Tactical Combat Casualty Care Overview

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Questions and Answers

What is the primary focus of the Tactical Combat Casualty Care phases of care?

  • Planning evacuation logistics
  • Managing injuries and trauma in tactical environments (correct)
  • Ensuring proper nutrition for combatants
  • Establishing communication protocols

Which section would you refer to for guidance on hypothermia prevention?

  • Hypothermia Prevention (correct)
  • Breathing Management
  • Vascular Access
  • Airway Management

Which appendix would provide information on medical evacuation precedence categories?

  • Appendix F
  • Appendix G
  • Appendix D (correct)
  • Appendix B

What does the 'MARCH' in MARCH/PAWS treatment algorithms represent?

<p>Massive hemorrhage, airway, respiration, circulation, and hypothermia (C)</p> Signup and view all the answers

Which medical category might a patient fall into that requires urgent care?

<p>Urgent injury category (D)</p> Signup and view all the answers

What is the focus of Appendix H in Tactical Combat Casualty Care?

<p>Medical transition guidelines in a tactical environment (C)</p> Signup and view all the answers

What is the purpose of the TCCC-AC course?

<p>To provide first responder training for non-medical personnel. (D)</p> Signup and view all the answers

Which of the following is NOT included in the Tactical Combat Casualty Care medical equipment section?

<p>Communication devices for medics (B)</p> Signup and view all the answers

Who are authorized trainers for TCCC-AC courses?

<p>Medical personnel who complete specific training. (A)</p> Signup and view all the answers

What is included in the TCCC-AC curriculum for training?

<p>Scenarios, practical exercises, and videos. (B)</p> Signup and view all the answers

What is required from instructors of the TCCC-AC course?

<p>Success in the TCCC-MP course and completion of a NAEMT instructor course. (B)</p> Signup and view all the answers

What kind of practical exercises does the TCCC-AC program emphasize?

<p>Skill station training and optional trauma lane exercises. (D)</p> Signup and view all the answers

What is the first step in preparing a casualty for King Laryngeal Tube insertion?

<p>Preoxygenate the casualty, if equipment is available. (D)</p> Signup and view all the answers

Which position should the casualty's head be placed in during the preparation for King LT insertion?

<p>Sniffing position. (A)</p> Signup and view all the answers

What type of lubricant should be used for lubricating the King Laryngeal Tube?

<p>Water-based lubricant. (C)</p> Signup and view all the answers

During the insertion of the King LT, at what angle should the tube be rotated?

<p>45 to 90 degrees. (A)</p> Signup and view all the answers

Which action confirms the proper placement of the King LT?

<p>Listening for equal breath sounds during ventilation. (A)</p> Signup and view all the answers

What should be aligned with the upper teeth to confirm proper placement of the King LT?

<p>The proximal end of the tube. (C)</p> Signup and view all the answers

What is a common mistake when placing the King LT that can endanger the casualty?

<p>All of the above. (D)</p> Signup and view all the answers

After inserting the King LT, what is necessary to ensure the cuff seals the airway?

<p>Inflate the cuff to the minimum volume necessary. (B)</p> Signup and view all the answers

Which step comes after lubricating the King LT?

<p>Insert the tube while maintaining a chin lift. (C)</p> Signup and view all the answers

What conditions can compromise the function of the device?

<p>Fracture of the sternum (A)</p> Signup and view all the answers

Why is it advised not to insert the FASTResponder at sites other than the manubrium?

<p>It may lead to ineffective infusion (B)</p> Signup and view all the answers

What should be done if the patient is conscious and alert before using the FASTResponder?

<p>Administer local anesthetic (B)</p> Signup and view all the answers

What is a risk associated with the reuse of the FASTResponder?

<p>Cross-contamination (B)</p> Signup and view all the answers

What is the first step in the procedure when using the FASTResponder?

<p>Expose and clean the infusion site (B)</p> Signup and view all the answers

What potential complication does very severe osteoporosis pose?

<p>Safety in these patients has not been proven (A)</p> Signup and view all the answers

What is the recommended action if using the FASTResponder on compromised skin?

<p>Avoid use entirely (B)</p> Signup and view all the answers

What should be done after connecting the IV line to the Luer?

<p>Clip the strain relief hook to the target foot (B)</p> Signup and view all the answers

What must be done before deploying the infusion tube with the FASTResponder?

<p>Align the target foot notch (B)</p> Signup and view all the answers

What should be used to confirm placement of the FASTResponder after infusion tube deployment?

<p>Aspiration and flushing with fluid (D)</p> Signup and view all the answers

In which phase of Tactical Combat Casualty Care (TCCC) is medical evacuation (MEDEVAC) initiated?

<p>Phase 3: Tactical Evacuation Care (C)</p> Signup and view all the answers

When is a casualty disarmed in TCCC?

<p>When the casualty's mental status is altered or they are receiving ketamine or fentanyl. (A)</p> Signup and view all the answers

What is the primary responsibility of medical personnel in the casualty collection point (CCP)?

<p>Providing medical care. (A)</p> Signup and view all the answers

What is the recommended method for rapid fluid delivery and resuscitation?

<p>Intraosseous (IO) access. (A)</p> Signup and view all the answers

What type of airway device is recommended if the airway shows resistance or evidence of facial trauma?

<p>Cricothyrotomy. (A)</p> Signup and view all the answers

What is the recommended treatment for a tension pneumothorax?

