Combat Medic 68W: Fieldcraft 1 Exam C168W144 Questions and Answers, Exams of Clinical Medicine

Download Combat Medic 68W: Fieldcraft 1 Exam C168W144 Questions and Answers and more Exams Clinical Medicine in PDF only on Docsity! Combat Medic 68W: Fieldcraft 1 Exam C168W144 Questions and Answers. Tactical indications for C-spine precautions - Correct answer Motor vehicle crashes, falls greater than 15 feet, IED blast involving and MRAP vehicle Three types of blast injuries - Correct answer primary, secondary, tertiary Single biggest obstacle to the Combat Medic's ability to provide care - Correct answer Enemy fire Who makes the decision to extract casualties - Correct answer The tactical leader Technical name for a Combat Casualty Care card - Correct answer DD Form 1380 What is a WALK kit? - Correct answer Warrior Aid and Litter Kit Medications given for casualty with mild to moderate pain and is still able to fight: Option 1 - Correct answer Acetaminophen (650 mg) and Meloxicam (Mobic) (15mg) Medications given for casualty with moderate to severe pain. Casualty is NOT in shock or respiratory distress AND casualty is NOT at significant risk of developing either condition: Option 2 - Correct answer Oral transmuccosal fentanyl citrate (OTFC) 800 micrograms Medications given for moderate to severe pain. Casualty IS in hemorrhagic shock or respiratory distress OR casualty IS at significant risk for either condition: Option 3 - Correct answer Ketamine 50 mg IM/IN or Ketamine 20 mg slow IV or IO. End treatment with development of nystagmus (rythmic back and forth movement of the eyes) Alternative medication to ketamine - Correct answer Morphine 5 mg IV/IO Always used when administering morphine - Correct answer Narcan 0.4 mg IV/IM Medication given for soldiers with nausea or vomiting - Correct answer Zofran (Ondansetron) 4-8 mg IV/IM/IO What should be done prior to administering opioids or ketamine? - Correct answer Document mental status What can Ketamine and OTFC potentially due to severe TBI? - Correct answer Worsen the injury What are antibiotics recommended for? - Correct answer All penetrating wounds Antibiotic given to patient if ABLE to take PO - Correct answer Moxifloxacin (400 mg once daily) Antibiotic given to patient if UNABLE to take PO - Correct answer Ertapenum (1 g IV/IM once daily) What is the most important contraindication to antibiotics? - Correct answer Burn casualties The three Tactical Combat Casualty Care phases of care - Correct answer Care under fire, tactical field care, tactical evacuation care The three goals of Tactical Combat Casualty Care - Correct answer Complete the mission, prevent additional casualties, treat the casualties Role 1 - Correct answer The first medical care a soldier receives Role 2 - Correct answer Operations operated by the area support squad, medical treatment platoon, or medical companies Role 3 - Correct answer Casualty treated at MTF Role 4 - Correct answer Medical care found in CONUS-based hospitals Urgent classification evacuation time - Correct answer 1 hour Leading cause of preventable death on the battlefield - Correct answer Hemorrhage Components of blood - Correct answer plasma, red blood cells, white blood cells, platelets Body temperature at which casualty is considered hypothermic - Correct answer 95 degrees or less Body temperature at which blood factors start to become ineffective - Correct answer 93 degrees or less When the body suffers from shock and lactic acid builds up as a result - Correct answer acidosis When too much intravenous crystalloid fluid such as saline or lactated ringers has been given - Correct answer hemodillution How long aspirin can inhibited clotting - Correct answer 5-10 days How does acidosis affect clotting? - Correct answer Decreases the pH of the blood At what point should the Combat Medic prevent or treat the casualty for hypothermia? - Correct answer As soon as the casualty is identified An adult can bleed up to __________ into each *side* of the chest - Correct answer 1500 ml An adult can hemorrhage up to _________ of blood and IV fluid into the abdomen even though there is only _______ in circulation - Correct answer 10 L, 6 L An adult can bleed _________ of blood into one thigh - Correct answer 1 L How does transexamic acid work? - Correct answer Prevents the body from breaking down clots Time frame for administration of transexamic acid - Correct answer Within the first three hours of injury Dosage and administration of transexamic acid - Correct answer 1 g IV/IO during 6a and after giving hextend Indications of an NPA - Correct answer unconscious casualty with spontaneous respiration and NO respiratory distress, no airway obstruction, altered casualty with intact gag reflex Tube size used for a cricothyroidotomy - Correct answer At least 6 mm definitive treatment for a pneumothorax - Correct answer chest tube Location for an NCD - Correct answer second intercostal space, between second and third rib Most common gauge needle used for an NCD - Correct answer 14 guage Four types of distributive shock - Correct answer septic, neurogenic, anaphylactic, psychogenic Signs of neurogenic shock - Correct answer Lack of pale, cool, or clammy skin Result of direct damage to the heart itself - Correct answer Intrinsic causes Result of problems outside of the heart - Correct answer Extrinsic causes Amount of fluid loss to indicate hypovolemic shock - Correct answer 20 percent or more Signs of compensated shock - Correct answer Increased heart rate and blood pressure Signs of decompensated shock - Correct answer falling blood pressure Non-hemorrhagic causes of hypovolemic shock - Correct answer Dehydration, dehydration secondary to vomiting and diarrhea, burns greater than 20% of body surface area How much blood can be lost before the casualty's blood pressure will begin to drop? - Correct answer 1500-2000 ml or 30-40% Percentage of the total amount of water in the body fluids - Correct answer 70 percent Current prehospital choice for combat trauma casualties suffering from hemorrhagic shock in the absence of blood components - Correct answer Hextend How long the effects of hextend last - Correct answer 8 hours Solution of choice for burn casualties - Correct answer Lactated Ringer's Solution of choice for dehydration if not able to swallow - Correct answer Lactated Ringer's The ONLY solution to be used in conjunction with a blood transfusion - Correct answer Saline solution Minimum blood pressure to perfuse all organs - Correct answer 80 mmHg systolic Blood pressure high enough to dislodge any blood clots - Correct answer 93 mmHg systolic Gauge catheter used for IVs - Correct answer 18 gauge Condition that involves inflammation of the wall of the vein - Correct answer Phlebitits How often is it recommended to change the tubing of an IV? - Correct answer Every 48 hours How often is it recommended to change the solutions and dressings of an IV? - Correct answer Every 24 hours