CCP Flashcards
Can you modify casualty collection point?
Yes
How many levels of care?
5 echelons
What is role/echelon 1?
First responder/ Basic field care
Combat life savers
First medical care military personnel receive. Includes immediate life saving measures, disease and non-battle injury prevention and care, combat and operational stress control (COSC), patient location and acquisition
Examples of role 1?
1) Battalion Aid Station:
a) Two Medical Officers
b) 1 IDC, 1 PMT, and 65 HMs
2) Cruisers, Destroyers, and below
What is role/echelon 2?
CRTS - Casualty receiving treatment ship
Initial resuscitative care is the primary objective of care at this level. Saving life, limb, and when necessary stabilization for evacuation to level 3
How many mass casualty patients can role 2 receive up to?
50 patients
Role 2 examples at sea?
- LHD, LHA, CVN
What is a CRTS?
Casualty receiving treatment ship
ROLE 2
*** LHD, LHA, CVN
What is the largest casualty receiving ship/medical capability at sea?
LHD
Role 2 examples on ground?
- Med Battalion
- Shock trauma platoon
- Forward resuscitative surgical ship
Who provides surgical care to the MEF?
***Med battalion
Does Shock trauma platoon have surgical capabilities?
** NO
Level/Echelon 3?
*** Highest level in combat zone
Advanced resuscitative care is the primary objective of care.
Level 3 examples?
- Fleet hospitals
* Hospital ships
Level/Echelon 4?
OCONUS Hospitals
Definitive medical care
Level/Echelon 5?
CONUS Hospitals
Restorative and rehabilitative care
What is a MEDEVAC?
care provided by medical personnel to the wounded being evacuated from the battlefield to the military treatment facility (MTF)
What is CASEVAC?
Casualties transported under these circumstances may not receive en route medical care
What is aeromedical evac?
USAF fixed-winged aircraft to move sick or injured personnel within the theater or operations
En route care?
maintenance of treatment initiated prior to evacuation and sustainment of the patient’s medical condition during evacuation
Standard litter?
most widely used in theater.
Stokes litter?
Most commonly used litter onboard ships
ropes, cables or steel rings that can be attached
Which way is patient transported with lower extremity fracture when going downhill?
Head first
M997
armor protection
M1035 Ambulance
removable soft top
UH 60 A Blackhawk
on-board oxygen generation, and a medical suction system
SH-60B Seahawk
Ok
CH-53 D/E Sea Stallion
Medium/Heavy lift
CH-1 Huey:
Light transport helicopter
MV-22 Osprey
ok
CH-46 Sea Knight
Medium lift helicopter used to transport personnel and cargo
Any patient with a pneumothorax regardless of size should have what before any flight?
chest tube before any flight
Due to decreased barometric pressure, the volume of a gas bubble in liquid doubles at 18,000 feet above sea level
Ok
What do most aircraft pressurize cabin to?
8,000 and 10,000 feet
What conditions should be considered for cabin altitude restrictions?
(a) Penetrating eye injuries with intraocular air.
(b) Free air in any body cavity.
(c) Severe pulmonary disease.
(d) Decompression sickness and arterial gas embolism
What is “Urgent” MEDEVAC?
Casualty must be evacuated within 2 hours in order to save life, limb or eye sight
What is “Priority” MEDEVAC?
Casualty must be evacuated within 4 hours or condition could worsen
What is “Routine” for MEDEVAC?
Casualty must be evacuated within 24 hours for further care
Examples of “Urgent”
1) Cardiorespiratory distress
2) Uncontrolled hemorrhage
3) Shock not responding to IV therapy
4) Head injuries with signs of increased ICP
5) Extremities with neurovascular compromise
Examples of “Priority”?
1) Flail chest segments without respiratory compromise
2) Open fractures
3) Spinal injuries
4) Major burns
Examples of “Routine”?
1) Minor to moderate burns
2) Simple, closed fractures
3) Minor open wounds
4) Terminal Casualties
What lines are required to start bird movement?
first 4
What is in a 9 line?
(1) Location of pick up site (Grid coordinates).
(2) Frequency/Call sign of pick up site.
(3) Number of patients by precedence:
(a) A- Urgent
(b) C- Priority
(c) D- Routine
(4) Special equipment needed:
(a) A- None
(b) B- Hoist
(c) C- Extraction equipment
(d) D- Ventilator
(5) Number of patients by type
(a) L - # of litter
(b) A- # of ambulatory
(6) Security of pickup site:
(a) N - No enemy
(b) P - Possible enemy
(c) E - Enemy in area
(d) X - Armed escort required
(7) Method of marking pickup site:
(a) A - Panels
(b) B - Pyrotechnics
(c) C - Smoke
(d) D - None
(e) E – Other
(8) Patient nationality and status:
(a) A - US Military
(b) B - US Civilian
(c) C - Non US Military
(d) D - Non U
(e) S Civilian
(f) E – EPW
(9) NBC Contamination:
(a) N- Nuclear
(b) B- Biological
(c) C- Chemical
What is in the MIST report?
M - Mechanism of injury
I - Injuries sustained
S - signs/symptoms
T - treatments
What injuries are not involved in kinematics?
Thermal and radiation
Newtwon;s first law?
Every object will remain at rest unless…
Newton’s second law?
F = M*A
Forms of energy?
(a) Mechanical
(b) Thermal
(c) Electrical
(d) Chemical
Who proposed that the kinetic energy possessed by the bullet was dissipated in four ways:(a) Heat
(b) Energy used to move tissue radically outward
(c) Energy used to form a primary path by direct crush of the tissue
(d) . Energy expended in deforming projectile
Theodore Kocher
What is deformation of a projectile?
a mushrooming of the projectile that increases the diameter of the projectile, usually by a factor of 2
What is fragmentation?
multiple projectiles can weaken the tissue in multiple places
** Occurs with high velocity missiles
What is non-fragmenting bullets?
deeper penetration, whereas a fragmented projectile will not penetrate as deeply, but will affect a larger cross-sectional area
What is low energy projectile?
(a) Knives, needles, ice picks (hand-driven weapons)
1) Tissue damage by crushing is minimal
What is medium energy projectile?
Firearms with muzzle velocity of less than 1,500 feet second (9mm, .45)
What is high energy projectile?
Firearms with muzzle velocity of more than 1500 feet per second. (.44 magnum, .50)
(b) Injury track of high-powered weapons are at least 2-3 times the diameter of the projectile
Tissue crush is what?
Straight or tilted
What tissue handles projectiles better?
(a) Elastic tissue (bowel and lung) tolerate damage better than non-elastic organs (heart, liver, kidney and brain.)
Close range =
7 yards or less
Direct contact =
the most devastation
The two signs, which remain absolute indications for laparotomy
peritonitis and hemodynamic instability following penetrating or blunt abdominal trauma
chest injuries are responsible for how many trauma deaths?
20-25%
How are gunshot wounds to the abdomen typically treated?
laparotomy
As an IDC, your focus should be on early identification and location of penetrating trauma, stabilization of the patient and MEDEVAC/CASEVAC to a higher echelon of care as soon as the patient(s) can tolerate the transfer.
ok
Primary blast?
Effects of Overpressure and Underpressure from a blast wave-is distinctly uncommon in surviving casualties except in the form of perforated tympanic membranes.
Secondary blast?
Flying Debris/fragments, missiles in conjunction with the “blast wind”
(i.e., the mass of air displaced by the explosion) are responsible for the gross mutilation that is characteristic of such injuries.
Tertiary Blast?
Body Displacement
Quartenary Blast?
Burns
