Casualty Evaluation & Evacuation

Question 1

What are the 4 life saving steps?

Answer 1

ABCS–

Open the Airway, Check for Breathing, Check for signs of Circulation, Treat for Shock

Question 2

What does DCAPBTLS stand for & what is it used for?

Answer 2

Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, and Swelling

A Head to toe assessment

Question 3

What does MOI stand for?

Answer 3

Mechanism of injury

Question 4

CasEvac Capabilities for an M997 Hard/High back

Answer 4

4 litters or 8 ambulatory

Question 5

CasEvac Capabilities for an M1035 soft/low back

Answer 5

2 litters or 3 ambulatory

Question 6

CasEvac Capabilities for a UH-1 Huey lightweight transport helo

Answer 6

6 litters or up to 10 ambulatory

Question 7

CasEvac Capabilities for a CH-46E Sea Knight, Medium transport Helo

Answer 7

15 litters or 22 ambulatory

Question 8

CasEvac Capabilities for a CH-53D Sea/Super Stallion; Medium/Heavy helo

Answer 8

24 litters or up to 37 ambulatory

Question 9

CasEvac Capabilities for a V-22 Osprey; rotary wing helo

Answer 9

12 litters and 24 ambulatory

Question 10

What goes into a 9-line CasEvac/Med Evac Request?

Answer 10

1. Grid Coordinate of pick up site (8 digit grid)
2. Radio frequency/NET ID
3. # of casualties by precedence
4. Special Equipment requirement
5. Number of casualties by type/litter/ambulatory
6. Security at pick up site
7. Method of marking
8. Patient nationality and status
9. Additional information

Question 11

What goes into a casualty report? CasRep

Answer 11

1. Name, grade, SSN, unit
2. Time of incident
3. Location of incident
4. Type of wound
5. Location of wound
6. Casualty status
7. Casualty evacuation required? (Y/N)
8. Activity in which casualty engaged

Question 12

What is AVPU? & how often do you check it?

Answer 12

Alert and awake
Responds to verbal stimuli
Responds to painful stimuli
Unresponsive

Every 15 minutes

Question 13

What’s an MTF?

Answer 13

Medical Treatment Facility

Question 14

During the primary survey what do you do?

Answer 14

talk, feel, and observe

Question 15

What are 4 diagnostic signs to evaluate during the primary survey of a casualty?

Answer 15

pulse, respiration, skin color, and state of consciousness

Question 16

How do you sort casualties?

Answer 16

Urgent (0-2 hours)
Priority (4-6 hours)
Routine (24 hours or deceased)

Question 17

What are the different manual carry techniques?

Answer 17

Fireman's carry
Drag: 1 or 2 person
2 person rifle or pack carry
Poncho drag
Litter carry: 2 or 4 person
Improvised litter

Question 18

What are the 9 diagnostic signs?

Answer 18

Pulse
Respiration
Blood Pressure
Temperature
Skin Color
Pupils
Level of Consciousness
Ability to move
Reaction to pain

Question 19

What is the goal of the secondary survey?

Answer 19

1. Prepare for transport
2. Reassess life threatening injuries and treatment
3. manage problems associated with the airway and breathing
4. ensure pressure dressings, bandages, splinting, or tourniquets are secure to withstand transport

Question 20

When do you stop CPR?

Answer 20

The mission doesn’t permit
A more competent med. assist. arrives
you are physically unable due to fatigue
the casualty recovers

Question 21

What is the usual pulse rate in adults and children?

Answer 21

adults 60-100 bpm (beats per minute)

children 800-100 bpm

Question 22

What is a usual respiration?

Answer 22

12-20 breaths per minute

Question 23

What is hemiplegia?

Answer 23

paralysis of one side of the body

Question 24

What are hemostatic agents?

Answer 24

special dressings for non-extremity life threatening hemorrhage like:
QuickClot
HemCon
Combat Gauze

Question 25

What are some injuries associated in an urgent casualty?

Answer 25

Airway and breathing difficulties gunshot wounds spinal or pelvic fractures cardiac arrest uncontrolled or suspected severe hidden bleeding open chest or abdominal wounds severe head injuries with evidence of brain damage, no matter how slight severe medical problems: poisonings, diabetes with complications, cardiac disease with failure

Question 26

What are some injuries associated in a priority casualty?

Answer 26

burns without complications major or multiple fractures back injuries without spinal damage heat/cold injuries--not counting heat stroke

Question 27

What are some injuries associated in a routine casualty?

Answer 27

sprains, fractures, small lacerations obviously mortal wounds where death appears reasonably certain obviously dead

Question 28

What are some questions a Marines needs to ask themselves or things they need to do while providing assistance to a casualty during the primary survey?

Answer 28

``` Is the scene safe? How many casualties do I have? Do I have any help? Are they conscious? --Call for help --position the casualty open the airway check for breathing give rescue breaths if needed check for circulation What is the MOI? What caused the injuries? How bad are the injuries? Does the casualty have a C-spine injury? ```

Question 29

How do you open the airway?

Answer 29

head tilt/chin lift

Question 30

How do you check for breathing?

Answer 30

Give 2 breaths Look (for chest rise and fall) Listen (for breaths being taken) Feel (air being exhaled)

Question 31

How do you check for signs of circulation?

Answer 31

check the carotid or the radial pulse