Medical Treatment Facilities (CPG ID:27) Test with all
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Optimal but not necessarily definitive patient stabilization before transport is critical and
encompasses four connected elements. What are these elements? ✔Correct Answer-First,
injuries - actual and potential (spinal instability) must be controlled. This usually happens at the
earliest phase of tactical combat casualty care.
Second, resuscitation must be optimized but may be ongoing. The best outcomes occurs when
the patient's physiology is closest to normal before transport. Patient variables that best
indicate adequate resuscitation for transport continues to be an area for continued basic and
translational research
Third, other treatments besides resuscitative measures should be at steady-state, not requiring
dynamic, complex, or life-preserving adjustments en route. Until technology progresses, the
planned initiation of new interventions or the continuation of complex or capability unique
interventions during transport are discouraged.
Fourth, deterioration requiring en route intervention must be anticipate and prevented with risk
mitigation procedures prior to departure. Examples include placing lines or tubes or
decompressing compartment syndromes, as well as providing adequate analgesia for the
increased pain of transport. This requires an understanding of the injury course as well as the
transport environment.
T/F: Medical capability is the quality or state of being able to provide the expected and required
medical services and support to the casualty ✔Correct Answer-TRUE
is required when "the patient has a critical illness or injury that acutely impairs one or more vital
organ systems such that there is a high probability of imminent or life-threatening deterioration
in the patient's condition during transport." ✔Correct Answer-Critical Care Transport
The gold standard for unstable patient transport is movement with critical care capability led by
a _____ who is qualified, experienced, and proficient at critical care transport. ✔Correct
Answer-physician
T/F: Intermediate en route care should be initiated for a patient that does not require critical
care but is in need of a dedicated medical attendant with at least the knowledge and skills
equivalent to a paramedic as defined by the National Emergency Medical Services (EMS) Scope
of Practice Model ✔Correct Answer-True
Who assumes risk of reduced capability when a medical evacuation organization is not capable
of providing the required intra-theater en route care capability? ✔Correct Answer-Theater
commander.