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CD GRD OTC > TCCC/TECC > Flashcards

TCCC/TECC Flashcards

1
Q

What does Skin provide?

A

Protects the body from the environment and organisms

Helps regulate body temperatures

Senses heat, cold touch, pressure

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2
Q

Normal blood volume

A

5 liters

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3
Q

-.5 Liters of blood

A

Mental State: Alert

Radial Pulse: Full

Heart Rate: Normal or increased

Systolic Blood Pressure: Normal

Respiratory Rate: Normal

Going to die from this? No

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4
Q

-1 Liter of Blood

A

Mental State: Alert

Radial Pulse: Full

Heart Rate: 100+

Systolic Blood Pressure: Normal lying down

Respiratory Rate: May be normal

Going to die from this? No

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5
Q

-1.5 Liter of Blood

A

Mental State: Alert but anxious

Radial Pulse: May be weak

Heart Rate: 100+

Systolic Blood Pressure: May be decreased

Respiratory Rate: 30

Going to die from this? Probably not

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6
Q

-2.0 Liter of Blood

A

Mental State: Confused/lethargic

Radial Pulse: Weak

Heart Rate: 120+

Systolic Blood Pressure: Decreased

Respiratory Rate: .>35

Going to die from this? Maybe

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7
Q

-2.5 Liter of Blood

A

Mental State: Unconscious

Radial Pulse: Absent

Heart Rate: 140+

Systolic Blood Pressure: Markedly decreased

Respiratory Rate: 35

Going to die from this? Probably

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8
Q

Physicians need how many intubations

A

3

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9
Q

NPA, OPA

A

Nasal Pharyngeal Airway,

Oral Pharyngeal Airway

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10
Q

Complication of failing to ventilate.

A

Death or worse

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11
Q

Abdomen

Right Upper Quadrant (RUQ)

A
  • Gallbladder

- Liver

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12
Q

Abdomen

Left Upper Quadrant (LUQ)

A
  • Stomach
  • Spleen
  • Pancreas
  • Esophagus
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13
Q

Abdomen

Right Lower Quadrant (RLQ)

A
  • Large Intestine

- Appendix

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14
Q

Abdomen

Left Lower Quadrant (LLQ)

A
  • Small

- Intestine

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15
Q

What are 2 big considerations when working on patients?

A
  • Body type

- Age

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16
Q

In tactical combat casualty care rendering care is

A

the secondary mission

17
Q

Your first priority under fire

A

is to return fire

18
Q

90% of combat deaths

A

occur on the battlefield before the casualties reaches medical care

19
Q

15-18% of casualties that die before reaching medical care can be saved by

A
  • Stopping severe bleeding (hemorrhage)
    • Relived tension pneumothorax
    • Restore airways
      MARCH:
      *Massive Hemorrhage, Airways, Respirations, Circulation, Hypothermia/Head Trauma
20
Q

.Lethal Triad

A

.Lethal Triad concentration
***Coagulation system: A temperature and pH dependent series of complex enzymatic reactions that result in the formation of blood clots to stop both internal and external hemorrhage

21
Q

Tactical Combat Casualty Care (TCCC )/Tactical Emergency Casualty Care (TECC) is divided into 3 phases (at any time the phases can change)

A
  • Care Under Fire (1st Phase)
    You are under effective hostile fire and are very limited to the care you can provide. Primary objective is to stop life threatening bleeding using a tourniquet and moving casualty to cover
    • Take co er and return fire
    • Direct or expect casualty to remain engaged as a combatant
    • Direct casualty to move to cover and apply self-aid
      -try to keep casualty from sustaining any additional wounds
    • Tactical Field Care (2nd Phase)
      In this you and the casualty are no longer under effective enemy fire
      M.A.R.C.H/H
      - Massive Hemorrhage
      - Airway
      - Respirations
      - Circulation
      - Hypothermia/Head Trauma
    • Tactical Evacuation Care (3rd Phase)
      You render care during casualty evacuation
      - Recheck all previous interventions
      - Head to toe checks
      - Continuous monitoring
      - Document care
      - Package casualty for transport
22
Q

Before Approaching the Casualty

A
  • Determine the best route of access and the best route of egress
    • Request covering fire to reduce the risk to you and the casualty
    • Anticipate the type of injuries the casualty may have received and what care is needed.
  • If you decide to move the casualty (and yourself) to a safer location, and take the causality’s weapon and other mission essential equipment
23
Q

Massive Hemorrhage

A
  • Not all massive hemorrhages are going to be spurting
    • Look in the area where major arteries are
    • Not all major bleeds are exposed
    • Control the Bleeding
    • Ensure there is no distal pulse on injured extremity
    • If there is a pulse, an additional tourniquet might be required
24
Q

Two types of Tourniquets

A
  • Combat Application Tourniquet (CAT)

- Special Operations Forces – Tourniquet (SOF-T)

25
Q

Check the casualty for Responsiveness

A
  • Ask casualty if it hurts or if they feel different (if conscience)
26
Q

Reassess Hemorrhage

A
  • Reassess prior hemorrhage controls
    • Expose and assess wound.
    • Apply tourniquet 2-4 inches above the wound (High as possible)
    • Check distal pulse if the situation permits.
    • Appy a hemostatic agent or pressure bandage if tourniquet is not needed.
27
Q

Airway

A
  • Head tilt chin lift
    • look for obstructions
  • Start interventions OPA, can only be used when the causality is unconscious or NPA if unable to sustain breathing alone
28
Q

Tension Pneumothorax (symptoms)

A
  • Monitor Casualty’s respirations
    • Perform needle chest decompress
  • Insert 10-14 gauge 2.13 in the needle catheter into the 2nd inner costal space also the 4th and 5th inner costal space along the Anterior Axillary Line.
29
Q

Circulation

A
  • Thorough blood sweeps and dress all wounds
    -Gain IV access
    Radial pulse is> 80mmHG
    Femoral pulse is >70mmHG
    Carotid pulse > 60
    • Check Skin color, condition and temperature and capillary refill
30
Q

Hypothermia (Symptoms)

A
  • Confusion, memory loss, or slurred speech
    • Drop in body temperature below 95*F
    • Exhaustion or drowsiness
    • Loss of consciousness
    • Numb hands or feet
    • Shallow breathing
    • Shivering
31
Q

CPT Frank Butler

A

“If during the next war you could only o two things (1) put a tourniquet on an (2) relieve a tension pneumothorax then you can probably save between 70-90% of all the preventable deaths on the battlefield.

CD GRD OTC (29 decks)

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