CCA’s Flashcards
What are the steps in care under fire?
Return fire, direct casualty, direct security, control bleeding with a hazy tourniquet as the Massive hemorrhage part of MARCH assessment.
What are the steps of tactical field care massive hemorrhage section?
BSI, check for responsiveness/signs of life, observe for any amputations or extremity bleeding and apply deliberate tourniquet, preform blood sweep of NAPILA (neck, axillary, pelvis, inguinal, and extremity).
What are the steps for tactical field care airway section?
If unconscious, open and assess airway, position to maintain airway, and apply airway adjunct.
What are the steps for tactical field care respiratory section?
Remove equipment and assess torso for penetrating trauma, assess equal rise and fall of chest and apply pulse oximetry.
What are the steps of tactical field care circulation section?
Obtain baseline vitals, apply saline lock an administrate TXA and whole blood products as needed, wrap any junctional wounds, and notify tactical leader for 9 line medivac giving lines 3,4, and 5.
What are indications for a saline lock?
Significant injuries, present radial pulses, and normal mental status.
What are indications for saline lock with TXA?
Significant injuries, weak or absent radial pulse, and altered mental status in absence of brain injury.
What are the steps of tactical evacuation care?
Place on evacuation device and treat for hypothermia. Reassess march, prior interventions, and obtain vitals and start documentation (if not already started). Check ID tags for allergies and administer appropriate pain meds, antibiotics, and ask tactical leader for MEDEVAC ETA.
What are the appropriate pain meds?
Fentanyl 800ug once every 15 minutes as needed, ketamine 20-30mg IV/IO slow push or ketamine 50-100mg IM/IN repeated every 20-30 minutes if needed. Mobic, 15mg once a day or Tylenol 500 mg 2 PO every 8 hours.
What are the appropriate antibiotics recommended for open wounds?
Moxifloxacin 400mg PO once a day or Ertapenem 1g IV/IM once a day.
