Review Flashcards
How many goals of JTTS?
6
Establish and maintain a trauma outcomes database to analyze and evaluate clinical
decision-making and measure subsequent outcomes for improving treatment
modalities.
One of the goals of JTTS
Triage, what should not be considered?
Finality, continue to treat
5 principles of triage
Degree of life threat posed by the injuries sustained Injury severity Salvageability Resources Time, distance, and environment
How do you choose CCP?
(a) Proximity to patients
(b) Proximity to vehicular access.
(c) Proximity to HLZ
(d) Geography, safety “geographic triage.”
Examples of immediate?
Massive hemorrhage
Shock
Anything needs to be treated within 2 hours
Tension pnuemo
Delayed?
Without shock
No compromised airway
Expectant burns?
> 85%
Primary triage?
Quick categorizing
Break down to smaller groups
Stop massive hemorrhage
Secondary triage?
Reevaluation
Tertiary triage?
Continue management
Any patient with UXO?
Segregate and treat last
Combat stress patient categories?
Light
Heavy
Heavy stress patient return to duty?
3 days
BICEPS stands for?
Brief Immediate Central Expectant (affirmation) Proximal Simple
Tactical field care vs concealment
look up
Tacevac is umbrella term for?
MEDEVAC
CASEVAC
4 choices for CCP choosing?
(a) Proximity to patients
(b) Proximity to vehicular access.
(c) Proximity to HLZ
(d) Geography, safety “geographic triage.”
Ech 1
Us, SOCOMs, CLS
Ech 2
CRTS (LHD, LHA, CVN) - Casualty receiving treatment ships
Med bat
Shock trauma (no
FRSS ( Forward deployed surgical suite - attached to med bat)
Ech 3
Fleet hospital, hospital ships (HIGHEST level of care in COMBAT zone)
FRSS stands for?
Forward deployed surgical suite
Definitive care OCONUS?
Ech 4
Rehab care CONUS?
Ech 5
Aeromedical ?
Fixed wing aircraft (intra theater to intra theater)
Standard, stokes, sked, improvised?
Different litters
Liter carry for patients?
Feet first unless up hill
MEDEVAC priorities? (UPR)
Urgent - 2 hours
Priority - 4 hours
Routine - 24 hours
9 line needs Also?
A MIST report
Medium energy example?
9mm, 357, 45
High energy example?
.44, .50
Secondary blast?
Fragments
Tertiary blast?
You are blown to a wall
Quartenary blast?
Burns
Approved tourniquets?
Cat
Softt
EMT
pressure dressing
Combat gauze
Chito/celox
Xstat
What is FDA APPROVED
Xstat
What does combat gauze have
khaloin
Celox/chito is?
muco adhesive
Application of tourniquets?
2-3 inches above
or
high and tight if can’t see
Junctional
JETT
Sam
CRoC
What is in cello/chito?
chotosan, a mucoadhesive, it functions independent of
the coagulation cascade
What is best for Best for deep narrow tract Junctional wounds?
Xstat
What is sellick;s maneuver for?
Prevention of gastric aspiration
applying gentle posterior pressure to the
patient’s cricoid cartilage
What is BRUP method?
Key identification of the larynx for ease of intubation
Advantages of npa?
ease and rapid, comfort
contraindication for npa?
Suspected basilar skull fracture
Igel advantage
gel cuffed (specifically for medievac)
Igel size 5?
> 200 lbs
ET tube indications?
cardiac arrest
ET contraindications?
Epiglottitis
Obstructions
Lack of training
Complications of ET?
Conversion of a cervical spine injury without neurologic deficit to one with
neurologic deficit
Combitube complications?
Combitube™ includes an increased incidence of sore throat, dysphagia and
upper airway hematoma when compared to endotracheal intubation and LMA
LTA stands for?
Laryngeal tube airway
Emergency definitive airway?
Cric
Why not to give Cric?
Laryngeal disease or trauma
TXA is given no later than how many hours?
3 hours
2 biggest predictors of poor outcome with head trauma?
ICP > 20
BP < 90
FAST exam for évaluation of?
Pneumothorax - sep of pleural lining
retrograde urethrogram
Used for signs of urethral injury from pelvic fracture
AMPLE history happens when?
Between primary and secondary
ABCDE of PHTLS?
Airway Breathing Circulation Deformities Exposure
When trauma naked what are you concerned with at the end of the MARCH algorithm?
Hypothermia, TREAT THE PATIENT
arrhythmia from hypothermia?
Osborne waves
