Army Casualty Evaluation Process

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Questions and Answers

What is the title of this training circular?

First Aid

What is the distribution restriction on this training circular?

Approved for public release; distribution is unlimited

What document does this publication supersede?

FM 4-25.11/NTRP 4-02.1.1/AFMAN 44-163(I)/MCRP 3-02G, dated 23 December 2002

What is the URL for Army Knowledge Online?

<a href="https://armypubs.us.army.mil/doctrine/index.html">https://armypubs.us.army.mil/doctrine/index.html</a> Signup and view all the answers

What is the date of the change to this training circular?

7 December 2018 Signup and view all the answers

What is the name of the Chief of Staff of the United States Army?

MARK A. MILLEY Signup and view all the answers

How is this training circular distributed?

Distributed in electronic media only (EMO) Signup and view all the answers

What is the first step in the casualty evaluation process?

Assess the casualty's level of consciousness. Signup and view all the answers

What specific action should be taken if the casualty is conscious but choking and unable to speak?

Immediately begin appropriate first aid. Signup and view all the answers

Describe the process of checking for bleeding during a casualty evaluation.

Check for bleeding by reassessing any tourniquets placed during care under fire, sweeping extremities and specific areas for blood, and examining hands for blood or brain tissue after passing them over the casualty's neck and back. Signup and view all the answers

If significant bleeding is found during the evaluation, what should be the next step?

Stop the evaluation and immediately control the bleeding. Signup and view all the answers

What is the recommended action after controlling bleeding in a casualty evaluation?

Position the casualty and open the airway. Signup and view all the answers

How should breathing be assessed during a casualty evaluation?

Breathing should be assessed by examining the chest for equal rise and fall, inspecting for wounds, and using the 'look, listen, and feel' method to detect respiration. Signup and view all the answers

When is a nasopharyngeal airway inserted during a casualty evaluation?

A nasopharyngeal airway is inserted if the casualty is breathing. Signup and view all the answers

In what specific scenarios is cardiopulmonary resuscitation (CPR) considered during a tactical environment evaluation?

CPR is considered only in cases of nontraumatic injuries such as hypothermia, near drowning, or electrocution in a tactical environment, before the tactical evacuation phase. Signup and view all the answers

What is the purpose of giving backwards thrusts when treating an airway obstruction?

Backwards thrusts are used to dislodge the object obstructing the airway. Signup and view all the answers

When should you stop giving abdominal or chest thrusts for airway obstruction?

You should stop when the obstruction is cleared, a qualified person takes over, or the casualty becomes unconscious. Signup and view all the answers

What kind of material should be used to seal an open chest wound?

An airtight (occlusive) material like a commercial chest seal, plastic, cellophane, or other nonporous material. Signup and view all the answers

Why is it important to seal an open chest wound?

To prevent air from entering the chest, which can cause a collapsed lung and other complications. Signup and view all the answers

Describe the steps for applying a commercial chest seal to an open chest wound.

Apply gloves, uncover the wound (if safe), temporarily seal with your hand, and then apply the chest seal over the wound. Signup and view all the answers

What are the potential risks of uncovering an open chest wound in a chemical, biological, radiological, or nuclear environment?

It could cause additional harm to the casualty due to exposure to these substances. Signup and view all the answers

What should you do if you are uncertain whether a wound has penetrated the chest wall completely?

Treat the wound as if it were an open chest wound. Signup and view all the answers

Why is a vented commercial chest seal preferred for treating an open chest wound?

A vented chest seal allows air to escape the chest cavity, helping prevent tension pneumothorax. Signup and view all the answers

Explain the importance of determining whether bleeding is life-threatening when evaluating a casualty.

The severity of the bleeding determines the method used to control it. Life-threatening bleeding requires immediate action, such as applying a tourniquet, while less severe bleeding can be controlled with direct pressure or a pressure dressing. Signup and view all the answers

What are the three methods described for controlling external bleeding?

