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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
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.
MUST REMOVE ALL ORDINANCE FOR PERSONNEL SAFETY AND FOR EXAMINATION OF THE PATIENT. THESE PATIENTS ARE USUALLY TREATED LAST
26
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?
COMBAT STRESS.
27
SOMEONE WHO IS DESIGNATED TO BE SUFFERING FROM COMBAT STRESS SHOULD NOT DO WHAT?
AID IN PATIENT CARE OR LITTER BEARING.
28
MNEMONIC WHERE RESOURCES AND TACTICAL SITUATIONS ALLOW. IN REGARDS TO COMBAT STRESS PATIENTS
(BICEP) BRIEF IMMEDIATE CENTRAL EXPECTANT PROXIMAL SIMPLE
29
3 PHASES OF TACTICAL COMBAT CASUALTY CARE?
- CARE UNDER FIRE - TACTICAL FIELD CARE - TACTICAL EVACUATION
30
PHASE OF TCCC -GETTING OF THE X AND UNDER COVERAGE, NOT CONCEALMENT. YOU ARE STILL ACTIVELY FIGHTING
CARE UNDER FIRE
31
PHASE OF TCCC NOW UNDER COVER, YOU PERFORM A RAPID ASSESSMENT AND ADDRESS ANY LIFE SAVING MEASURES. THIS IS OPTIMALLY DONE WITHIN A MINUTE.
TACTICAL FIELD CARE
32
MAJORITY OF PREVENTABLE DEATH IN THE TACTICAL SETTING?
UNCONTROLLED HEMORRHAGE
33
WHAT PERCENTAGE DOES A PATIENT HAVE OF LIVING IF THEY HAVE A STRONG PULSE AND OBEYS COMMANDS?
95% CHANCE OF SURVIVAL
34
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?
DEVELOPING INTO DECOMPENSATED SHOCK AND SHOULD BE IMMEDIATE
35
A CASUALTY DOES NOT OBEY COMMANDS AND HAS A WEAK/ ABSENT RADIAL PULSE. WHAT IS THE LIKELYHOOD OF DEATH?
>92%
36
BEFORE PATIENTS ARE EVACUATED WHAT SHOULD THE MEDICAL PROVIDER DO?
ANOTHER TRIAGE OF ALL PATIENTS
37
WHAT MUST ACCOMPANY ALL PATIENTS THAT LEAVE YOUR CARE AND GO ON TO THE NEXT HIGHER ECHELON?
DOCUMENTATION | IF YOU GAVE MORPHINE AND THEY DONT KNOW YOU DID. YOU JUST KILLED THEM
38
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
CASUALTY COLLECTION POINT (CCP)
39
WHAT IS THE ROLE/ECHELON 1 OF CARE?
CORPSMAN AID, BASIC FIRST AID, COMBAT LIFE SAVER BASIC SICK CALL EXAMPLE IS A BATTALION AID STATION
40
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?
ROLE 2/ 2ND ECHELON
41
THIS ROLE 2 ECHELON HAS: 604 BEDS 6 O.R. 26 ICU BEDS 4 QUIET ROOMS 46 WARD BEDS 528 OVERFLOW BEDS
LHD SHIPS
42
THIS ROLE 2 HAS: 366 TOTAL BEDS 4 O.R 15 ICU BEDS 2 QUIET ROOMS 45 WARD BEDS 300 OVERFLOW BEDS
LHA SHIPS
43
THIS ROLE 2 HAS: 1 O.R 3 ICU BEDS 8 ISOLATION BEDS 42 WARD BEDS
CVN
44
THIS ROLE 2 PROVIDES ON LAND SURGICAL CARE FOR M.E.F. CAN HOLD PATIENTS FOR 72 HOURS?
MEDICAL BATTALION
45
CONSISTS OF 1 HEADQUARTERS COMPANY AND 3 SURGICAL COMPANIES. HAS 3 O.R. 3 WARDS OF 20 BEDS EACH.
MEDICAL BATTALION
46
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
SHOCK TRAUMA PLATOON
47
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
FORWARD RESUSCITATIVE SURGICAL SUITE
48
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.
ROLE 2 LIGHT MANEUVER ROLE 2 ENHANCED
49
HIGHEST ECHELON OF CARE RENDERED IN A COMBAT ZONE. ADVANCED RESUSCITATIVE CARE IS RENDERED HERE.
ROLE/ ECHELON 3
50
ROLE 3 CAPABILITY - HAS 500 HOSPITAL BEDS - 80 ICU BEDS - 6 O.R.
FLEET HOSPITALS
51
ROLE 3 CAPABILITY: CONSISTS OF : - 1000 TOTAL BEDS - 100 ICU BEDS - 12 O.R.
USNS SHIPS (HOSPITAL SHIPS)
52
THIS ECHELONS MAIN GOAL IS DIFINITIVE MEDICAL CARE. USUALLY FOUND IN NH YOKOSUKA OR LONGSTUHL GERMANY.
ROLE/ ECHELON 4.
