2. Medical Command & Control (MC2)

Question 1

The following list of procedures require specific task initial and annual refresher
training in order to perform. Training will be conducted and signed off by the unit flight
surgeon. A current 623a will be maintained in the PJ’s medical training records.

Answer 1

‐Leg Fasciotomy
‐Escharotomy
‐Lateral Canthotomy
‐Use of Blood Products
‐Rapid Sequence Induction (RSI)
‐Ventilator Use

Question 2

Enemy casualties are hostile combatants until they?

Answer 2

 Indicate surrender
 Drop all weapons
 Are proven to no longer pose a threat‐ complete body search for weapons and
ordnance, trauma naked if able
 Are removed from reach of weapons
 Are restrained with flex cuffs or other devices

Question 3

Guidelines for Initiation of Resuscitation:

1. Combat (Direct Fire):

Answer 3

• Unresponsive patients w/ no pulse or respirations, should not have resuscitation initatiated.
• Unresponsive patients w/ a pulse but no respirations should have resuscitation initiated if it can be accomplished relatively safely.

Question 4

Non-Combat Resuscitation; When would you not initiate resuscitation efforts?

Answer 4

o Dependent lividity
o Rigor mortis
(Caution: In hypothermia victims, severe hypothermia may resemble rigor
mortis. Check core body temperature)
o Open head injury with brain matter exposed and no pulse present
o Injury to the trunk with chest contents exposed and no pulse present
o “Frozen” hypothermia victim, e.g., ice formation in the airway, incompressible
chest
o Total body burns or body carbonization and no pulse present
o Suffered massive blunt trauma, e.g., fall of over 100 feet, and has no pulse