2
TCCC Deployed Med. Exam with precise detailed answers
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Casualties need to be disarmed after being given (4): - ✔✔OTFC, IV/IO Fentanyl, Ketamine, or
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Midazolam
What is the goal of sedation? - ✔✔To stop awareness of painful procedures
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What is the goal of analgesia? - ✔✔Reduce pain to a tolerable level while still protecting airway
|| || || || || || || || || || || || || || || || ||
and mentation
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What should you administer and document prior to giving opioids or Ketamine? - ✔✔Mental
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status exam with AVPU method
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What 3 things should be monitored closely for casualties given opioids, Ketamine, or
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Benzodiazepines? - ✔✔Airway, breathing, and circulation || || || || ||
Ketamine comes in different concentrations. The higher concentration, ____, is recommended
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when using the ____ route to minimize the volume administered _____. - ✔✔100 mg/ml, IN,
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intranasally
What drugs should be available when using opioid analgesics, and in what dosage/route? -
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✔✔Naloxone, 0.4mg IV/IO/IM/IN || ||
What antibiotic is recommended, and in what dose, for a patient who is able to swallow? -
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✔✔Moxifloxacin, 400 mg PO once per day || || || || || ||
What antibiotic is recommended, and in what does, for a patient who is UNABLE to swallow? -
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✔✔Ertapenem, 1 g IV/IO/IM once per day || || || || || ||
, 2
_______ is/are recommended for all open combat wounds. - ✔✔Antibiotics
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Burn patients are particularly susceptible to _____, so emphasis should be placed on ____ ____
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prevention methods. - ✔✔Hypothermia, heat loss || || || || ||
If burns are greater than ____ of body area, ____ should be initiated as soon as IV/IO access is
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established. - ✔✔20%, fluid resuscitation || || || ||
Fluid resuscitation for burn victims should be initiated with ____ _____, ____ ____, or _____. -
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✔✔Lactated ringers, normal saline, or Hextend || || || || ||
If Hextend is used for fluid resuscitation, no more than ____ ml should be given, followed by
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____ ____ or ____ ____ as needed. - ✔✔1000, Lactated ringers, normal saline
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What must be considered in patients with facial burns? - ✔✔Possible inhalation injury
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Initial IV/IO fluid rate is calculated as ____ for adults weighing between __ and __. - ✔✔
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%TBSA X 10ml/hr, 40-80kg (about 88-176 lbs.)
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When calculating IV/IO fluid rate, for every __kg above 80kg, increase the initial rate by _____. -
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✔✔10kg (about 22 pounds), 100 ml/hr || || || || ||
If hemorrhagic shock is present in a burn victim, resuscitation for _____ ____ takes precedence. -
|| || || || || || || || || || || || || || || ||
✔✔hemorrhagic shock ||
Consider ____ ____ for burns up to 30% TBSA if the casualty is conscious and able to swallow. -
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✔✔oral fluids ||
____ are not recommended solely for burns. They may be given if there are penetrating wounds
|| || || || || || || || || || || || || || || ||
so they don't become infected. - ✔✔Antibiotics
|| || || || || ||
TCCC Deployed Med. Exam with precise detailed answers
|| || || || || || ||
Casualties need to be disarmed after being given (4): - ✔✔OTFC, IV/IO Fentanyl, Ketamine, or
|| || || || || || || || || || || || || || ||
Midazolam
What is the goal of sedation? - ✔✔To stop awareness of painful procedures
|| || || || || || || || || || || ||
What is the goal of analgesia? - ✔✔Reduce pain to a tolerable level while still protecting airway
|| || || || || || || || || || || || || || || || ||
and mentation
||
What should you administer and document prior to giving opioids or Ketamine? - ✔✔Mental
|| || || || || || || || || || || || || ||
status exam with AVPU method
|| || || ||
What 3 things should be monitored closely for casualties given opioids, Ketamine, or
|| || || || || || || || || || || || ||
Benzodiazepines? - ✔✔Airway, breathing, and circulation || || || || ||
Ketamine comes in different concentrations. The higher concentration, ____, is recommended
|| || || || || || || || || || ||
when using the ____ route to minimize the volume administered _____. - ✔✔100 mg/ml, IN,
|| || || || || || || || || || || || || || ||
intranasally
What drugs should be available when using opioid analgesics, and in what dosage/route? -
|| || || || || || || || || || || || || ||
✔✔Naloxone, 0.4mg IV/IO/IM/IN || ||
What antibiotic is recommended, and in what dose, for a patient who is able to swallow? -
|| || || || || || || || || || || || || || || || ||
✔✔Moxifloxacin, 400 mg PO once per day || || || || || ||
What antibiotic is recommended, and in what does, for a patient who is UNABLE to swallow? -
|| || || || || || || || || || || || || || || || ||
✔✔Ertapenem, 1 g IV/IO/IM once per day || || || || || ||
, 2
_______ is/are recommended for all open combat wounds. - ✔✔Antibiotics
|| || || || || || || || ||
Burn patients are particularly susceptible to _____, so emphasis should be placed on ____ ____
|| || || || || || || || || || || || || || ||
prevention methods. - ✔✔Hypothermia, heat loss || || || || ||
If burns are greater than ____ of body area, ____ should be initiated as soon as IV/IO access is
|| || || || || || || || || || || || || || || || || || ||
established. - ✔✔20%, fluid resuscitation || || || ||
Fluid resuscitation for burn victims should be initiated with ____ _____, ____ ____, or _____. -
|| || || || || || || || || || || || || || || ||
✔✔Lactated ringers, normal saline, or Hextend || || || || ||
If Hextend is used for fluid resuscitation, no more than ____ ml should be given, followed by
|| || || || || || || || || || || || || || || || ||
____ ____ or ____ ____ as needed. - ✔✔1000, Lactated ringers, normal saline
|| || || || || || || || || || || ||
What must be considered in patients with facial burns? - ✔✔Possible inhalation injury
|| || || || || || || || || || || ||
Initial IV/IO fluid rate is calculated as ____ for adults weighing between __ and __. - ✔✔
|| || || || || || || || || || || || || || || ||
%TBSA X 10ml/hr, 40-80kg (about 88-176 lbs.)
|| || || || || ||
When calculating IV/IO fluid rate, for every __kg above 80kg, increase the initial rate by _____. -
|| || || || || || || || || || || || || || || || ||
✔✔10kg (about 22 pounds), 100 ml/hr || || || || ||
If hemorrhagic shock is present in a burn victim, resuscitation for _____ ____ takes precedence. -
|| || || || || || || || || || || || || || || ||
✔✔hemorrhagic shock ||
Consider ____ ____ for burns up to 30% TBSA if the casualty is conscious and able to swallow. -
|| || || || || || || || || || || || || || || || || || ||
✔✔oral fluids ||
____ are not recommended solely for burns. They may be given if there are penetrating wounds
|| || || || || || || || || || || || || || || ||
so they don't become infected. - ✔✔Antibiotics
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