Answers |Actual Complete Exam |Already Graded A+
Top 3 preventable causes of combat death ✔Correct Answer-- Extremity Hemorrhage 60%
- Tension pneumothorax 33%
- Airway Compromise 6%
Phases of TCCC/TECC/TEMS ✔Correct Answer-1- Care Under Fire
- Hot Zone in TEMS
- Direct Threat Care in TECC
2- Tactical Field Care
- Warm Zone in TEMS
- Indirect Threat Care in TECC
3- Tactical Evacuation
- Cold Zone in TEMS
- Evacuate in TECC
Types of IEDs ✔Correct Answer-Command Detonated
House Borne
Vehicle Borne
Suicide Vest
Blast Classifications ✔Correct Answer-Conventional (Open Space Blast)
Vehicle and Enclosed Space Blast
High Order Explosives
Low Order Explosives
Mechanisms of Blast Injury ✔Correct Answer-Primary (blast wave)
Secondary (shrapnel, debris)
Tertiary (injuries from being thrown)
Quaternary (misc/infections/crush etc)
Hyperkalemi ✔Correct Answer-Potassium >5.0meq/L
START Triage ✔Correct Answer-Able to Walk- Minor
Apnea after positioning airway- Expectant
Respiratory Rate over 30- Immediate
Absent radial or cap refill over 2 seconds- Immediate
Obeys Commands- Delayed
Doesn't obey commands- Immediate
Blast lung triad ✔Correct Answer-apnea, bradycardia, hypotension
,Signs that a wound is still bleeding ✔Correct Answer-1. Blood soaked dressings
2. Pooling of blood around casualty
3. Signs of shock
Measuring an NPA ✔Correct Answer-Measure from the tip of the ear to the tip of the nose
7 P's of preparing to intubate ✔Correct Answer-Preparation
Preoxygenate
Pretreatment
Paralysis with induction
Protect abs Position
Placement with proof
Post intubation management
RSI Pretreatment ✔Correct Answer-LOAD
Lidocaine (head/lung injury)
Opiates
Atropine for infants
Defasiculating dose
Failed airway algorithm. ✔Correct Answer-Patient requires a secure airway
3 attempts of direct laryngoscopy unsuccessful
Ventilate by BVM/simple airway
Unable to ventilate/oxygenate >90%
Cric indicated
Colimetric Device ✔Correct Answer-Yellow is good
Purple is Poor
BVM ventilations per minute ✔Correct Answer-Every 5 seconds
Every 3 seconds for head injury with herniation
Massive hemothorax is __________ml of blood ✔Correct Answer-1500
Estimation of systolic blood pressure ✔Correct Answer-Carotid Pulse= 60
Femoral= 70
Radial Pulse= 80
Best indicators of shock in the field environment ✔Correct Answer-Absence of radial pulse
Altered LOC
Systolic BP <90
Endpoints for fluid resuscitation ✔Correct Answer-Return of radial pulse
, 80-90 BP
Normal mentation
Do not leave IV fluids in vehicle overnight ✔Correct Answer-
EZ IO needle lengths ✔Correct Answer-Red 15mm Peds
Blue 25mm Tibia
Yellow 45mm Humerus
Composition of blood ✔Correct Answer-55% plasma
4% WBC and platelets
41% RBCs
The average circulating blood volume in an adult is ✔Correct Answer-5L (75ml/kg)
90ml/kg in pediatrics
Packed RBCs ✔Correct Answer-Reduced febrile reactions due to low plasma levels
No clotting factors
Must be typed and cross matched (O- universal donor)
Plasma ✔Correct Answer-Has antibodies but no platelets
Fresh Frozen Plasma ✔Correct Answer-Requires ABO compatibility
Does not require Rh compatibility
Can be used for five days after thawing
Type AB+ is universal donor
Liquid Plasma ✔Correct Answer-Has never been frozen
Can be stored cold for up to 26 days
Stop transfusion if adverse reactions such as... ✔Correct Answer-Drop in BP
Fever
tachycardia
Pallor
Cyanosis
Anaphylactic Reaction to transfusion ✔Correct Answer-Urticaria, priority's, hypotension,
tachycardia
Rapid onset, within 30 min
Stop transfusion. H
Administer Epi, steroids, benadryl
Overload reaction ✔Correct Answer-Hypertension, distended neck veins
Stop transfusion, administer Lasix