Questions and Answers
What are the three stages of TC3?
What is the first step in Care Under Fire?
Return fire; if the casualty is conscious, encourage them to also return fire.
What are the steps of Care Under Fire?
Return fire, encourage casualty to return fire, take cover, prevent casualty from sustaining additional damage.
What are the steps for Tactical Field Care?
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What are the steps for CASEVAC care?
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What does MARCH stand for?
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What does AVPU stand for?
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What is Tension Pneumothorax?
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How does one treat a Tension Pneumothorax?
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How does one conduct Airway management?
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What are the indications that NPA care is necessary?
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How does one administer NPA care?
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Study Notes
Three Stages of TC3
- Care Under Fire (CUF): Initial care during active combat.
- Tactical Field Care (TFC): Care provided once the situation is stable.
- Combat Casualty Evacuation (CASEVAC): Transporting to higher medical care.
Steps of Care Under Fire
- Return Fire: Provide suppressive fire and encourage the casualty to do the same if conscious.
- Take Cover: Seek protection from enemy fire.
- Prevent Further Damage: After achieving fire superiority, minimize additional injuries.
Steps for Tactical Field Care
- MARCH: Acronym for addressing critical interventions.
- Limb Care: Assess and treat injured limbs.
- AVPU: Determine casualty's level of responsiveness.
- 9 Line: Use for casualty evacuation communication.
Steps for Casevac Care
- Evacuation: Move to a higher level of medical care as appropriate.
- Reassess Care: Continuously evaluate the casualty’s condition.
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CASEVAC vs. MEDEVAC:
- CASEVAC for strict transport of casualties.
- MEDEVAC for urgent cases requiring immediate attention.
- 9 Line Confirmation: Repeat for effective communication during evacuation.
MARCH Acronym
- M: Massive hemorrhage control.
- A: Airway management.
- R: Respiratory evaluation.
- C: Circulation status.
- H: Head injury assessment and hypothermia prevention.
AVPU Responsiveness Evaluation
- A: Alertness to questions.
- V: Verbal responses to prompts.
- P: Painful response to stimuli.
- U: Unresponsive to any stimuli.
Tension Pneumothorax
- Definition: Air accumulation in the pleural space, often due to lung injury.
- Consequence: Positive pressure ventilation can worsen the pressure effect.
Treatment of Tension Pneumothorax
- Seal Wound: Use a non-breathable material around the puncture site.
- Needle Decompression: Use needle D between the 2nd and 3rd ribs next to the sternum after stabilizing.
Airway Management (A in MARCH)
- LOC Check: Assess level of consciousness.
- Carotid Pulse: Verify responsiveness and blood flow.
- Assess Airway Obstructions: Look for lacerations and obstructions.
- Clear and Open Airway: Techniques include head tilt, chin lift, and jaw thrust.
- Use of NPA: Insert if the casualty is not breathing adequately; consider Emergency Cric if necessary.
Indications for NPA Care
- Unconsciousness or Noisy Breathing: Snoring or gurgling sounds during respiration.
- Low Respiration Rate: Breathing less than 12 breaths per minute.
Administration of NPA Care
- Patient Positioning: Head elevated for comfort and access.
- Measurement and Lubrication: Properly size and prepare NPA for insertion.
- Insertion Technique: Position towards the septum and insert until flanges rest against the nostrils.
- Securing NPA: Use tape to ensure it remains in position. Place the casualty in a recovery position after insertion.
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Description
Test your knowledge on Tactical Combat Casualty Care (TC3) with these flashcards. Learn the stages of care and crucial steps to take under fire. Perfect for military personnel and anyone interested in combat medicine.
