Tactical Paramedic – C Questions and
Answers.
3 preventable causes of combat death -
1. Extremity Hemorrhage 60%
2. Tension Pneumo 33%
3. Airway Compromise 6%
Care Under Fire (CUF) -
Hot Zone
Direct Threat Care (DTC)
Priorities of CUF -
Return Fire and take cover
Prevent additional casualties
Stop major bleeding w/ tourniquet
Treatments in CUF -
Move and cover
Remove from burning vehicles
Tourniquets
Tactical Field Care (TFC) -
Warm Zone
Indirect Threat Care (ITC)
Treatments in TFC -
M.A.R.C.H./H
IV/IO
Antibiotics (ABX)
Pain meds
Hypothermia prevention
When do you open Tactical Medical Operator Bag? -
TFC Tactical Field care phase, not before
Tactical Evacuation Care -
Cold Zone
Evac
Treatments in TEC -
M.A.R.C.H./H
,IV/IO
Antibiotics (ABX)
Pain meds
Hypothermia prevention
MEDEVAC -
Medical Evacuation
CASEVAC -
Casualty Evacuation
TCCC Non-permissive Situation -
CUF/DTC
TCCC Semi-permissive Situation -
TCF/IDC
TCCC Semi-permissive or permissive Situation -
TACEVAC/EVAC
When to perform detailed assessment of patient -
TFC
If team member is hurt? -
Step over and complete the mission
Importance of patient care documentation -
Ensure patient continuity, especially with pain meds, and antibiotics.
MIST Report -
M = Mechanism of injury
I = Injury
S = Signs and symptoms
T = Treatments
.Define MIST Report -
Designed to transmit pertinent medical info from point of injury to the evacuation asset
MIST vs 9-line MEDEVAC -
MIST- focuses on communication of pt condition.
9 line - is request for evacuation of the patient
Improvised Explosive Devices -
1. Command Detonated IED
2. House Borne IED (HBIED)
3. Vehicle Borne IED (VBIED)
, 4. Suicide Vest
Remote activation when person is in kill zone -
Command Detonated IED
Rigged in a structure to explode when friendly forces arrive -
House Borne IED (HBIED)
IED carried by a vehicle -
Vehicle Borne IED (VBIED)
Suicide Vest IED injuires -
Blast, shrapnel, frag of bone and teeth.
Blast Classifications -
1. Conventional Blast
2. Vehicle or Enclosed Space Blast
3. High-Order Explosives
4. Low-Order Explosives
Conventional Blast -
Blunt Trauma
Penetrating Trauma
Inhalation Burns
Thermal Burns
Vehicle & Enclosed Space Blast -
1. Pressure related effects more prominent than blunt .
2. Closed space enhances the blast effects
3. Increased mortality rate
High-Order Explosives -
1. Super sonic over pressurization shock wave
2. exp: TNT, Nitro, Symtex, ANFO
Low-Order Explosives -
1. Sub sonic explosion
2. NO overpressurization
3. exp: pipe bombs, gunpowder, molotov cocktails
Mechanism of Blast Injury -
1. Primary
2. Secondary
3. Tertiary
4. Quaternary
Answers.
3 preventable causes of combat death -
1. Extremity Hemorrhage 60%
2. Tension Pneumo 33%
3. Airway Compromise 6%
Care Under Fire (CUF) -
Hot Zone
Direct Threat Care (DTC)
Priorities of CUF -
Return Fire and take cover
Prevent additional casualties
Stop major bleeding w/ tourniquet
Treatments in CUF -
Move and cover
Remove from burning vehicles
Tourniquets
Tactical Field Care (TFC) -
Warm Zone
Indirect Threat Care (ITC)
Treatments in TFC -
M.A.R.C.H./H
IV/IO
Antibiotics (ABX)
Pain meds
Hypothermia prevention
When do you open Tactical Medical Operator Bag? -
TFC Tactical Field care phase, not before
Tactical Evacuation Care -
Cold Zone
Evac
Treatments in TEC -
M.A.R.C.H./H
,IV/IO
Antibiotics (ABX)
Pain meds
Hypothermia prevention
MEDEVAC -
Medical Evacuation
CASEVAC -
Casualty Evacuation
TCCC Non-permissive Situation -
CUF/DTC
TCCC Semi-permissive Situation -
TCF/IDC
TCCC Semi-permissive or permissive Situation -
TACEVAC/EVAC
When to perform detailed assessment of patient -
TFC
If team member is hurt? -
Step over and complete the mission
Importance of patient care documentation -
Ensure patient continuity, especially with pain meds, and antibiotics.
MIST Report -
M = Mechanism of injury
I = Injury
S = Signs and symptoms
T = Treatments
.Define MIST Report -
Designed to transmit pertinent medical info from point of injury to the evacuation asset
MIST vs 9-line MEDEVAC -
MIST- focuses on communication of pt condition.
9 line - is request for evacuation of the patient
Improvised Explosive Devices -
1. Command Detonated IED
2. House Borne IED (HBIED)
3. Vehicle Borne IED (VBIED)
, 4. Suicide Vest
Remote activation when person is in kill zone -
Command Detonated IED
Rigged in a structure to explode when friendly forces arrive -
House Borne IED (HBIED)
IED carried by a vehicle -
Vehicle Borne IED (VBIED)
Suicide Vest IED injuires -
Blast, shrapnel, frag of bone and teeth.
Blast Classifications -
1. Conventional Blast
2. Vehicle or Enclosed Space Blast
3. High-Order Explosives
4. Low-Order Explosives
Conventional Blast -
Blunt Trauma
Penetrating Trauma
Inhalation Burns
Thermal Burns
Vehicle & Enclosed Space Blast -
1. Pressure related effects more prominent than blunt .
2. Closed space enhances the blast effects
3. Increased mortality rate
High-Order Explosives -
1. Super sonic over pressurization shock wave
2. exp: TNT, Nitro, Symtex, ANFO
Low-Order Explosives -
1. Sub sonic explosion
2. NO overpressurization
3. exp: pipe bombs, gunpowder, molotov cocktails
Mechanism of Blast Injury -
1. Primary
2. Secondary
3. Tertiary
4. Quaternary
