Tactical Field Care #1 Flashcards
What is tactical field care #1?
A reduced level of hazard from hostile fire and more time available to provide care based on the tactical situation
What does TFC consist of?
May consist of: Rapid treatment of the most serious wounds with the expectation of a re-engagement with hostile forces at any moment OR
there may be ample time to render whatever care is possible in the field
What is MARCH?
M: Massive Hemorrhage
A: Airway- establish and maintain a patient airway
R: Respiration- decompress suspected tension pneumothorax, seal open chest wounds, and support ventilation/oxygenation as required
C: Circulation- establish IV/IO access and administer fluids as required to treat shock
H: Head injury/Hypothermia- prevent/treat hypotension and hypoxia to prevent worsening of traumatic brain injury and prevent/treat hypothermia
What are TFC guidelines?
Establish a security perimeter in accordance with unit tactical standard operating procedures and/or battle drills.
Maintain tactical situational awareness.
Triage casualties as required.
Do you allow a casualty with an altered mental status/TBI maintain their weapon?
NO, secure their weapon but don’t be a dick about it
What are some alternative hemostatic adjuncts?
Celox Gauze
ChitoGauze
XStat 12 ( Best for deep, narrow-tract junctional wounds)
True or False: Hemostatic dressings should be applied with at least 3 minutes of direct pressure?
true
What is the first choice for a hemostatic dressing?
Combat gauze
What is XSTAT 12?
First expanding wound dressing FDA cleared, syringe-like applicator injects compressed minisponges into deep wounds, minisponges rapidly expand on contact with blood (compressing the wound to stop bleeding), hemostatic device to control severe bleeding, temporary device for use up to four hours until surgery is required
Where is XSTAT 12 not indicated for use?
The thorax, the pleural cavity, the mediastinum, the abdomen, the retroperineal space, tissues above the inguinal ligament, or tissues above the clavicle
How many compressed mini sponges are in XSTAT 12?
approximately 38
What does Junctional Hemorrhage refer to?
groin, buttocks, perineum, axillae, base of neck, extremities at sites too proximal from a limb tourniquet
What are the 3 recommended junctional tourniquets
the combat ready clamp
the junctional emergency treatment tool
the sam junctional tourniquet
Do you preform airway precautions?
Yes
How do you secure/check the airway?
chin lift or jaw thrust maneuver
npa
recovery position
