Prolonged Field Care Flashcards

1
Q

What are the reasons for Prolonged Field Care?

A
  1. Long evac times
  2. Indigenous Capabilities
  3. Requires Different Skill
  4. Different Environments
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What acronym is use for operational planning and logistics?

A

RTHP
Ruck
Truck
House
Plane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the three Phases of Prolonged Field Care?

A
  1. Evaluation Phase
  2. Resuscitation Phase
  3. Transport Phase
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the Lethal Triade addresses for Resuscitative Phase in PFC?

A
  1. Hypothermia
  2. Acidosis
  3. Coagulopathy + Sepsis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What can be used to test for oxygen levels in the blood?

A

Pulse Oximetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What can be used to test for oxygen levels in the blood?

A

Pulse Oximetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When attempting to convert the is approriated amount of time?

A
  1. < 2 hours
  2. 2-6 hours
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is it causes for caution when convert TQ apporiate?

A

> 6 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the goal for adequate Urine out put for PFC?

A

0.5-1 mg/kg/hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the clinical fluid administration goals?

A
  1. UOP of 0.5-1 mg/kg/hr
  2. Improve Mental status
  3. Improve hemodynamics ( decreasing HR and MAP > 65)
  4. Improving peripheral pulse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the complications of large volume crytalloids resuscitation includes?

A
  1. Compartment Syndrome
  2. Acute Respiratory distress syndrome
  3. Dilutional Coagulopathy
  4. Acidosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Fresh WHole blood is the fluid of choice for Patients in hemorragic chock, to mitigate isk in PFC recommendation are as follows?

A
  1. MAP of 65 mmHg
  2. Adequate UOP 0.5 cc/kg/hr
  3. Adequate mentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If UNSTABLE with inadequate intravascular volume, resuscitate with?

A

Bolus Fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

If UNSTABLE with inadequate intravascular volume, resuscitate with?

A

Bolus Fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

IF STABLE with adequate intravascular volume, use maintance fluid to achive what UOP?

A

0.5 mL/kg/hr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Stable patients can get what opioids?

A

Morphine

15
Q

Hemodynamically unstable patients should get what type of opioids?

A

Fentanyl or Ketamine

16
Q

What is the low range for Ketamine dosage?

A

10-20 mg IV every 10 mins

17
Q

What is the mild range for Ketamine dosage?

A

0.3 mg/kg IV

18
Q

What is the high range for Keatmine dosage?

A

2.0 mg/kg IV with Versed to aviod vivid dreams

19
Q

What are concerns while giving a patient versed with ketamine?

A
  1. Over sedation
  2. Respiratory compromise
  3. Drop in BP