EMERGENCY WAR SURGERY (REV 5) (2018) Flashcards
EMERGENCY WAR SURGERY (REV 5) / (2018)
Which chapter of the Emergency War Surgery provides information for, Mass casuality and triage ?
CHAPTER 3
Chapter 3
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
What system has been adapted to provide rapid movement of casualities through the continumm of care ?
CHAPTER 3
Joint Theater Trauma System (JTTS)
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Who can complicate the mass casualty event ?
CHAPTER 3
Third-country nationals
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
What plan must be designed, exrcised, and assed to reflect relevant site and evacuation cpability ?
CHAPTER 3
Mass Casualty Response Plan
CHAPTER 3
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
DELAYED
CHAPTER 3
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
Minimal
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Which triage category requires a staff capable of monitoring and providing comfot measures ?
CHAPTER 3
Expectant
CHAPTER 3
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
Minimal
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Casualitied not identified as minimal should be divided into which remaining categories ?
CHAPTER 3
Emergent, non-emergent, and expectant
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Ther personnel divided into the non-emergent category still require surgery within what time span ?
CHAPTER 3
6 - 12Hrs
CHAPTER 3
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
10% - 20%
However, this is incident dependent
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Which casualties may require a special triage consideration ?
CHAPTER 3
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
EMERGENCY WAR SURGERY (REV 5) / (2018)
Which action must occur with all casualties prior to moving theminto a treatment area ?
CHAPTER 3
Screening and Disarming
CHAPTER 3
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
Allied and third nation contractor
CHAPTER 3
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
Comabt Stress Pateints
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
What percentage of combat stress casualties can be returned to duty ?
CHAPTER 3
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
EMERGENCY WAR SURGERY (REV 5) / (2018)
What 2” groups are stress combat casualties placed into ?
CHAPTER 3
Light and Heavy Stress
CHAPTER 3
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
3 days reconsititution
CHAPTER 3
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
Sound triage
CHAPTER 3
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
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
EMERGENCY WAR SURGERY (REV 5) / (2018)
Approximately how many causalities that are brought to the surgical unti will require urgent surgery ?
CHAPTER 3
10% - 20% : but this is incident depended
CHAPTER 3
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
Those who pose a risk to other casualties, medical personnel, or the treatment facility
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
What is considered the “choking point” within a medical treatment facility that provides surgical care ?
CHAPTER 3
Time on the operating table
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Which issues are known to all medical personnel and should be factored into triage ?
CHAPTER 3
Internal factors
Such as supplies, Space/capabilities
CHAPTER 3
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
Exepeditionary units
CHAPTER 3
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
The theater medical regulator
CHAPTER 3
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
The Traige Officer
CHAPTER 3
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
The Sergeon of the Day (SOD)
CHAPTER 3
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
Intial vital signs, Pattern of injury, and response to inital intervention
CHAPTER 3
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
52% (9,791)
CHAPTER 3
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
45.5% (8,569)
CHAPTER 3
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
2.4% (452)
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
The expectant triage area will have a medical attendant assigned for what reason ?
CHAPTER 3
Monitoring and optimal pain control
CHAPTER 3
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
(IED) - 60.4% , 11,372
CHAPTER 3
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
7.6%
CHAPTER 3
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
Proximity, One-way flow,
Covered, well-lightened, climate control
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Litter bearers should be controlled by whom to ensure continious casualty flow ?
CHAPTER 3
non-commisioned officer (NCO)
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Who should serve as the mass casualty team leader at a role 1 facility ?
CHAPTER 3
The most experienced healthcare provider
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Which role 1 - 4 personnel is responsible for crowd control and taking possession of armaments ?
CHAPTER 3
Security
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Who is responsible for the registering and tracking the flow of patients through the unit ?
CHAPTER 3
Administrative person
CHAPTER 3
EMERGENCY WAR SURGERY (REV 5) / (2018)
Each individual resucitation treatment team will coordniate the movement of its patients with whom ?
CHAPTER 3
Chief Surgical Triage officer
CHAPTER 3
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
Expectant area
CHAPTER 3
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
50%
CHAPTER 3
