TCCC

Question 1

TCCC

Care under fire

Answer 1

Return fire and take cover, if casualty able to have them stay engaged and take cover, try to prevent further injuries, get them out of burning buildings/cars, airway deferred until tactical field care, stop life threatening bleeding with tourniquet

Question 2

TCCC

Tactical field care: AMS

Answer 2

Disarm if AMS

Question 3

TCCC

Tactical field care Airway:

Airway-

Answer 3

Unobstructive- chin lift jaw thrust, NPA, recovery position, if obstructive place is comfortable position, if unsuccessful
cric

Question 4

TCCC

Tactical field care Breathing:

Answer 4

Needle D, cover sucking chest wounds, if TBI O2>90%

Question 5

TCCC

Tactical field care Bleeding:

Answer 5

Tourniquets x2 if needed, combat gauze, reassess, can switch to pressure dressing, don’t remove if >6 hours

Question 6

TCCC

Tactical field care TXA-

Answer 6

2g IV/IO slow push with in 3 hours

Question 7

TCCC

Tactical field care Fluids-

Answer 7

1. Cold stored low titer O whole blood
2. Pre-screened low titer O fresh whole blood
3. Plasma, red blood cells (RBCs) and platelets in a 1:1:1 ratio
4. Plasma and RBCs in a 1:1 ratio
5. Plasma or RBCs alone
   to keep SBP >80-90 or radial pulse
   Prevent hypothermia

Question 8

TCCC

Tactical field care Penetrating Eye-

Answer 8

Visual acuity, rigid shield, moxifloxacin

Question 9

TCCC

Tactical field care Analgesics-

Analgesics-

Answer 9

Tylenol, meloxicam, fentanyl, ketamine

Splint

Question 10

TCCC

Tactical field care ABX:

Answer 10

a. If able to take PO meds:
Moxifloxacin (from the CWMP), 400 mg PO once a day
b. If unable to take PO meds (shock, unconsciousness):
Ertapenem, 1 gm IV/IO/IM once a day

Question 11

TCCC

MARCH:

Answer 11

Massive hemorrhage, airway, respirations, circulation, hypothermia/helo