53
THIS ECHELON OF CARE HAS A FOCUS ON REHAB AND RESTORATION BASED CARE. MAIN PLACES LIKE NMCSD BATHESDA
ROLE/ECHELON 5
54
TIMELY, EFFICIENT TRANSPORT OF A CASUALTY THAT IS CARED FOR EN ROUTE BY MEDICAL PERSONNEL.
MEDEVAC
55
MOVEMENT OF CASUALTIES FROM POINT OF INJURY TO MEDICAL WITHOUT ANY MEDICAL PERSONNEL TO PROVIDE EN ROUTE CARE.
CASEVAC
56
THIS PATIENT EVACUATION METHOD UTILIZES FIXED WING USAF AIRCRAFT TO MOVE SICK AND INJURED PERSONNEL WITHIN THE THEATER OF OPERATIONS.
AEROMEDEVAC
57
THE MAINTENANCE OF TREATMENT INITIATED PRIOR TO EVACUATION AND SUSTAINMENT OF THE PATIENTS MEDICAL CONDITION DURING EVACUATION.
EN ROUTE CARE.
58
- PRE FABRICATED - COLLAPSIBLE - USED IN DEPLOYED SETTINGS - CAN UTILIZE ACCESSORIES FOR IT - CAN BE DECONTAMINATED FOR CBRNE PATIENTS.
STANDARD LITTER
59
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
STOKES
60
COMPACT AND LIGHTWEIGHT THRANSPORT STSTEM USED TO EVACUATE A PATIENT OVER LAND. ALTHOUGH, IT CAN ALSO BE USED IN WATER.
SKED LITTER
61
TYPE OF LITTER MADE FROM DIFFERENT MATERIALS NORMALLY FOUND IN A FORWARD AREA.
IMPROVISED LITTER.
62
FOR LITTER BEARERS, A PATIENT SHOULD ALWAYS BE CARRIED
FEET FIRST
63
GROUND EVAC: -HMMWV FRAME THAT HAS ARMOR TO PROTECT CREW AND PATIENTS
M997
64
HMMWV FRAME WITH REMOVABLE SOFT TOP
M1035
65
THIS GROUND VEHICLE CAN CARRY 10 LITTER OR 20 AMBULATORY PATIENTS.
MK 23
66
THIS AIR CAPABILITY HAS: - ONBOARD O2 - MEDICAL SUCTION - CAN CARY 6 LITTER OR 7 AMBULATORY PATIENTS
UH-60A BLACKHAWK
67
THIS AIR CAPABILITY CAN: -CARRY 4 LITTER WITH 1 AMBULATORY OR 7 AMBULATORY
SH-60 SEAHAWK
68
THIS AIR CAPABILITY IS A MEDIUM LIFT HELO THAT IS CAPABLE OF TRANSPORTING PERSONNEL AND CARGO CAN CARRY 15 LITTER OR 25 AMBULATORY
CH-46 SEAKNIGHT
69
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
CH-53 D/E
70
TILT ROTOR AIRCRAFT THAT CAN FIT 12 LITTERS AND 24 AMBULATORY PATIENTS.
MV-22 OSPREY
71
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?
8000-10000 FEET
72
MEDEVAC/CASEVAC PRIORITIES: CASUALTY MUST BE EVACUATED WITHIN 2 HOURS TO SAVE LIFE, LIMB OR EYESIGHT.
URGENT
73
MEDEVAC/CASEVAC PRIORITY: -CASUALTY MUST BE EVACUATED WITHIN 4 HOURS OR CONDITION COULD WORSEN.
PRIORITY
74
MEDEVAC/CASEVAC PRIORITY: -CASUALTY MUST BE EVAC'D IN 24 HOURS FOR FURTHER CARE.
ROUTINE
75
LINE 1 OF NINE LINE MEDEVAC REQUEST
LOCATION OF PICK UP SITE
76
LINE 2 OF THE 9-LINE MEDEVAC REQUEST
FREQUENCY/ CALL SIGN AT PICK UP SITE
77
LINE 3 OF 9-LINE MEDEVAC REQUEST
NUMBER OF PATIENTS BY PRECEDENCE
78
LINE 4 OF 9-LINE MEDEVAC REQUEST
SPECIAL EQUIPMENT NEEDED
79
LINE 5 OF 9-LINE MEDEVAC REQUEST
NUMBER OF PATIENTS BY TYPE
80
LINE 6 OF 9-LINE MEDEVAC REQUEST
SECURITY AT PICKUP SITE
81
LINE 7 OF 9-LINE MEDEVAC REQUEST
METHOD OF MARKING PICKUP SITE
82
LINE 8 OF 9 LINE MEDEVAC REQUEST
PATIENT NATIONALITY AND STATUS
83
LINE 9 OF 9-LINE MEDEVAC REQUEST
NBC CONTAMINATION
84
MIST REPORT
MECHANISM OF INJURY INJURIES SUSTAINED SIGNS AND SYMPTOMS TREATMENT RENDERED

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