done where? - ✔✔CUF, TFC
✔✔Mandatory events that require MACE - ✔✔Motor vehicle- blast/collision
Within 50m of blast
Direct blow to head
Repeated Exposures
✔✔MACE non-concussed score - ✔✔28/30
✔✔Concussion score (MACE) - ✔✔25
✔✔Late signs of of skull fracture - ✔✔battle signs, racoon eyes
✔✔mandible fracture complaint - ✔✔teeth dont fit together
✔✔midface fracture - ✔✔asymmetrical face, flattened. inability to close mouth
✔✔TBI definition - ✔✔injury to brain from external force/acceleration/deceleration
✔✔Mild TBI - ✔✔Glascow 14/15
80% of head injuries
✔✔Moderate TBI - ✔✔Glascow 9-13
10% of head injuries
, ✔✔Severe TBI - ✔✔Glascow <9
10% of head injuries
MORTALITY 40%
DEATH IN 48 HOURS
✔✔Concussion - ✔✔transient alteration in neuro function, return to normal
✔✔4 types of intacranial hematoma - ✔✔epidural, subdural, cerebral, subarachnoid
✔✔What is needed for definite diagnosis of intracranial hematoma? - ✔✔CT scan
✔✔Lucid interval - ✔✔loss of consciousness, regaining, then rapid deterioration
✔✔hemiparesis - ✔✔weakness on one side
✔✔hemiplegia - ✔✔paralysis on 1 side opposite of trauma
✔✔Hyperventilation does what to TBI? - ✔✔makes it worse
✔✔normal tidal volume - ✔✔350-500ml
✔✔ventilatory rates - ✔✔adult-10
child-20
infant-25
✔✔hypoxia and hypotension combined = mortality rate of... - ✔✔75%
✔✔Medication NOT reccommended for TBI - ✔✔mornphine, increases ICP and
pupillary response
✔✔Elevating injured head decreases ICP but... - ✔✔jeopardizes cerebral perfusion
when elevated more than 30 degrees
✔✔Passive protection of eyes - ✔✔take cover, wear eye pro
✔✔What to do with foreign bodies in eyes (superficial) - ✔✔irrigate, cover
✔✔What to do with penetrating bodies in eyes - ✔✔stabilize, cover, pills
✔✔Main symptom of orbital fracture - ✔✔double vision
✔✔RUQ - ✔✔liver, gallbladder, head of pancreas, right kidney
SOLUTIONS GRADED A+
✔✔Cushing's Triad - ✔✔response to increse in ICP. Increase BP, Decrease HR,
irregular respirations
✔✔Low BP due to head injury usually indicates - ✔✔terminal event
✔✔Hypovolemic shock doesnt result from... - ✔✔isolated head injury. Look for another
reason
✔✔Evaluate TBI using - ✔✔MACE
✔✔MACE components - ✔✔history/symptoms
Neuro Exam
Cognitive screen w/ score
✔✔Where is MACE exam performed - ✔✔in combat theater, BN station
✔✔MACE is not done where? - ✔✔CUF, TFC
✔✔Mandatory events that require MACE - ✔✔Motor vehicle- blast/collision
Within 50m of blast
Direct blow to head
Repeated Exposures
✔✔MACE non-concussed score - ✔✔28/30
✔✔Concussion score (MACE) - ✔✔25
✔✔Late signs of of skull fracture - ✔✔battle signs, racoon eyes
✔✔mandible fracture complaint - ✔✔teeth dont fit together
✔✔midface fracture - ✔✔asymmetrical face, flattened. inability to close mouth
✔✔TBI definition - ✔✔injury to brain from external force/acceleration/deceleration
✔✔Mild TBI - ✔✔Glascow 14/15
80% of head injuries
✔✔Moderate TBI - ✔✔Glascow 9-13
10% of head injuries
, ✔✔Severe TBI - ✔✔Glascow <9
10% of head injuries
MORTALITY 40%
DEATH IN 48 HOURS
✔✔Concussion - ✔✔transient alteration in neuro function, return to normal
✔✔4 types of intacranial hematoma - ✔✔epidural, subdural, cerebral, subarachnoid
✔✔What is needed for definite diagnosis of intracranial hematoma? - ✔✔CT scan
✔✔Lucid interval - ✔✔loss of consciousness, regaining, then rapid deterioration
✔✔hemiparesis - ✔✔weakness on one side
✔✔hemiplegia - ✔✔paralysis on 1 side opposite of trauma
✔✔Hyperventilation does what to TBI? - ✔✔makes it worse
✔✔normal tidal volume - ✔✔350-500ml
✔✔ventilatory rates - ✔✔adult-10
child-20
infant-25
✔✔hypoxia and hypotension combined = mortality rate of... - ✔✔75%
✔✔Medication NOT reccommended for TBI - ✔✔mornphine, increases ICP and
pupillary response
✔✔Elevating injured head decreases ICP but... - ✔✔jeopardizes cerebral perfusion
when elevated more than 30 degrees
✔✔Passive protection of eyes - ✔✔take cover, wear eye pro
✔✔What to do with foreign bodies in eyes (superficial) - ✔✔irrigate, cover
✔✔What to do with penetrating bodies in eyes - ✔✔stabilize, cover, pills
✔✔Main symptom of orbital fracture - ✔✔double vision
✔✔RUQ - ✔✔liver, gallbladder, head of pancreas, right kidney
