QUESTIONS AND CORRECT ANSWERS
◉ 24%.
Answer: What percent of combat fatalities are survivable by early
intervention with Combat Medic Tasks and rapid evacuation to a
surgical facility?
◉ Extremities 60%.
Answer: Wound Data - Remember these areas are not protected by
body armor.
◉ WW1 through today.
Answer: Combat wounds have been consistent since when?
◉ Tactical indications for spinal immobilization.
Answer: Motor vehicle crashes, falls from greater than 15 feet, IED
Blast involving MRAP Vehicle
◉ CPR.
,Answer: What is not appropriate to perform on a patient who has
sustained blast or penetrating trauma and has no signs of life?
◉ Hypothermia, near drowning, electrocution.
Answer: In a combat environment CPR should be considered for the
following non-traumatic disorders.
◉ Primary blast injury.
Answer: This injury is caused by the blast overpressure (or wave)
from an explosive.
◉ Enclosed area.
Answer: Blast overpressure is more effective in this type of area.
◉ Confined spaces.
Answer: Inhalation burns occur with greater frequency in fires in
these areas.
◉ Enemy Fire.
Answer: Single most significant obstacle to the Combat medics
ability to provide care.
,◉ Enemy fire, medical equipment limitations, widely variable
evacuation time..
Answer: Factors influencing care on the battlefield.
◉ Tactical Leader.
Answer: Who is always in command and will decide if casualties will
be evacuated?
◉ Casualty's IFAK.
Answer: Combat medics should use what before using their own
supplies in their aid bag?
◉ Warrior Aid and Litter Kit (WALK).
Answer: This contains a folding talon litter and a robust amount of
first aid supplies suitable for hemorrhage control and treatment for
shock.
◉ Intravenous fluids.
Answer: Not every injured casualty will require what?
◉ Pill Pack self administered.
Answer: Option 1 for mild to moderate pain, casualty is still able to
fight - Medications on the battlefield.
, ◉ Oral Transmuccal Fentanyl Citrate (OTFC) 800 ug.
Answer: Option 2 for moderate to severe pain, casualty is not in
shock or respiratory distress. Casualty is not at significant risk of
developing either condition.
◉ Ketamine 50 mg IM/IN or Ketamine 20mg slow IV or IO.
Answer: Option 3 for moderate to severe pain, casualty is in
hemorrhagic shock or respiratory distress or is at risk of developing
either condition.
◉ IV Morphine 5 mg IV/IO.
Answer: Alternative to OTFC if IV access has been obtained.
◉ Naloxone (Narcan) 0.4 mg IV or IM.
Answer: This drug should be available when using opioid analgesics
(OTFC and Morphine)
◉ Zofran, (Ondansetron) 4-8mg IV/IM/IO.
Answer: This drug is given every 6 hours as needed for nausea and
vomiting.
◉ Disarm the casualty.