Section 119

Question 1

Name the 3 phases of Tactical Combat Casualty Care.

Answer 1

1. Direct Threat Care/Care Under Fire (DT/CUF)
2. Indirect Threat Care/Tactical Field Care (ITC/TFC)
3. Evacuation/Tactical Evacuation (EVAC/TACEVAC)

Question 2

Describe the contents of an Individual First Aid Kit (IFAK).

Answer 2

Minor Injury Kit
Trauma Kit
Safety precautions associated with the components

Question 3

Name the different methods for carrying a casualty. (8)

Answer 3

Fireman's Carry
Alternate Fireman's Carry
Support Carry
Arms Carry
Saddleback Carry
Pack Strap Carry
Field Expedient Litter
Load Bearing Equipment Drag

Question 4

Discuss how to apply a tourniquet.

Answer 4

A tourniquet is a constricting band used to cut off blood supply to an injured limb
Use only AS LAST RESORT.
Must be applied between the wound and the trunk of the body and it must be applied as close to the wound as practical.

Question 5

Discuss the basics on how to keep the airway open.

Answer 5

Tongue is single most common cause of airway obstruction
Call for help and then position casualty
Open the airway using the jaw-thrust or head-tilt/chin-lift techniques.

Question 6

Discuss how to treat a sucking chest wound.

Answer 6

Its a penetrating injury to the chest that produces a hole in the chest –> This causes a lung to collapse.
To treat = Seal the wound with a hand or material larger than the wound. Firmly tape the material in place.
NOTE: remove the material immediately if victim’s condition suddenly deteriorates.
Give victim O2. Place in Fowler’s or semi-Fowler’s position and do not give victim anything to drink.
Transport to a treatment facility immediately.

Question 7

Discuss how to apply a pressure dressing.

Answer 7

Best way to control external bleeding. Apply a compress over the wound and exert pressure to stop bleeding. If bleeding still occurs, apply pressure to appropriate pressure point.
Elevate and use splints if possible.
If bleeding is still uncontrolled, apply a tourniquet

Question 8

Discuss how to apply a splint to a fracture.

Answer 8

Immobilization of sharp bone ends reduces further tissue trauma and allows lacerated blood vessels to clot. The gentle pressure of the splint gives additional compression to wound.

Question 9

Discuss how to treat a First-Degree Burn

Answer 9

A first-degree burn, the epidural layer is irritated, reddened, and tingling. Skin is sensitive to touch and blanches. Pain is mild to severe. Healing usually occurs naturally within a week.

Question 10

Discuss how to treat a Second-Degree Burn

Answer 10

Second-degree burn is characterized by epidermal blisters, mottled appearance, and red base. Damage goes into, but doesn’t pass, the dermis. Recovery takes 2-3 weeks. Usually has edema and results in some scaring.

Question 11

Discuss how to treat a Third-Degree Burn

Answer 11

Third-degree burn is full thickness injury penetrating into muscle and fatty connective tissues, even down to the bone. Tissues and nerves are destroyed.
Shock w/ blood in urine is common.
Pain will be absent at the burn site due to nerve damage. Surrounding tissue will have pain.
Tissue color will range from white to black
Considerable scaring and possible loss of function.

Question 12

Discuss how to treat a heat injury.

Answer 12

Heat exhaustion is the most common condition cause by working or exercising in hot environments.
Treat heat exhaustion as if the victim were in shock.
Move victim to cool air conditioned area.
Loosen clothes, apply cool wet cloths to head, axilla, groin, and ankles and fan the victim.

Question 13

Discuss how to treat a cold injury.

Answer 13

Gen cooling of the body is caused by continuous exposure to low and rapidly falling temps, cold moisture, snow, or ice
To treat: Observe victim, implement CPR if necessary.
Warm the body slowly. Control all other severe injuries prior to moving the body.
Replace clothing.
If warming victim in tub of warm water observe body for Re-warming shock.
Give victim warm liquids
Transfer victim ASAP

Question 14

Discuss snake bites and treatments.

Answer 14

Severity depends on if snake is poisonous or not, type of snake, location of bite, and amount of venom injected.
If bite is on a limb, place a constricting band 2 fingerbreadths above and below bite to stop blood flow, but not circulation.

Question 15

Discuss insect bites and treatments.

Answer 15

Wash the area with soap and water to help reduce infection.

If allergic signs appear, be prepared to perform BLS and seek immediate medical assistance.

Question 16

Discuss how to evaluate personnel from Traumatic Brain Injuries (TBI).

Answer 16

Commanders or their representatives are required to assess all Service Members involved in a mandatory event, including those without apparent injuries ASAP using the Injury/Evaluation/Distance from Blast.

Question 17

What is the I.E.D. checklist?

Answer 17

Injury - Physical damage to body/body part of Service Member.
Eval - Referral for a medical eval based on incolvement in a mandatory event or demonstration of any of the “HEADS” symptoms.
Distance or proximity to blast of damage, within 50 meters?

Question 18

What are the HEADS symptoms

Answer 18

H - Headaches and or Vomiting
E - Ears ringing
A - Amnesia and or altered consciousness and/or loss of consciousness
D - Double Vision and/or dizziness
S - Something feels wrong