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TCCC > TCCC > Flashcards

TCCC Flashcards

1
Q

3 stages of TCCC

A

Care Under Fire
Tactical Field Care
Tactical Evacuation Care

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2
Q

Tourniquet placement if you cannot see site if bleed

A

High tight and in pocket

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3
Q

Care Under Fire questions

A

Are you hurt
Can you fight
Can you move
Apply a tourniquet

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4
Q

First step of tactical field care

A

Security perimeter
Maintain tactical awareness
Big pipe search

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5
Q

Hemostatic adjuncts

A 
Felix gauze
Chito gauze
Chat gauze
Stat
Itclamp
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6
Q

Xstat

A

Syringe with sponges

Good for narrow tract deep junctional wounds

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7
Q

Syringe with sponges

A

X-Stat

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8
Q

Best tool for deep narrow tract junctional

A

X-Stat

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9
Q

Best bleeding control of neck & head wounds

A

ITclamp

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10
Q

Needed after you apply hemostatic dressings

A

3 minutes of pressure

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11
Q

Important thing to remember if using iTclamp

A

Can use on head/neck but not within 1in of orbits

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12
Q

Unconscious casualty without airway cinpronise

A

Recovery position
NPA
Chin lift /jaw thrust

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13
Q

Uncinacious with airway compromise

A

Cri-key

Igel

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14
Q

When don’t you need c-spine

A

If only penetrating injury

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15
Q

Why is airway first in TCCC

A

No one cares if you have great c-spine if you don’t have a secured airway

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16
Q

What type of airway is IGel

A

Extraglotric

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17
Q

Progression of untreated tension pneumo

A

Resp distress
Obstructive shock
Traumatic cardiac arrest

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18
Q

Needle D both sides

A

If significant traumatic cardiac arrear (no pulse, resp, response to pain, other signs of life)

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19
Q

Intervention for traumatic cardiac arrest

A

Double dart

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20
Q

When do you move from “A”to “C”

A

Fail A twice

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21
Q

Needle D procedure

A

Over rib
Down to hub
Hold 5-10 sec to deconpress

22
Q

Needle D site

A

5th ICS

2nd ICS mid claviculae

23
Q

Choosing needle for needle D

A

10-14 gague

3.25 in

24
Q

Intervention for open chest wound

A

Vented seal

25
Q

When to burp the vented chest seal

A

Hypoxic
Reap distress
Low BP
(Suspect t. Pneumo)

26
Q

Intervention needed if head i jury

A

O2 above 90% if TBI

27
Q

When do you place the pelvic binder

A

“C”

28
Q

When do you check for bleeding in TCCC

A 
m = big pipes
C = little pipes
29
Q

Suspect pelvic fracture

A 
Pelvic pain
Unstable in exam
Lower extremity amputation
Unconscious
Shock
30
Q

3 criteria to meet to turn limb/junctional tourniquet to hemostatic/pressure dressings

A
  1. Not in shock
  2. You can continue to monitor the site
  3. Tourniquet isn’t being used to control an amputation
31
Q

Indication of radial pulse

A

SBP at least 80-90

32
Q

DCAP-BTLS

A 
Deformities
Contusions
Abrasions
Puncture/penetration
Burn
Tender
Lacerations
Swelling
33
Q

Rx in C if bleeding

A

TXA 1gram in 100ml over 10 mon

Can repeat immediately after first

34
Q

When do you need an IV

A

Only if can’t take PO or in shock

35
Q

Needed if in shoxk

A

IV/IO
TXA
IVF/blood

36
Q

1:1:1

A

Plasma, rbc, plt

37
Q

Goal if giving blood

A

Until palpable radial pulse
Improved mental status
Sbp over 90

38
Q

Used to reauscitate

A

Blood
Hextend
Lr

39
Q

In shock but not responsive to IVF

A

Consider t. Pneumo the cause of refractory shock

40
Q

Pain options in TCCC

A

Triple Option

Morphine

41
Q

Option 1

A

Mild/mod
Can still fight
Tylenol 650 2 PO q8hr
Mobic 15mg PO once a day

42
Q

Option 2

A

Not fighting
Fentanyl Lilly 800ug
Don’t chew

43
Q

Option 3

A

Hemorrhagic shock/resp distress
Ketamine 50mg IM/IN q30min
Ketamine 20mg iv/IO q20min

44
Q

End points of giving ketamine

A

Nystagmus

45
Q

Ketamine iM/IN

A

30mg q 30min

46
Q

Ketamine IV/IO

A

20mg q 20 minutes

47
Q

Ketamine if head injury

A

Ketamine and fentanyl can worsen TBI but if can c/o pain, likely not serious enough to preclude use of ketamine

48
Q

Morphine

A

IV/IO
5mg
Q10 minutes

49
Q

Zofran

A

4-8mg ODT
2nd dose of 4mg in 15min
No more than 8mg q8hr

50
Q

ABX

A 
PO = Moxifloxacin 400mg PO
IV= Ertapenem 1 gram
51
Q

CPR

A

Never in field

If torso/polytrauma, without pulse or respirations, needle D x2 before calling it

TCCC (1 decks)

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