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ORGANIZATION OF TRAUMA CARE 29-1 Flashcards

1
Q

THE FRENCH WORD TO SORT….

A

TRIAGE

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2
Q

SETS THE STAGE FOR EVALUATION, TREATMENT AND TRANSPORT OF THE INJURED?

A

TRIAGE

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3
Q

TRIAGE CATEGORIES DO NOT CHANGE ONCE GIVEN T/F?

A

FALSE.

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4
Q
  • THE NUMBER OF INJURED BODIES
  • AVAILABLE RESOURCES
  • NATURE AND EXTENT OF INJURIES
  • CHANGE IN PATIENTS CONDITION
  • HOSTILE THREATS IN THE AREA.

ALL OF THESE FACTORS CAN AFFECT WHAT WHEN DEALING WITH A MASS CASUALTY SCENARIO?

A

THE CATEGORIES AND HOW THEY ARE PLACED ON PATIENTS.

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5
Q

HOW DO YOU DIFFERENTIATE BETWEEN A MULTIPLE PATIENT CASUALTY EVENT VS. A MASS CASUALTY EVENT?

A

MULTIPLE CASUALTY DOES NOT EXCEED MEDICAL CAPABILITIES VS. MASS CASUALTY.

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6
Q

FIVE PRINCIPLES OF TRIAGE:

A
  • DEGREE OF LIFE THREATENING INJURIES SUSTAINED
  • SEVERITY OF INJURIES
  • SALVAGEABILITY
  • RESOURCES
  • TIME, DISTANCE AND EVIRONMENT
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7
Q

DESISCIONS MADE FOR TRIAGE ARE BASED ON WHAT?

A

THE BEST INFORMATION AVAILABLE AT THAT TIME.

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8
Q

WHAT TYPE OF TRIAGE IS BASED ON MAINTAINING A SUPERIOR FIGHTING FORCE BY RETURNING ABLE BODIED PERSONNEL TO THE FIGHT ASAP?

A

MILITARY TRIAGE

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9
Q

WHAT MUST NEVER BE CONSIDERED WHEN DEALING WITH A MASS CASUALTY SCENARIO?

A

ABANDONING YOUR CASUALTIES

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10
Q

CATEGORIES OF MILITARY TRIAGE

A

IMMEDIATE
DELAYED
MINIMAL
EXPECTANT

(IDME)

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11
Q

CATEGORY OF MILITARY TRIAGE:

  • NEEDS LIFESAVING INTERVENTIONS WITHIN MINUTES TO 2 HOURS.
  • EXAMPLES:
  • MASSIVE HEMORRHAGE
  • AIRWAY OBSTRUCTION
  • TENSION PNEUMO
  • LOSS OF LIMB/AMPUTATION
A

IMMEDIATE

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12
Q

CATEGORY OF MILITARY TRIAGE:

  • CAN WAIT FOR DIFINITIVE TREATMENT SUCH AS SURGERY, BUT CURRENT CONDITION WILL NOT ENDANGER LIFE, LIMB, OR EYESIGHT.
  • EXAMPLES INCLUDE:
  • SOFT TISSUE INJURIES WITHOUT SIGNIFICANT BLEEDING
  • FRACTURES
  • COMPARTMENT SYNDROME
  • BURNS TO LESS THAN 20% OF THE BODY.
  • PENETRATING INJURIES WITHOUT SIGNS OF SHOCK
  • FACIAL FRACTURES WITH NO AIRWAY COMPROMISE
A

DELAYED

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13
Q

CATEGORY OF MILITARY TRIAGE:

  • CAN BE TREATED WITH SELF AID, BUDDY AID, OR BY THE MEDIC.
  • USUALLY ASSOCIATED WITH “WALKING WOUNDED”
  • EXAMPLES INCLUDE:
  • MINOR BURNS, LACERATIONS, CONTUSIONS
  • SIMPLE, CLOSED FRACTURES WITHOUT NEURO VASCULAR COMPROMISE.
  • COMBAT STRESS
A

MINIMAL

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14
Q

WHAT TRIAGE CATEGORY OF PATIENT WOULD YOU BE ABLE TO UTILIZE FOR SCENE SECURITY AND ALSO AID IN TREATMENT OF HIGHER CATEGORY PATIENTS?

