119 Flashcards
Describe the phases of Tactical Combat Casualty Care.
Care under fire: only limited care provided due to hostile fire.
Tactical field care: more extensive care can be provided as no longer taking hostile fire.
Tactical evacuation care: casualties transported to higher level of care.
Describe how to evaluate a casualty for a traumatic brain injury.
Injury - Physical damage to the body or body part of the Service member? (Yes/No). Evaluation - Referral for a medical evaluation based on involvement in a mandatory event or demonstration of any of the “HEADS” symptoms at any point, H – Headaches and/or Vomiting (Yes/No) E - Ears ringing (Yes/No) A – Amnesia and/or altered consciousness and/or loss of consciousness (Yes/No) D - Double vision and/or dizziness (Yes/No) S - Something feels wrong or is not right (Yes/No) Distance or proximity to blast or damage - Was the Service member within 50 meters of blast (Yes/No). Record the distance from the blast.
Describe the contents of an Individual First Aid Kit.
Minor injury kit: First aid ointment, adhesive bandages, triangular bandage, combat reinforcement tape, burn dressing, water purification tablets, TCCC Casualty Card.
Trauma kit: Primed compressed gauze rolls, pressure dressing “H” bandage, combat application tourniquet, dy sterile burn dressing, chest wound kit, QuikClot Combat guaze.
Discuss how to apply a pressure dressing.
a. Place a wad of padding on top of the field dressing, directly over the wound.
b. Place an improvised dressing (or cravat, if available) over the wad of padding. Wrap the ends tightly around the injured limb, covering the previously placed field dressing.
c. Tie the ends together in a nonslip knot, directly over the wound site.
Discuss how to apply a tourniquet.
Placed just proximal to the site of severe bleeding. Never place directly over a joint. Note the time placed on the casualty.
Discuss how to keep the airway open.
Jaw-thrust: grasp the angles of the casualty’s lower jaw and lift with both hands to displace the jaw forward and up. Head-tilt/chin-lift: Place one hand on the casualty’s forehead and apply firm, backward pressure with the palm to tilt the head back. Place the fingertips of the other hand under the bony part of the lower jaw and lift, bringing the chin forward.
Discuss a proper layout of base camp facilities with regard to field sanitation.
As far from food operations as possible (100 meters or more). Downwind and down slope, if possible. Down slope from wells, springs, streams, and other water sources (30 meters or more). Always provide handwashing facilities at the food service facilities and the latrines. Make use of handwashing devices at latrines mandatory.
Discuss how to purify water under field conditions.
Preferred: Iodine tablets. Alternative: Chlorine ampules, emergency water treatment kit, household bleach, boiling.
