Combat Medical Skills

Question 1

Who may remove a tourniquet?

Answer 1

a combat medic a physician’s assistant a physician

Question 2

(T/F) Tourniquets are often left in place for long surgical procedures.

Answer 2

T

Question 3

(T/F) Damage to the arm or leg is common if the tourniquet is left on less than two hours.

Answer 3

F. Damage is rare if the tourniquet is left on **less **than two hours.

Question 4

If there is a massive extremity hemorrhage, do you put on a tourniquet and risk damaging the limb or do you try to prevent risk to the limb but risk bleedin to death?

Answer 4

PUT THE TOURNIQUET ON!!!

Question 5

(T/F) Tourniquets left in place longer than 4 hours usu leads to tissue necrosis that would require amputation

Answer 5

False. Page 619?

Question 6

What is the best immediate response to life-threatening extremity arterial bleeding in a combat environment?

Answer 6

TOURNIQUET.

Question 7

Which of the following conditions can prevent adequate maintenance of pressure?

• multiple injury sites
• multiple patients
• inability to stay with the patient during transportation
• enemy fire

Answer 7

• multiple injury sites
• multiple patients
• inability to stay with the patient during transportation
• enemy fire

Question 8

when hemostatic agent has the least hemostatic efficacy?

Answer 8

HemCon

Question 9

What is the proper method to apply a C.A.T. tourniquet (4 steps)?

Answer 9

1. apply th CAT proximal to the wound
2. Twist the windlass rof until bleeding stops
3. secure the Windlass Rod
4. Mark the casualty with a T

Question 10

If you are alone and the patient is making gurgling noises with respiration, do you complete the primary survery or insert an oral pharygeal airway?

Answer 10

Insert the OPA before you move on to any of the oter ABC’s

Question 11

If a patient is tachypnic, do you administer oxygen immediately, hesitate and get more information or not give any oxygen at all?

Answer 11

Give the supplemental oxygen if there is a chance he may need it. It won’t hurt.

Question 12

A GCS score has to be at or below what for a patient to require intubation?

Answer 12

8

Question 13

What is evaluated for the neurological exam in the secondayr survey?

Answer 13

• pupils for = response
• pupils for = size
• GCS score calculation
• evaluate motor and sensory function

Question 14

What is the protocol for tourniquet use in the civilian EMS?

Answer 14

use tourniquets as a last resort.

Question 15

care under fire: treat or return fire?

Answer 15

return fire

Question 16

what is the procedure to relieve tension pneumothorax on the battlefield?

Answer 16

needle thoracentesis

Question 17

what is the constraint in a mass casualty incident?

Answer 17

the # of patients exceeds the imediate capacity of on-scene resources

Question 18

Triage (Minimal, Delayed, Immediate, Epectant):

A 25 year old male was shot in the mid-thigh and initially had pulsatile bleeding from the wound. He applied a tourniquet himself and the bleeding is controlled by the time you reach him. He is conversant and following commands. You note that his pulse is 95, respiratory rate 20, and he has a strong radial pulse. He is complaining of severe pain.

Answer 18

Delayed. He will need surgery but he is currently stable

Question 19

(T/F) In decontaminating casualties at a mass casualty scene, it is best the have the patient do as much of the decontamination as possible.

Answer 19

True