A

MINIMAL

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15
Q

CATEGORY OF MILITARY TRIAGE:

-THESE PATIENTS HAVE VERY LOW LIKELIHOOD OF SURVIVAL EVEN IF YOU WERE RIGHT BY DIFINITIVE CARE.
-THIS CATEGORY IS ONLY USED WHEN RESOURCES ARE LIMITED (MASS CASUALTY)
EXMAPLES INCLUDE:
*NO SIGNS OF LIFE
*CARDIOPULMONARY FAILURE
*2ND AND 3RD DEGREE BURNS TO GREATER THAN 85% OF BSA.
*SPINAL CORD INJURIES
*OPEN PELVIC FRACTURE

A

EXPECTANT

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16
Q

EVEN IF YOU PUT SOMEONE IN EXPECTANT CATEGORY, THIS DOES NOT STOP WHAT?

A

RE ASSESSMENT AND CARE

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17
Q

MANAGEMENT OF SOMEONE WHO IS DEEMED EXPECTANT

A

PAIN MEDS

COMFORT

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18
Q

WHAT ARE THE FOUR COLORS THAT SIGNIFY PATIENT CATEGORIES ON THE NATO TAG?

A

BLACK FOR EXPECTANT
GREEN FOR MINIMAL
YELLOW FOR DELAYED
RED FOR IMMEDIATE

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19
Q

STAGE OF TRIAGE:

SIMPLE AND QUICK CATEGORIZATION OF PATIENTS AND DEALING WITH IMMEDIATE LIFE SAVING MEASURES LIKE A NEEDLE D. OPENING AN AIRWAY OR APPLYING A TOURNIQUET.

A

INITIAL/ PRIMARY TRIAGE

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20
Q

THIS STAGE OF TRIAGE:

ALLOWS FOR ADJUSTMENT ON PATIENT RESPONSE, TO DIRECT MORE IN DEPTH TREATMENT AND PREPARE FOR A NINE LINE MEDICAL EVACUATION REQUEST

A

SECONDARY TRIAGE

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21
Q

THIS STAGE OF TRIAGE

AFTER INITIAL AND SECONDARY. HELPS AID IN DETERMINING FINAL DISPOSISTION IN REGARDS TO TRANSPORT CATEGORY FOR MEDEVAC/CASEVAC.

A

TERTIARY TRIAGE

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22
Q

EARLY TRAUMA DEATHS ARE DUE TO DISRUPTIONS IN ONE OR ALL OF WHICH BODILY SYSTEMS?

A

CARDIOVASCULAR

PULMONARY

NEUROLOGICAL

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23
Q

CASUALTIES USUALLY DIE WITHIN THIS TIMEFRAME DUE TO INABILITY TO BREATH, LACK OF PERFUSION FOR THE BRAIN TO CONTINUE FUNCTIONING OR FROMM BLEEDING OUT.

A

1 HOUR

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24
Q

PERSONNEL WHO ARE BLOWN UP IN A BIOLOGICAL/CHEMICAL ATTACK ARE FIRST PRIORITY AT THE TRIAGE SITE. T/F?

A

FALSE, THEY MUST BE DECONTAMINATED FIRST.

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25
Q

A PATIENT WHO IS BROUGHT TO A MASS CAS COLLECTION POINT FOR TRIAGE HAS 4 GRENADES, 6 MAGAZINES AND FLASH BANGS. WHAT NEEDS TO HAPPEN PRIOR TO BEING TREATED.

A

MUST REMOVE ALL ORDINANCE FOR PERSONNEL SAFETY AND FOR EXAMINATION OF THE PATIENT. THESE PATIENTS ARE USUALLY TREATED LAST

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26
Q

A MINIMALLY TREATED MARINE PRESENTS DURING YOUR SECONDARY TRIAGE. AND IS NOT TALKING, SHAKING AND IS HEAVILY FATIGUED. WHAT WOULD YOU BE CONSIDERING THAT THIS MARINE TO BE SUFFERING FROM IN THE ACUTE STAGES?

A

COMBAT STRESS.

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27
Q

SOMEONE WHO IS DESIGNATED TO BE SUFFERING FROM COMBAT STRESS SHOULD NOT DO WHAT?

A

AID IN PATIENT CARE OR LITTER BEARING.

