EMERGENCY WAR SURGERY (REV 5) (2018)

Question 1

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which chapter of the Emergency War Surgery provides information for, Mass casuality and triage ?

CHAPTER 3

Answer 1

Chapter 3

CHAPTER 3

Question 2

EMERGENCY WAR SURGERY (REV 5) / (2018)

What system has been adapted to provide rapid movement of casualities through the continumm of care ?

CHAPTER 3

Answer 2

Joint Theater Trauma System (JTTS)

CHAPTER 3

Question 3

EMERGENCY WAR SURGERY (REV 5) / (2018)

Who can complicate the mass casualty event ?

CHAPTER 3

Answer 3

Third-country nationals

CHAPTER 3

Question 4

EMERGENCY WAR SURGERY (REV 5) / (2018)

What plan must be designed, exrcised, and assed to reflect relevant site and evacuation cpability ?

CHAPTER 3

Answer 4

Mass Casualty Response Plan

CHAPTER 3

Question 5

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which taige category requires fluid resuscitaion, stablization of Fx, and administartion of antibotics, bladder catherization, gastric decompression, and reliefe of pain ?

CHAPTER 3

Answer 5

DELAYED

CHAPTER 3

Question 6

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which triage group category can be constituted as a manpower resource, utilized to assit with movement or care of the injured ?

CHAPTER 3

Answer 6

Minimal

CHAPTER 3

Question 7

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which triage category requires a staff capable of monitoring and providing comfot measures ?

CHAPTER 3

Answer 7

Expectant

CHAPTER 3

Question 8

EMERGENCY WAR SURGERY (REV 5) / (2018)

Personnel who are evacuated to a surgical unit and previosuly classified as what category should not be brough through th resuscitation area ?

CHAPTER 3

Answer 8

Minimal

CHAPTER 3

Question 9

EMERGENCY WAR SURGERY (REV 5) / (2018)

Casualitied not identified as minimal should be divided into which remaining categories ?

CHAPTER 3

Answer 9

Emergent, non-emergent, and expectant

CHAPTER 3

Question 10

EMERGENCY WAR SURGERY (REV 5) / (2018)

Ther personnel divided into the non-emergent category still require surgery within what time span ?

CHAPTER 3

Answer 10

6 - 12Hrs

CHAPTER 3

Question 11

EMERGENCY WAR SURGERY (REV 5) / (2018)

It is approximated that what percentage of casualties presented to a surgical unit will require urgent surgery ?

CHAPTER 3

Answer 11

10% - 20%

However, this is incident dependent

CHAPTER 3

Question 12

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which casualties may require a special triage consideration ?

CHAPTER 3

Answer 12

Those who do not eaily fit into the standard triage categories, or pose a risk to other casualties, medical personnel or the treatment facility itself.

1) CBRN casulaties Local or 2) third country national : Examples

CHAPTER 3

Question 13

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which action must occur with all casualties prior to moving theminto a treatment area ?

CHAPTER 3

Answer 13

Screening and Disarming

CHAPTER 3

Question 14

EMERGENCY WAR SURGERY (REV 5) / (2018)

It should be recognized that less stringent pre-deployment health assesments or requirements may permit whom with signifignat chornic health comorbities to enter a theater or war as a popoulation at risk ?

CHAPTER 3

Answer 14

Allied and third nation contractor

CHAPTER 3

Question 15

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which patients should be segregated from injured patients to improve the odds of rapid recovery during triage ?

CHAPTER 3

Answer 15

Comabt Stress Pateints

CHAPTER 3

Question 16

EMERGENCY WAR SURGERY (REV 5) / (2018)

What percentage of combat stress casualties can be returned to duty ?

CHAPTER 3

Answer 16

With expeditious care 80% can return to duty -

warning: Do not use them as litter bearers because they can increase the trauma we seek to reduce

CHAPTER 3

Question 17

EMERGENCY WAR SURGERY (REV 5) / (2018)

What 2” groups are stress combat casualties placed into ?

CHAPTER 3

Answer 17

Light and Heavy Stress

CHAPTER 3

Question 18

EMERGENCY WAR SURGERY (REV 5) / (2018)

Casualties who have been placed in the heavy stress group may be sent to the combat stress control restoration center for how many days ?

CHAPTER 3

Answer 18

3 days reconsititution

CHAPTER 3

Question 19

EMERGENCY WAR SURGERY (REV 5) / (2018)

Liasion with the tactical force operating in your area is essential to making which type of decisions ?

CHAPTER 3

Answer 19

Sound triage

CHAPTER 3

Question 20

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which constraint may prove to making the decision to treat or not to treat the individual casualty ?

CHAPTER 3

Answer 20

Resupply : Having a sense of how and when my internal resources will be resupplied will dictate if i treat a casuality or not

CHAPTER 3

Question 21

EMERGENCY WAR SURGERY (REV 5) / (2018)

Approximately how many causalities that are brought to the surgical unti will require urgent surgery ?

CHAPTER 3

Answer 21

10% - 20% : but this is incident depended

CHAPTER 3

Question 22

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which Casualities may require a special triage consideration ?

They pose a threat to 3 things.. what are those three things ?

