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1. Arterial blood characteristics: Bright red blood, spurting
2. Venous blood characteristics: Dark red, steady even flow
3. Capillary blood characteristics: Brick red, oozing
4. External Hemorrhage description: Loss of blood from damage to large vessels
of extremities/junctional spaces
5. internal hemorrhage description: Loss of blood from wounds that damage large
vessels or organs inside the chest or abdomen
6. Penetrating wounds: Gunshot, stab and shrapnel
7. degloving injuries: Vehicle accidents, rings
8. Amputating wounds: Blasts from artillery, mortars and land mines
9. signs and symptoms of shock: Altered mental status in absence of TBI,
weak/absent radial pulse
10. Life threatening bleeding examples: Pulsatile, pooling, blood soaked
clothes/bandages, amputation, prior bleeding and casualty is now in shock
11. Indications of internal hemorrhage: Bleeding from mouth, rectum and urine
12. Causes of internal hemorrhage: Blunt trauma, concussion from blasts, vehicle
accidents, falling from heights and closed fractures
13. Signs and symptoms of internal hemorrhage and what they mean: He-
matemesis (vomiting bright red blood)
Hemoptysis (coughing up bright red blood)
Hematochezia (bright red blood from rectum)
Melena (black tarry stools)
Hematuria (blood in urine)
Ecchymosis (bruising)
Rapidly forming hematoma (blood under skin) and edema (swelling)
Rigidity, rebound tenderness of abdomen
14. junctional tourniquet locations: Groin (most common)
Buttocks
Perineum
Axillae
Base of neck
Extremities too proximal for limb tourniquet
15. Out of the 20% of deaths on the battlefield, what percentage die from
massive, multiple trauma?: 65%
16. What are indications to use a pelvic binder?: MOI of severe blunt force or
blast injury with one or more of the following - pelvic pain, any major lower limb
amputation or near amputation, physical exam findings suggestive of pelvic fracture,
shock
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, FMTB-W Block 2 Test
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17. What does PMS stand for?: Pulse (check extremity pulses)
Motor (movement)
Sensation (patient feeling touch such as sharp or dull pain)
18. types of hemostatic agents: Combat gauze (first choice for dressing)
Celox gauze
Chito gauze
19. What is XStat used for?: Deep, narrow tract junctional wounds
20. Types of junctional tourniquets: CRoc (combat ready clamp)
JETT (junctional emergency treatment tool)
SAM
21. What are the causes of airway compromise?: Flaccidity (lacking firmness,
affecting the tongue causing obstruction)
Decreased LOC
Mechanical obstruction
Trauma to airway
Allergies
22. What does LOBBS stand for?: Lacerations, obstructions, bleeding, broken
teeth, swelling
23. Sounds signaling upper airway compromise: Snoring
Gurgling
Stridor
24. Types of Patient Positions: Supine (laying flat on back)
Fowlers (90 degrees: high, 45 degrees: standard 30 degrees: semi
Trendelenburg (patient laying down with head aiming towards floor and feet up)
25. Types of airway adjuncts: NPA, IGEL and ET tube for Cric
26. Contraindications for NPA: Casualty is conscious breathing on their own,
basilar fracture, facial burns with possible inhalation injuries trauma to face or mouth
27. When do you stop inserting IGEL?: When you have met definitive resistance
and the integral bite block is on incisors
28. What is the success rate for cric?: 66%
29. Anatomy for a cricothyroidotomy: Thyroid cartilage
Cricothyroid membrane
Cricoid cartilage
30. Indications for cric: Head/neck trauma, cervical spine fracture, congenital de-
formities, obstructed airway, all previous methods were unsuccessful
31. Contraindications for cric: Massive trauma to larynx or cricoid cartilage
32. Complications for cric: Hemorrhage (most common)
Esophageal perforation
Subcutaneous emphysema
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