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28
Q

MNEMONIC WHERE RESOURCES AND TACTICAL SITUATIONS ALLOW. IN REGARDS TO COMBAT STRESS PATIENTS

A

(BICEP)

BRIEF

IMMEDIATE

CENTRAL

EXPECTANT

PROXIMAL

SIMPLE

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29
Q

3 PHASES OF TACTICAL COMBAT CASUALTY CARE?

A
  • CARE UNDER FIRE
  • TACTICAL FIELD CARE
  • TACTICAL EVACUATION
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30
Q

PHASE OF TCCC

-GETTING OF THE X AND UNDER COVERAGE, NOT CONCEALMENT. YOU ARE STILL ACTIVELY FIGHTING

A

CARE UNDER FIRE

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31
Q

PHASE OF TCCC

NOW UNDER COVER, YOU PERFORM A RAPID ASSESSMENT AND ADDRESS ANY LIFE SAVING MEASURES.

THIS IS OPTIMALLY DONE WITHIN A MINUTE.

A

TACTICAL FIELD CARE

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32
Q

MAJORITY OF PREVENTABLE DEATH IN THE TACTICAL SETTING?

A

UNCONTROLLED HEMORRHAGE

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33
Q

WHAT PERCENTAGE DOES A PATIENT HAVE OF LIVING IF THEY HAVE A STRONG PULSE AND OBEYS COMMANDS?

A

95% CHANCE OF SURVIVAL

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34
Q

IF A PATIENT CAN OBEY COMMANDS BUT HAS A WEAK OR ABSENT RADIAL PULSE WHAT ARE YOU CONCERNED FOR AND WHAT CATEGORY WOULD YOU WANT TO PUT THIS PATIENT IN?

A

DEVELOPING INTO DECOMPENSATED SHOCK AND SHOULD BE IMMEDIATE

35
Q

A CASUALTY DOES NOT OBEY COMMANDS AND HAS A WEAK/ ABSENT RADIAL PULSE. WHAT IS THE LIKELYHOOD OF DEATH?

36
Q

BEFORE PATIENTS ARE EVACUATED WHAT SHOULD THE MEDICAL PROVIDER DO?

A

ANOTHER TRIAGE OF ALL PATIENTS

37
Q

WHAT MUST ACCOMPANY ALL PATIENTS THAT LEAVE YOUR CARE AND GO ON TO THE NEXT HIGHER ECHELON?

A

DOCUMENTATION

IF YOU GAVE MORPHINE AND THEY DONT KNOW YOU DID. YOU JUST KILLED THEM

38
Q

THESE FACTORS DRIVE A PROVIDER TO MAKE THIS DESIGNATED AREA FOR MASS CAS OPERATIONS:

  • PROXIMITY TO PATIENTS
  • PROXIMITY TO VEHICLES
  • PROXIMITY TO HLZ
  • GEOGRAPHY OF THE AREA
A

CASUALTY COLLECTION POINT (CCP)

39
Q

WHAT IS THE ROLE/ECHELON 1 OF CARE?

A

CORPSMAN AID, BASIC FIRST AID, COMBAT LIFE SAVER

BASIC SICK CALL

EXAMPLE IS A BATTALION AID STATION

40
Q

THIS ECHELON CAN BE FOUND ON A BIG DECK AMPHIB LIKE AN LHD. IT PROVIDES INITIAL RESUSCITATIVE CARE AND FOCUSES ON SAVING LIFE, LIMB AND EYESIGHT?

A

ROLE 2/ 2ND ECHELON

41
Q

THIS ROLE 2 ECHELON HAS:

604 BEDS

6 O.R.

26 ICU BEDS

4 QUIET ROOMS

46 WARD BEDS

528 OVERFLOW BEDS

42
Q

THIS ROLE 2 HAS:

366 TOTAL BEDS

4 O.R

15 ICU BEDS

2 QUIET ROOMS

45 WARD BEDS

300 OVERFLOW BEDS

43
Q

THIS ROLE 2 HAS:

1 O.R

3 ICU BEDS

8 ISOLATION BEDS

42 WARD BEDS

44
Q

THIS ROLE 2 PROVIDES ON LAND SURGICAL CARE FOR M.E.F. CAN HOLD PATIENTS FOR 72 HOURS?

