Tactical Combat Casualty Care: Procedures and Techniques, Exams of Health sciences

Download Tactical Combat Casualty Care: Procedures and Techniques and more Exams Health sciences in PDF only on Docsity! TCCC-CLS Train-the-Trainer Online Course Questions with Answers Latest Update 2024 1. Of the deaths that occur during ground combat, about what percent die before reaching a medical treatment facility? - ✅✅✅90 percent 2. Your unit is in ground combat. You see a soldier fall as though he has been shot. Your primary duty is to: - ✅✅✅Continue firing at the enemy 3. You are treating a casualty while under fire. Which of the following can you perform before moving the casualty to a place of safety? - ✅✅✅Apply a tourniquet to control severe bleeding on a limb 4. Tactical combat casualty care has three phases. List the phases. - ✅✅✅1) Care under fire 5. 2) Tactical field care 6. 3) Tactical evacuation care [Document title] CHARLIE WINDLER 7. A casualty is being transported to a collection point using a non-medical vehicle. Which of the following terms apply? - ✅✅✅CASEVAC 8. What medical term means bleeding, usually severe? - ✅✅✅Hemorrhage 9. A pad of material placed on the wound to absorb the blood is called the ----- while the material used to keep the pad from slipping off the wound is called the -----. - ✅✅✅1) Dressing 10. 2) Bandage 11. The wrist is ----- to the elbow. The elbow is ----- to the wrist. - ✅✅✅1) Distal 12. 2) Proximal 13. Is the combat lifesaver considered to be a medical soldier? - ✅✅✅No 14. What are the three most common medically preventable causes of death on the modern battlefield? - ✅✅✅1) Extremity hemorrhage [Document title] CHARLIE WINDLER 27. A casualty is lying very still. He does not respond to any of your questions or commands. He does show a reaction when you rub is breastbone briskly with your knuckle. How would you classify the casualty on the AVPU scale? - ✅✅✅P- for physical 28. You are determining the casualty's level of responsiveness. The casualty tells you that he has been shot in his leg and that he is in pain. How would you classify the casualty on the AVPU scale? - ✅✅✅A- for attentive 29. When should you plan how to move a wounded soldier out of enemy fire? - ✅✅✅Before you leave your place of safety to go to the wounded soldier 30. You have been wounded and are still under enemy fire. You are unable to return fire and there is no safe cover nearby. What should you do? - ✅✅✅Play dead 31. You can move a casualty out of enemy fire and to a safe location. Should you also try to move the casualty's weapon to the safe location? - ✅✅✅Yes [Document title] CHARLIE WINDLER 32. A casualty has been shot in his left foot, but can still hop on his right leg. Which of the following should you use to move the casualty to safety? - ✅✅✅Whichever is the safest for you and the casualty 33. You applied a tourniquet to a soldier's wounded leg before dragging him to a safe location. What should you do about the tourniquet once you and the casualty are safe? - ✅✅✅Examine the wound to see if the bleeding can be controlled using other means 34. You applied a tourniquet to a soldier about eight hours ago. The tactical situation now allows the casualty to be evacuated. Should you loosen the tourniquet and try to control the bleeding with a pressure dressing before evacuation the casualty? - ✅✅✅No 35. Inserting a nasopharyngeal to maintain the casualty's airway is part of: - ✅✅✅Tactical field care 36. Which of the following is NOT part of care under fire? - ✅✅✅Treating an open chest wound [Document title] CHARLIE WINDLER 37. What is the advantage in using a two-person drag or carry to move a casualty to a safe location while in a care under fire situation? - ✅✅✅A two-person drag or carry is easier and quicker 38. What is the disadvantage in using a two-person drag or carry to move a casualty to a safe location while in a care under fire situation? - ✅✅✅Two rescuers are exposed to enemy fire rather than one 39. The Hawes carry is a commonly used carry. Describe the carry. - ✅✅✅One of casualty's arm over you, casualty standing behind you. 40. You are crossing a battlefield after the fighting has stopped and the enemy has retreated. A soldier steps on a land mine and it explodes, giving the soldier a severe wound to his thigh. What type of care will you render? - ✅✅✅Tactical field care 41. A soldier in your squad has been injured. You are in a tactical field care situation. When should you notify your [Document title] CHARLIE WINDLER 51. Why must a penetrating chest wound be sealed? - ✅✅✅To keep air from entering