<p>Needle chest decompression (NCD). (D)</p> Signup and view all the answers

Which of these is used to assess a casualty's level of consciousness?

<p>All of the above. (D)</p> Signup and view all the answers

What is the difference between MEDEVAC and CASEVAC in the context of tactical evacuation?

<p>MEDEVAC is for medical emergencies, CASEVAC is for non-medical. (B)</p> Signup and view all the answers

What is the primary purpose of packing wounds with combat gauze?

<p>All of the above. (D)</p> Signup and view all the answers

Why is basic life support (CPR) typically not performed in combat?

<p>It can expose the rescuer to danger. (D)</p> Signup and view all the answers

Flashcards

Tactical Combat Casualty Care

A set of guidelines for managing combat-related injuries effectively.

MARCH Algorithm

A mnemonic for prioritized treatment steps: Massive hemorrhage, Airway, Respirations, Circulation, and Hypothermia.

Hemorrhage Control

Techniques used to stop or slow bleeding in trauma situations.

Airway Management

Methods used to ensure that a patient's airway remains unobstructed.

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Vascular Access

Establishing an intravenous (IV) line to administer fluids or medications.

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Hypothermia Prevention

Strategies employed to prevent body temperature from dropping in wounded individuals.

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Tactical Field Care

Basic management plan for casualties in the field to stabilize before evacuation.

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Cricothyroid Membrane

The membrane located between the thyroid and cricoid cartilages in the neck.

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King Laryngeal Tube (LT)

An airway device used for ventilation in emergencies, specialized for rapid insertion.

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Sniffing Position

Position where the head is tilted back and slightly upward to open the airway.

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Preoxygenation

Providing oxygen to a patient prior to a procedure to increase oxygen reserves.

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Cuff Inflation

Inflation of the cuff of an airway tube to create a seal in the airway.

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Lateral Approach

Inserting the King LT at a 45 to 90-degree angle for easier placement.

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Feather-light Ventilation

Gently ventilating the casualty to avoid high airway pressures.

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Placement Confirmation

Checking correct airway tube placement by listening for breath sounds and checking marks.

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Water-based Lubricant

Type of lubricant recommended for use with the King LT to prevent tissue damage.

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FASTResponder

A medical device for intravenous infusion in emergencies.

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Aseptic technique

Methods to prevent contamination during medical procedures.

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Infusion site preparation

Steps to clean and expose the area for infusion.

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Sternal notch

The groove at the top of the sternum used for alignment.

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Local anesthetic

Medication to numb a specific area before a procedure.

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Infusion tube deployment

The action of deploying the infusion tube from the FASTResponder.

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Fluid confirmation

The process of checking placement by aspirating and flushing the IV line.

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Sharps protocols

Guidelines for disposing of needles and sharp objects safely.

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Cross-contamination risk

The danger of spreading infection when reusing medical devices.

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Post-removal procedure

Steps taken after removing the FASTResponder, including turning off fluids.

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TFC Phase

The phase in Tactical Combat Casualty Care when effective enemy fire ceases, allowing for medical intervention.

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Casualty Collection Point (CCP)

The area where casualties are gathered for treatment by medical personnel.

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Deliberate Tourniquet

A controlled method of applying a tourniquet to stop severe bleeding after an initial hasty tourniquet is used.

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Cricothyrotomy

An emergency procedure to secure an airway by making an incision in the throat.

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Tension Pneumothorax

A life-threatening condition where air enters the pleural space, causing lung collapse.

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9-Line MEDEVAC Request

A standardized format for requesting medical evacuation for casualties.

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IV Access

Intravenous access used for rapid fluid resuscitation in hypovolemic patients.

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Hypovolemic Fluid Resuscitation

A treatment method for restoring blood volume in cases of severe blood loss.

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Military Acute Concussion Evaluation (MACE)

An assessment to evaluate a casualty for concussions following head injury.

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Tactical Evacuation Care (TEC)

The phase of care focused on moving casualties to safety and starting evacuation.

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TCCC-AC

Tactical Combat Casualty Care for non-medical personnel.

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NAEMT

National Association of Emergency Medical Technicians, which sets TCCC guidelines.

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TCCC-AC Training Guidelines

Standard protocols for first responder training in TCCC.

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Instructor Requirements

TCCC-AC instructors must have completed TCCC-MP course.

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Practical Exercises

Hands-on training components in the TCCC-AC curriculum.

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Study Notes

Handbook Information

  • Handbook no. 17-13, Version 5, May 2017
  • Topic: Tactical Combat Casualty Care (TCCC)
  • Lessons and Best Practices
  • Distribution A: Approved for public release, distribution unlimited.

Digital Version Available

Foreword

  • TCCC has saved hundreds of lives in conflicts
  • 90% of combat fatalities occur before reaching a medical facility
  • TCCC created to train soldiers and medical staff on current best practices from injury to Role 3 evacuation

TCCC Working Group

  • Includes trauma surgeons, emergency physicians, internists, family medicine physicians, operational physicians, physician assistants, combat medical educators, researchers, pathologists, combat medics, and corpsmen
  • 100% of CoTCCC members have been to war

Topics of Handbook

  • Tactical Combat Casualty Care Overview
  • Tactical Combat Casualty Care Phases of Care
  • Tactical Combat Casualty Care Medical Equipment
  • MARCH/PAWS Treatment Algorithms
  • Tactical Combat Casualty Care-All Combatants
  • Tactical Combat Casualty Care-Medical Provider

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