A

MEDICAL BATTALION

45
Q

CONSISTS OF 1 HEADQUARTERS COMPANY AND 3 SURGICAL COMPANIES.

HAS 3 O.R.

3 WARDS OF 20 BEDS EACH.

A

MEDICAL BATTALION

46
Q

A SMALL FORWARD UNIT SPECIALIZING IN STABILIZATION AND CASEVAC/MEDEVACS THAT CONTAIN:

  • 2 E.R. DOCTORS
  • 1 PA
  • 1 E.R. NURSE
  • 18 8404 HM
  • 7 MARINES
A

SHOCK TRAUMA PLATOON

47
Q

FORWARD DEPLOYED SURGICAL SUITE DEVELOPED DUE TO THE MEDICAL BATTALION BEING TOO LARGE. THIS UNIT CONTAINS

  • 2 SURGEONS
  • 1 ANETHESIOLOGIST
  • 1 CRITICAL CARE NURSE
  • 1 IDC, 2 OR TECHS AND 1 HM 8404
A

FORWARD RESUSCITATIVE SURGICAL SUITE

48
Q

WHAT ARE THE 2 SUB CATEGORIES FOR ROLE 2 ECHELON. THESE DEAL WITH THE CAPABILITY OF THE UNIT AND WHAT CAN BE DONE FOR THE PATIENT.

A

ROLE 2 LIGHT MANEUVER

ROLE 2 ENHANCED

49
Q

HIGHEST ECHELON OF CARE RENDERED IN A COMBAT ZONE. ADVANCED RESUSCITATIVE CARE IS RENDERED HERE.

A

ROLE/ ECHELON 3

50
Q

ROLE 3 CAPABILITY

  • HAS 500 HOSPITAL BEDS
  • 80 ICU BEDS
  • 6 O.R.
A

FLEET HOSPITALS

51
Q

ROLE 3 CAPABILITY:

CONSISTS OF :

  • 1000 TOTAL BEDS
  • 100 ICU BEDS
  • 12 O.R.
A

USNS SHIPS (HOSPITAL SHIPS)

52
Q

THIS ECHELONS MAIN GOAL IS DIFINITIVE MEDICAL CARE.

USUALLY FOUND IN NH YOKOSUKA OR LONGSTUHL GERMANY.

A

ROLE/ ECHELON 4.

53
Q

THIS ECHELON OF CARE HAS A FOCUS ON REHAB AND RESTORATION BASED CARE.

MAIN PLACES LIKE

NMCSD
BATHESDA

A

ROLE/ECHELON 5

54
Q

TIMELY, EFFICIENT TRANSPORT OF A CASUALTY THAT IS CARED FOR EN ROUTE BY MEDICAL PERSONNEL.

55
Q

MOVEMENT OF CASUALTIES FROM POINT OF INJURY TO MEDICAL WITHOUT ANY MEDICAL PERSONNEL TO PROVIDE EN ROUTE CARE.

56
Q

THIS PATIENT EVACUATION METHOD UTILIZES FIXED WING USAF AIRCRAFT TO MOVE SICK AND INJURED PERSONNEL WITHIN THE THEATER OF OPERATIONS.

A

AEROMEDEVAC

57
Q

THE MAINTENANCE OF TREATMENT INITIATED PRIOR TO EVACUATION AND SUSTAINMENT OF THE PATIENTS MEDICAL CONDITION DURING EVACUATION.

A

EN ROUTE CARE.

58
Q
  • PRE FABRICATED
  • COLLAPSIBLE
  • USED IN DEPLOYED SETTINGS
  • CAN UTILIZE ACCESSORIES FOR IT
  • CAN BE DECONTAMINATED FOR CBRNE PATIENTS.
A

STANDARD LITTER

59
Q

THIS LITTER IS THE MOST COMMON LITTER USED ABOARD SHIPS

  • IS COMPRISED OF ALUMINUM TUBULAR FRAME WITH A WOODEN SLAT TO SUPPORT PATIENTS BACK.
  • HAS ROPES AND RINGS ATTACHED FOR VERTICAL LIFT RECOVERIES
60
Q

COMPACT AND LIGHTWEIGHT THRANSPORT STSTEM USED TO EVACUATE A PATIENT OVER LAND. ALTHOUGH, IT CAN ALSO BE USED IN WATER.

