Tactical Paramedic Exam
Top 3 preventable causes of combat death - ANSWERS- Extremity Hemorrhage 60%
- Tension pneumothorax 33%
- Airway Compromise 6%
Phases of TCCC/TECC/TEMS - ANSWERS1- 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 - ANSWERSCommand Detonated
House Borne
Vehicle Borne
Suicide Vest
Blast Classifications - ANSWERSConventional (Open Space Blast)
Vehicle and Enclosed Space Blast
High Order Explosives
Low Order Explosives
,Mechanisms of Blast Injury - ANSWERSPrimary (blast wave)
Secondary (shrapnel, debris)
Tertiary (injuries from being thrown)
Quaternary (misc/infections/crush etc)
Hyperkalemi - ANSWERSPotassium >5.0meq/L
START Triage - ANSWERSAble 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 - ANSWERSapnea, bradycardia, hypotension
Signs that a wound is still bleeding - ANSWERS1. Blood soaked dressings
2. Pooling of blood around casualty
3. Signs of shock
Measuring an NPA - ANSWERSMeasure from the tip of the ear to the tip of the nose
7 P's of preparing to intubate - ANSWERSPreparation
Preoxygenate
Pretreatment
, Paralysis with induction
Protect abs Position
Placement with proof
Post intubation management
RSI Pretreatment - ANSWERSLOAD
Lidocaine (head/lung injury)
Opiates
Atropine for infants
Defasiculating dose
Failed airway algorithm. - ANSWERSPatient requires a secure airway
3 attempts of direct laryngoscopy unsuccessful
Ventilate by BVM/simple airway
Unable to ventilate/oxygenate >90%
Cric indicated
Colimetric Device - ANSWERSYellow is good
Purple is Poor
BVM ventilations per minute - ANSWERSEvery 5 seconds
Every 3 seconds for head injury with herniation
Massive hemothorax is __________ml of blood - ANSWERS1500
Estimation of systolic blood pressure - ANSWERSCarotid Pulse= 60
Top 3 preventable causes of combat death - ANSWERS- Extremity Hemorrhage 60%
- Tension pneumothorax 33%
- Airway Compromise 6%
Phases of TCCC/TECC/TEMS - ANSWERS1- 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 - ANSWERSCommand Detonated
House Borne
Vehicle Borne
Suicide Vest
Blast Classifications - ANSWERSConventional (Open Space Blast)
Vehicle and Enclosed Space Blast
High Order Explosives
Low Order Explosives
,Mechanisms of Blast Injury - ANSWERSPrimary (blast wave)
Secondary (shrapnel, debris)
Tertiary (injuries from being thrown)
Quaternary (misc/infections/crush etc)
Hyperkalemi - ANSWERSPotassium >5.0meq/L
START Triage - ANSWERSAble 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 - ANSWERSapnea, bradycardia, hypotension
Signs that a wound is still bleeding - ANSWERS1. Blood soaked dressings
2. Pooling of blood around casualty
3. Signs of shock
Measuring an NPA - ANSWERSMeasure from the tip of the ear to the tip of the nose
7 P's of preparing to intubate - ANSWERSPreparation
Preoxygenate
Pretreatment
, Paralysis with induction
Protect abs Position
Placement with proof
Post intubation management
RSI Pretreatment - ANSWERSLOAD
Lidocaine (head/lung injury)
Opiates
Atropine for infants
Defasiculating dose
Failed airway algorithm. - ANSWERSPatient requires a secure airway
3 attempts of direct laryngoscopy unsuccessful
Ventilate by BVM/simple airway
Unable to ventilate/oxygenate >90%
Cric indicated
Colimetric Device - ANSWERSYellow is good
Purple is Poor
BVM ventilations per minute - ANSWERSEvery 5 seconds
Every 3 seconds for head injury with herniation
Massive hemothorax is __________ml of blood - ANSWERS1500
Estimation of systolic blood pressure - ANSWERSCarotid Pulse= 60
