68W COMBAT MEDIC FIELDCRAFT MODULES I-III
with complete solution
What are the tactical indications for spinal immobilization
Motor vehicle accident, Fall greater than 15 ft, IED blast involving a MRAP
Overpressure wave (internal damage to hollow organs)
Primary Blast
Shrapnel and debris penetrating wounds
Secondary Blast
Casualty is thrown into a solid object
Tertiary Blast
What is the leading cause of preventable death on the battlefield
Extremity Hemorrhage
Why is extremity hemorrhaging the leading cause of death on the battlefield
Not protected by body armor
When should CPR be considered in the combat environment?
Hypothermia, Electrocution, near drowning
Factors that influence care on the battlefield?
Enemy fire, medical equipment, variable evacuation time, tactical considerations,
casualty transportation
What is a WALK kit?
Warrior Aid and Litter Kit
Where can a WALK kit be found?
several ground vehicles
What medication is found in the combat pill pack?
Acetaminophen, Mobic, Moxiflaxicin
Which combat casualties will receive ABX?
All will eventually, ABX should not be given at the point of injury unless evac. is delayed
greater than 3 hours
What are the goals of TCCC
Accomplish the mission, prevent additional casualties, treat the casualty
What are the phases of care?
Care under fire, tactical field care, tactical evacuation care
What does MEDEVAC encompass?
Collecting the wounded, triage, provide a mode of transportation, provide care en route
First responder capability; Battalion Aid Station, Medical Platoon, Combat Medic
Level 1
Forward Resuscitative Care Capability; Forward Surgical Team (FST)
Level 2
Theater Hospitalization Capability; Combat Support Hospital
Level 3
Definitive Care Capability Outside of the Combat Zone; CONUS and OCONUS
(Germany)
Level 4
CONUS DOD Hospitals; DOD Hospital, VA Hospital
, Level 5
What are the authorized methods of documenting care on the battlefield?
DD1380 FMC, DA7656 TC3 Card, Sharpie on skin, Sharpie on tape
What are the minimum blocks of the FMC?
1,3,4,7,9,11
Where do we sign the FMC?
We don't, we initial block 11
What is the timeframe for a Urgent/Urgent Surgical casualty
1 hour
What is the timeframe for a Priority casualty?
4 hours
What is over classification and what is the impact on the mission?
Classifying casualties worse than they are; pulls medical assets that could be used else
where
What are the lines of the 9line MEDEVAC for wartime and peace time?
6 and 9
How do you request a 9 line MEDEVAC
"I have a MEDEVAC request"
How long do you have to transmit a 9 line MEDEVAC
25 seconds
What is a Simple rescue?
Open field, no hindrances to removing casualty
What makes up a complex rescue?
Vertical casualty movement, vehicle extrication, tactical search and rescue
Define the term "x"?
The point of wounding
Describe the proper body mechanics of casualty movement?
know your capabilities, use large leg muscles, slide or roll rather than lift
What is the load capacity of a M997
4 litter or 8 ambulatory or 2 litter and 4 ambulatory
What is the load capacity of a M113
4 litter or 10 ambulatory or a combination
What is the load capacity of a Haga
3 litter or 6 ambulatory
What are the 3 most common devices used in hoist operations?
Sked, Jungle penetrator, stokes basket
What is the leading cause of preventable death on the battlefield?
Extremity hemorrhage
Plasma
provides a fluid environment for the other components and warmth for the body
Erythrocytes (RBCs)
Carry oxygen to the tissue
Leukocytes (WBCs)
Fight infection and consume dead tissue
Thrombocytes
Specialized cells that form clots
with complete solution
What are the tactical indications for spinal immobilization
Motor vehicle accident, Fall greater than 15 ft, IED blast involving a MRAP
Overpressure wave (internal damage to hollow organs)
Primary Blast
Shrapnel and debris penetrating wounds
Secondary Blast
Casualty is thrown into a solid object
Tertiary Blast
What is the leading cause of preventable death on the battlefield
Extremity Hemorrhage
Why is extremity hemorrhaging the leading cause of death on the battlefield
Not protected by body armor
When should CPR be considered in the combat environment?
Hypothermia, Electrocution, near drowning
Factors that influence care on the battlefield?
Enemy fire, medical equipment, variable evacuation time, tactical considerations,
casualty transportation
What is a WALK kit?
Warrior Aid and Litter Kit
Where can a WALK kit be found?
several ground vehicles
What medication is found in the combat pill pack?
Acetaminophen, Mobic, Moxiflaxicin
Which combat casualties will receive ABX?
All will eventually, ABX should not be given at the point of injury unless evac. is delayed
greater than 3 hours
What are the goals of TCCC
Accomplish the mission, prevent additional casualties, treat the casualty
What are the phases of care?
Care under fire, tactical field care, tactical evacuation care
What does MEDEVAC encompass?
Collecting the wounded, triage, provide a mode of transportation, provide care en route
First responder capability; Battalion Aid Station, Medical Platoon, Combat Medic
Level 1
Forward Resuscitative Care Capability; Forward Surgical Team (FST)
Level 2
Theater Hospitalization Capability; Combat Support Hospital
Level 3
Definitive Care Capability Outside of the Combat Zone; CONUS and OCONUS
(Germany)
Level 4
CONUS DOD Hospitals; DOD Hospital, VA Hospital
, Level 5
What are the authorized methods of documenting care on the battlefield?
DD1380 FMC, DA7656 TC3 Card, Sharpie on skin, Sharpie on tape
What are the minimum blocks of the FMC?
1,3,4,7,9,11
Where do we sign the FMC?
We don't, we initial block 11
What is the timeframe for a Urgent/Urgent Surgical casualty
1 hour
What is the timeframe for a Priority casualty?
4 hours
What is over classification and what is the impact on the mission?
Classifying casualties worse than they are; pulls medical assets that could be used else
where
What are the lines of the 9line MEDEVAC for wartime and peace time?
6 and 9
How do you request a 9 line MEDEVAC
"I have a MEDEVAC request"
How long do you have to transmit a 9 line MEDEVAC
25 seconds
What is a Simple rescue?
Open field, no hindrances to removing casualty
What makes up a complex rescue?
Vertical casualty movement, vehicle extrication, tactical search and rescue
Define the term "x"?
The point of wounding
Describe the proper body mechanics of casualty movement?
know your capabilities, use large leg muscles, slide or roll rather than lift
What is the load capacity of a M997
4 litter or 8 ambulatory or 2 litter and 4 ambulatory
What is the load capacity of a M113
4 litter or 10 ambulatory or a combination
What is the load capacity of a Haga
3 litter or 6 ambulatory
What are the 3 most common devices used in hoist operations?
Sked, Jungle penetrator, stokes basket
What is the leading cause of preventable death on the battlefield?
Extremity hemorrhage
Plasma
provides a fluid environment for the other components and warmth for the body
Erythrocytes (RBCs)
Carry oxygen to the tissue
Leukocytes (WBCs)
Fight infection and consume dead tissue
Thrombocytes
Specialized cells that form clots