A

SKED LITTER

61
Q

TYPE OF LITTER MADE FROM DIFFERENT MATERIALS NORMALLY FOUND IN A FORWARD AREA.

A

IMPROVISED LITTER.

62
Q

FOR LITTER BEARERS, A PATIENT SHOULD ALWAYS BE CARRIED

A

FEET FIRST

63
Q

GROUND EVAC:

-HMMWV FRAME THAT HAS ARMOR TO PROTECT CREW AND PATIENTS

64
Q

HMMWV FRAME WITH REMOVABLE SOFT TOP

65
Q

THIS GROUND VEHICLE CAN CARRY 10 LITTER OR 20 AMBULATORY PATIENTS.

66
Q

THIS AIR CAPABILITY HAS:

  • ONBOARD O2
  • MEDICAL SUCTION
  • CAN CARY 6 LITTER OR 7 AMBULATORY PATIENTS
A

UH-60A BLACKHAWK

67
Q

THIS AIR CAPABILITY CAN:

-CARRY 4 LITTER WITH 1 AMBULATORY OR 7 AMBULATORY

A

SH-60 SEAHAWK

68
Q

THIS AIR CAPABILITY IS A MEDIUM LIFT HELO THAT IS CAPABLE OF TRANSPORTING PERSONNEL AND CARGO

CAN CARRY 15 LITTER OR 25 AMBULATORY

A

CH-46 SEAKNIGHT

69
Q

MEDIUM TO HEAVY LIFT HELO THAT CAN CARRY 24 LITTER OR 37 AMBULATORY PATIENTS. IF CENTER SEATING IS ADDED CAN FIT UP TO 44 PERSONNEL THAT ARE AMBULATORY

70
Q

TILT ROTOR AIRCRAFT THAT CAN FIT 12 LITTERS AND 24 AMBULATORY PATIENTS.

A

MV-22 OSPREY

71
Q

A PATIENT BEING EVACUATED BY AIR HAS:

OCULAR PRESSURE

FREE AIR INSIDE THE BODIES CAVITY

  • SEVERE PULMONARY DISEASE
  • DECOMPRESSION SICKNESS.

WHAT ALTITUDE SHOULD THE BIRD MAINTAIN EN ROUTE?

A

8000-10000 FEET

72
Q

MEDEVAC/CASEVAC PRIORITIES:

CASUALTY MUST BE EVACUATED WITHIN 2 HOURS TO SAVE LIFE, LIMB OR EYESIGHT.

73
Q

MEDEVAC/CASEVAC PRIORITY:

-CASUALTY MUST BE EVACUATED WITHIN 4 HOURS OR CONDITION COULD WORSEN.

74
Q

MEDEVAC/CASEVAC PRIORITY:

-CASUALTY MUST BE EVAC’D IN 24 HOURS FOR FURTHER CARE.

75
Q

LINE 1 OF NINE LINE MEDEVAC REQUEST

A

LOCATION OF PICK UP SITE

76
Q

LINE 2 OF THE 9-LINE MEDEVAC REQUEST

A

FREQUENCY/ CALL SIGN AT PICK UP SITE

77
Q

LINE 3 OF 9-LINE MEDEVAC REQUEST

A

NUMBER OF PATIENTS BY PRECEDENCE

78
Q

LINE 4 OF 9-LINE MEDEVAC REQUEST

A

SPECIAL EQUIPMENT NEEDED

79
Q

LINE 5 OF 9-LINE MEDEVAC REQUEST

A

NUMBER OF PATIENTS BY TYPE

80
Q

LINE 6 OF 9-LINE MEDEVAC REQUEST

A

SECURITY AT PICKUP SITE

81
Q

LINE 7 OF 9-LINE MEDEVAC REQUEST

A

METHOD OF MARKING PICKUP SITE

82
Q

LINE 8 OF 9 LINE MEDEVAC REQUEST

A

PATIENT NATIONALITY AND STATUS

83
Q

LINE 9 OF 9-LINE MEDEVAC REQUEST

A

NBC CONTAMINATION

84
Q

MIST REPORT

A

MECHANISM OF INJURY
INJURIES SUSTAINED
SIGNS AND SYMPTOMS
TREATMENT RENDERED

TRAUMA (4 decks)

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