CHAPTER 3

Answer 22

Those who pose a risk to other casualties, medical personnel, or the treatment facility

CHAPTER 3

Question 23

EMERGENCY WAR SURGERY (REV 5) / (2018)

What is considered the “choking point” within a medical treatment facility that provides surgical care ?

CHAPTER 3

Answer 23

Time on the operating table

CHAPTER 3

Question 24

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which issues are known to all medical personnel and should be factored into triage ?

CHAPTER 3

Answer 24

Internal factors

Such as supplies, Space/capabilities

CHAPTER 3

Question 25

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which medical units should have a system in place for effective and expedient execution of a fres whole blood drive ?

CHAPTER 3

Answer 25

Exepeditionary units

CHAPTER 3

Question 26

EMERGENCY WAR SURGERY (REV 5) / (2018)

Who should you work with to clear occupied beds in the hospital prior to a mass casualty response ?

CHAPTER 3

Answer 26

The theater medical regulator

CHAPTER 3

Question 27

EMERGENCY WAR SURGERY (REV 5) / (2018)

The complexity of decision-making in triage varies greatly, and often depending on the level of training and experience of whom ?

CHAPTER 3

Answer 27

The Traige Officer

CHAPTER 3

Question 28

EMERGENCY WAR SURGERY (REV 5) / (2018)

In the emergent treatment area, who must make the decisions about wether surgery is needed, the timing of the surgey, and the priority of multiple surgical patients ?

CHAPTER 3

Answer 28

The Sergeon of the Day (SOD)

CHAPTER 3

Question 29

EMERGENCY WAR SURGERY (REV 5) / (2018)

Regardless of the type of triage needed what information is of critcal importance in reaching a decision ?

CHAPTER 3

Answer 29

Intial vital signs, Pattern of injury, and response to inital intervention

CHAPTER 3

Question 30

EMERGENCY WAR SURGERY (REV 5) / (2018)

During he wars in Iraq and Afghanistan (2007-2017) how many injuries were due to penetrating injuries ?

CHAPTER 3

Answer 30

52% (9,791)

CHAPTER 3

Question 31

EMERGENCY WAR SURGERY (REV 5) / (2018)

During the wars in Iraq and Afghanistan from 2007 to 2017, how many injuries were due to blunt trauma ?

CHAPTER 3

Answer 31

45.5% (8,569)

CHAPTER 3

Question 32

EMERGENCY WAR SURGERY (REV 5) / (2018)

During the wars in Iraq and Afghanistan (2007-2017), how many injuries were due to burn-related injuries ?

CHAPTER 3

Answer 32

2.4% (452)

CHAPTER 3

Question 33

EMERGENCY WAR SURGERY (REV 5) / (2018)

The expectant triage area will have a medical attendant assigned for what reason ?

CHAPTER 3

Answer 33

Monitoring and optimal pain control

CHAPTER 3

Question 34

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which mechanism of injury created the largest percentage of pateints from teh wars in Iraq and Afghanistan ?

CHAPTER 3

Answer 34

(IED) - 60.4% , 11,372

CHAPTER 3

Question 35

EMERGENCY WAR SURGERY (REV 5) / (2018)

What percent of pateints injured in the wars of Iraq and Afghanistan were from Head and Neck injuries ?

CHAPTER 3

Answer 35

7.6%

CHAPTER 3

Question 36

EMERGENCY WAR SURGERY (REV 5) / (2018)

What are some of the qualities that make up a good triage area? (P.O.W. C.C.)

There are 5 qualities

CHAPTER 3

Answer 36

Proximity, One-way flow,
Covered, well-lightened, climate control

CHAPTER 3

Question 37

EMERGENCY WAR SURGERY (REV 5) / (2018)

Litter bearers should be controlled by whom to ensure continious casualty flow ?

CHAPTER 3

Answer 37

non-commisioned officer (NCO)

CHAPTER 3

Question 38

EMERGENCY WAR SURGERY (REV 5) / (2018)

Who should serve as the mass casualty team leader at a role 1 facility ?

CHAPTER 3

Answer 38

The most experienced healthcare provider

CHAPTER 3

Question 39

EMERGENCY WAR SURGERY (REV 5) / (2018)

Which role 1 - 4 personnel is responsible for crowd control and taking possession of armaments ?

CHAPTER 3

Answer 39

Security

CHAPTER 3

Question 40

EMERGENCY WAR SURGERY (REV 5) / (2018)

Who is responsible for the registering and tracking the flow of patients through the unit ?

CHAPTER 3

Answer 40

Administrative person

CHAPTER 3

Question 41

EMERGENCY WAR SURGERY (REV 5) / (2018)

Each individual resucitation treatment team will coordniate the movement of its patients with whom ?

CHAPTER 3

Answer 41

Chief Surgical Triage officer

CHAPTER 3

Question 42

EMERGENCY WAR SURGERY (REV 5) / (2018)

After all other patients have been treated every triage of patients assigned to which area should be done and treatment instituted, if appropriate?

CHAPTER 3

Answer 42

Expectant area

CHAPTER 3

Question 43

EMERGENCY WAR SURGERY (REV 5) / (2018)

Numerous authors have stated that, after the first 24HRS of a mass casuality ordeal, the activities of the care providers must be decreased by what percent ?

CHAPTER 3

Answer 43

50%

CHAPTER 3