Where and when should the MACE assessment be performed? correct answersBattalion Aid Station or
higher
How should you transport a casualty with a head injury? correct answersSupine Position
For which casualties should a MACE assessment be performed? correct answersAny Service Member in a
vehicle associated with a blast event, collision or rollover.
Any Service Member within 50 meters of a blast (inside or outside).
Anyone who sustains a direct blow to the head or repeated exposures resulting in a TBI.
Is a loss of consciousness required to make a possible diagnosis of a concussion? correct answersNo
What are the types of skull fractures? correct answersLinear, Depressed and Basilar skull Fractures
If there is an increase in intracranial pressure what will happen to the blood pressure, pulse rate, and
respiratory rate? correct answersBP will increase, pulse rate will decrease and respiratory rate will
increase, decrease and/or become irregular.
If CSF is draining from the ear or nose what should you suspect? correct answersBasilar skull Fracture
What are the different types of scalp injuries? correct answersLacerations, abrasions, avulsions and de-
gloving
Should you hyperventilate a casualty with a head injury? correct answersNo
For mild TBI what pain control can be administered? correct answersKetamine and Fentanyl
If casualty is aware and able to vocalize pain, then the TBI is likely not severe enough tp prevent these
pain meds
, Meninges correct answersthree membranes that cover the brain
function: protects the cranial nerves and spinal cord
Dura mater correct answersoutermost membrane and most resilient
arachnoid correct answersmiddle layer of the meninges
covers the brain and spinal cord
pia mater correct answersthin, innermost membrane of the meninges
Cerebrum correct answerslargest part of the brain; houses sensory functions, motor functions, and
higher intellectual functions such as intelligence and memory
cerebellum correct answerscontrols primitive functions, coordination and balance
brain stem correct answerscontrols vital body functions such as cardio-respiratory functions
cerebrospinal fluid correct answersFluid in the space between the meninges that acts as a shock
absorber that protects the central nervous system.
Obstruction of CSF will create an accumulation of the spinal fluid within the brain which causes an
increase in ICP
Mandible Fracture correct answersMOI: direct blow
S/S: deformity; loss of normal occlusion of the teeth "teeth no longer fit together"; crepitus or step off
may be noted
Tx: temporary immobilization; airway management as tongue may occlude airway
Cushing's triade correct answersincreases BP, decreased PR, RR to increase or decrease depending