Board- Medical Flashcards
Secondary Mission of Kearsarge
Causality receiving ship
Capabilities
- 6 operating rooms
- 15 Bed ICU
- 42 Bed Ward( can extend out to 542 with use of troops berthings)
- Blood bank = 400 units
- 4 battle dressing stations( FWD, AFT, Flight Deck, Main)
Ships company
- independent duty corpsman
- 2 preventive medicine technicians
- 1 lab/ blood bank technician
- 1 X-ray technician
- 1 biomedical repair technician
- Pharmacy technician
- 1 OR tech
- 1 aviation medicine technician
- 10 general duty HM
- 1 Dental hygienist
- 1 advanced dental technician
- 2 dental assistants
Where are we able to receive patients from
Well deck operations or helos
Objectives of First Aid
1- Save lives
2- Prevent Further Injury
3- Limit Infection
Priorities of First Aid
1- stop bleeding
2- maintain breathing
3- prevent or reduce shock
What to do if there is more than one victim
Triage or sort the victims
1-Immediate/Red
2-Delayed/Yellow
3-Minimal/Green
4-Expectant/Black
Treatment of shock
Keep patient warm and comfortable
Elevate feet 6-12 inches
Heat Stroke
Skin is hot and dry
Temps is 105 or greater
Heat exhaustion
Moist, clammy skin
Heat Cramps
Cramping of muscles, usually the abdomen, legs and arms
Army Pole Litter
Green mesh with metal poles on each side
1- Flight deck uses
2- Patient transport in medical
Reeves Sleeves
Rigid orange plastic with Velcro securing strap
1-used for vertical access
2-used for suspected spine/neck fractures
3-used to remove victims from spaces with limited access
Strokes stretcher
Looked like wire basket and it is used for horizontal movements
1-used for water rescue when flotation devices are attached
2-used to transport patients by high line
How many personnel to carry a stretcher
4
Main BDS
In main medical 01-77-0-L
Forward BDS
1-7-2-L FWD Port side main deck
AFT BDS
1-119-2-L aft end of hangar bay
Flight Deck BDS
In flight deck triage 03-73-1-1
How many mass causality boxes?
9
How many first aid boxes?
95, 1 in your workspace
Steps for any medical emergency
EARL
E-ensure the scene is safe
A-asses
R-report the causality
L-locate first aid box
Massive Hemorrhage with Amputation
1-report to DCCC or OOD
2-apply direct pressure with preparing tourniquet
3-place tourniquet 2-4 inches above amputation
4-mark victims forehead with a T and time
5-cover amputation site with large battle dressing, secure snugly
6-check front and back for further injury
7-monitor airway, conduct CPR as needed and treat for shock. Keep victim warm
8-if possible save the amputated appendage and bring it with the victim. Wrap in cloth and place inside bag with ice
Smoke inhalation
1- remove causality from smoke filled environment and to an area outside secondary smoke boundaries in a safe manner attempting to minimize injury. Victim must remain in fresh air for 20 minutes
2-verify the victim has a pulse, open airway, and breathing, if none start CPR. Report to DCCC or OOD
3-conduct check for additional injury’s
4-monitor airway, conduct CPR as needed and treat for shock. Keep victim warm
Fracture
1-Report to DCCC or OOD
2-place victim on back and expose injury. If fracture immediately apply pressure by pinching sides of wounds. Do not apply direct pressure over bones
3-wrap battle dressing to maintain pressure over entire wound. Secure dressing in place
4-using the unaffected opposing extremity, mold a SAMS splint to extend above and below joints
5-place splints under injury in position found
6-when handled, ensure injury is supported above and below fracture sight at all times
7-wrap molded splints with 3in ace wraps
8-check for further injury’s
9-monitor airway, conduct CPR as needed, treat for shock. Keep victim warm
Sucking Chest Wound
1-place victim on back and expose injury. Verify circulation, an open airway and breathing
2-report causality to DCCC and OOD
3-attempt to plug wound immediately with palm of hand
4-wipe away blood/fluid from wound
5-cover entire wound with plastic covering. Secure with tape on 3 sides, leaving one side open toward injury side
6-cover plastic with large battle dressing
7-roll the victim on injured side and check for exit wound. If exit wound exist, seal with plastic on all 4 sides
8-cover plastic with large battle dressing
9-check for further injury’s
10-place victim on affected side
11-monitor airway, conduct CPR as needed and treat for shock. Keep victim warm
Electrical Shock
1-secure power to the circuit prior to touching victim if you know how
2-remove victim from circuit utilizing a non-conductive material
3-report causality to DCCC or OOD
4-verify circulation, open airway and breathing. If pulse is not present, start CPR
5-continue until properly relieved by medical authority or until victim regains breathing and pulse
6-check for further injury’s
7-treat other injury’s
8-monitor for airway, conduct CPR as needed and treat for Shock. Keep victim warm
CAB
C-circulation
A-airway
B-breathing
CPR-circulation
1-place heal of hand at nipple line
2-compression ratio- 30 compressions to 2 breaths
3-depth of compression should be 2in
4-compression rate is 100 beats per minute
CPR-Airway Management
1-chin lift or jaw thrust
CPR-Breathing
1-if casualty is experiencing difficulty breathing remove casualty from space
2-get to fresh air immediately
3-keep casualty calm and remain in fresh air for minimum of 20 minutes
First aid box
1- large and small emergency trauma dressing 2- trauma shears 3- SAM Splints 4- ace bandage 5- nasal pharyngeal 6- surgical lubricant 7-skin market 8- occlusion dressing(chest seal or plastic with tape) 9-combat action tourniquet (CAT)