The three methods are direct pressure, pressure dressing, and tourniquet. Signup and view all the answers

When should a tourniquet be applied to control bleeding?

A tourniquet should be applied immediately if the bleeding is determined to be life-threatening. Signup and view all the answers

Describe the steps involved in applying direct pressure to control bleeding.

The first step is to expose the wound. Then, apply direct pressure to the wound using a clean dressing or cloth. Maintain pressure until bleeding stops or medical help arrives. Signup and view all the answers

What are the recommended precautions to take when dealing with body fluids?

Always wear gloves and eye protection as a minimum standard of protection. In severe cases, additional measures like a gown and shoe covers should be used. Signup and view all the answers

Describe the proper positioning for a conscious casualty with a back injury.

A conscious casualty with a back injury should be positioned in a comfortable position, usually sitting. Signup and view all the answers

What signs might indicate a casualty is experiencing respiratory distress following a chest injury?

Signs of respiratory distress include increased difficulty breathing. Signup and view all the answers

What actions should be taken if a casualty with a chest injury exhibits increased difficulty breathing?

The chest seal should be lifted, any trapped air released by clearing blood or debris from the wound, and then the seal should be resealed or replaced upon exhalation. Signup and view all the answers

What are the two primary steps involved in administering the antidote for nerve agent poisoning?

The two primary steps involved are pulling off the safety cap and placing the needle end of the injector against the chosen injection site to activate it. Signup and view all the answers

What specific safety precaution should be taken when injecting the antidote into the buttock?

The injection should be given only into the upper, outer quarter of the buttock to avoid hitting the major nerve and causing paralysis. Signup and view all the answers

What is the significance of holding the injector firmly in place for 10 seconds after activation?

Holding the injector in place ensures complete delivery of the antidote into the muscle. Signup and view all the answers

Describe the proper disposal method for used injectors.

The injectors should be bent to form a hook by pressing on a hard surface, and then attached to a blouse pocket flap or the JSLIST. Signup and view all the answers

What are two warning signs that indicate the need for a second set of antidote injections?

Two warning signs are continuing symptoms of nerve agent poisoning and the inability to walk without assistance. Signup and view all the answers

What are five specific symptoms of severe nerve agent poisoning?

Five symptoms include wheezing, difficulty breathing, severely pinpointed pupils, vomiting, and involuntary urination or defecation. Signup and view all the answers

What is the term used to describe the first aid for severe nerve agent poisoning and what does it involve?

It is called buddy aid and it involves administering the ATNAA and the CANA to prevent convulsions. Signup and view all the answers

What is the purpose of the ATNAA used in buddy aid for severe nerve agent poisoning?

The ATNAA is used to prevent convulsions and administer the CANA. Signup and view all the answers

What should you apply to a penetrating chest wound if the casualty is breathing or attempting to breathe?

An occlusive dressing. Signup and view all the answers

How should you transport a casualty with a penetrating chest wound, if possible?

Position the casualty with the affected side down. Signup and view all the answers

What type of dressing should be applied to an exit wound?

An occlusive dressing. Signup and view all the answers

Where can you find information on dressing nonlife-threatening injuries?

Chapter 6, Task 081-COM-1032, on page 6-1. Signup and view all the answers

What document should you refer to when determining the need for casualty evacuation?

Soldier Training Publication (STP) 21-1-SMCT, Chapter 3, Task 081-COM-0101, on page 6-1. Signup and view all the answers

What are the signs of a burn?

Reddened, blistered, or charred skin, as well as singed clothes. Signup and view all the answers

Where can you find the procedure for treating burns?

Chapter 7, Task 081-COM-1007, on page 7-1. Signup and view all the answers

What form should be used to document injuries and treatments provided to a casualty?

DD Form 1380, Tactical Combat Casualty Care (TCCC) Card. Signup and view all the answers

Flashcards

TC 4-02.1

A Training Circular that covers first aid procedures.

January 2016

Date of the initial publication of TC 4-02.1.