Prolonged Field Care Flashcards
How to remember what you need for operational planning and logistics?
RUCK - TRUCK - HOUSE - PLANE
What does ruck, truck, house, plane stand for?
Ruck - gear carried by medical personnel
Truck - gear carried in vehichles
House - equipment that is more stationary and maintained at FOB
Plane - MEDEVAC vs CASEVAC
What are the 3 phases of PFC? ***
Evaluation
Resuscitation
Transport
When is the evac plan initiated out of the 3 phases of PFC?
Evaluation Phase
What is the lethal triad? *****
Hypothermia
Coagulopathy + Sepsis
Acidosis
What is coagulopathy?
Body’s inability to clot
What form is used for documentation?
DD 1380 (TCCC Card), SF 600, SF 518
10 Core capabilities of PFC?
- Monitor
- Resuscitate
- Ventilate
- Airway management
- Sedation and pain management
- Physical exam and diagnostics
- Nursing care
- Advanced surgical interventions
- Telemed
- Prepare patient for flight
no nerve damage from tourniquet placement at what timeline?
Less than 2 hours
What timeline can you NOT convert a tourniquet?
6 hours
2) With “Plus 1” in place, loosen the first TQ. If no bleeding from the wound is noted, then leave both TQs in place but not tightened and dress the wound.
3) If bleeding is noted, apply a hemostatic agent and hold pressure for 3-5 minutes. If no further bleeding is noted, leave the loose TQs in place and dress the wound.
OK
Which tourniquet do you tighten if hemostatic agent fails?
Original
When do you tighten the “plus one” tourniquet?
if original breaks
Best fluid to have for PFC? ***
Fresh Whole Blood
Goal for adequate urine output for PFC? ***
.5 - 1.0 mg/kg/hr
Goal for adequate urine output in Trauma? ***
.5 mg/kg/hr
Examples for reasoning for replacement fluids?
Burns
Trauma
Examples for reasoning for maintenance fluids?
Sweating in the heat
Complications of large volume crystalloid?
compartment syndrome,
• acute respiratory distress syndrome,
• dilutional coagulopathy and
• acidosis.
MAP goal?
65mmhg
When is bolus IV given?
When UNSTABLE and inadequate intravascular volume
What should hemodybnamnically unstable patients be given for pain meds?
Ketamine or fentanyl
Low dose ketamine?
10-20mg IV
High dose ketamine?
2 mg/kg IV + Versed