through the wound 52. The casualty has severe bleeding from a head wound. Should you apply a tourniquet to control the bleeding? - ✅✅✅No 53. You are treating a soldier with a fractured bone in the forearm. The sharp end of the broken bone has pierced the skin and is sticking out through the wound. Should you attempt to force the bone back into alignment before applying a splint? - ✅✅✅No 54. You are applying a splint to a casualty's limb. Which of the following is a general rule to follow? - ✅✅✅Apply two cravats above the fracture and two cravats below the fracture 55. Which of the following is true concerning a casualty with an injured thigh? - ✅✅✅Apply a splint if the thigh has a massive injury even if the bone is not fractured [Document title] CHARLIE WINDLER 56. What is the combat pill pack that you and other soldiers may carry in combat? - ✅✅✅Pain medications and antibiotics 57. You are applying a splint to a casualty's limb. Which of the following is a general rule to follow? - ✅✅✅Immobilize the joint above the fracture and the joint below the fracture 58. You have controlled the bleeding from a wound on the casualty's thigh. The casualty lost a good deal of blood. Also, the casualty's skin appears to be pale, cool, and clammy. He is breathing faster than normal and he is acting agitated. The casualty is probably suffering from: - ✅✅✅Shock 59. In most cases, the casualty's leg are placed on a stable object so that his feet are slightly higher than the level of his heart to help control shock. In which of the following circumstances would another position be used? - ✅✅✅If the casualty has an open abdominal or chest wound. [Document title] CHARLIE WINDLER 60. You have controlled the bleeding to a casualty with a severe would to the leg and immobilized the leg. The casualty has been placed on a litter and will be evacuated by air ambulance. What else can you do to help the casualty? - ✅✅✅1) Cover the casualty to keep him from being chilled 61. 2) Loosen any binding clothing 62. 3) Reassure the casualty 63. You have applied a tourniquet to a casualty. Should you cover the tourniquet with a blanket, poncho, or similar material to protect it from contamination by dirt and dust? - ✅✅✅No 64. What Department of Defense document is used to record the care given to a casualty in the field? - ✅✅✅DD Form 1380, U.S Field Medical Card (FMC) 65. How does evaluation and treatment of a casualty in a tactical field care situation (not under enemy fire) differ from that in a care under fire situation? - ✅✅✅A tactical field care environment allows you to focus more on evaluation, treatment and evacuation of the casualty. While during care under fire, you are limited to only [Document title] CHARLIE WINDLER 77. The "wad" of material that is part of an improvised pressure dressing is placed: - ✅✅✅On top of the original dressing and over the wound 78. The portion of the limb below the pressure dressing is cool to the touch and the nail beds on the limb are bluish. The pressure dressing should be ----- and ------. If the condition does not improve, ----- the casualty. - ✅✅✅1) Loosened 79. 2) Retied (or reapplied) 80. 3) Evacuate 81. You are going to apply digital pressure to help control severe bleeding from an open wound on the thigh. Use ---- to apply pressure to the pressure point at the front, center part of the crease in the groin in order to press the artery against the bone. - ✅✅✅The heel of your hand or your knee 82. You are applying an emergency bandage to a wound on the limb. Indicate the order in which the following steps are performed by writing the numbers 1 (first) through 7 (last) in the blanks before the steps. - ✅✅✅1) Place the dressing pad on the wound [Document title] CHARLIE WINDLER 83. 2) Wrap the elastic bandage around the wounded limb 84. 3) Insert the elastic bandage completely into the pressure bar 85. 4) Pull the elastic bandage back over the top of the pressure bar, forcing the bar down onto the pad. 86. 5) Wrap the elastic bandage tightly over the pressure bar. 87. 6) Continue to wrap the elastic bandage around the limb so that all edges of the pad are covered 88. 7) Secure the hooking end of the closing bar into the elastic bandage 89. The combat gauze bandage is used for: - ✅✅✅Serious arterial bleeding 90. After you apply the combat gauze bandage to a wound, you should immediately: - ✅✅✅Apply manual pressure to the combat gauze 91. The combat gauze bandage works by - ✅✅✅A chemical reaction that promotes blood clotting [Document title] CHARLIE WINDLER 92. Which of the following is applied with the intent of stopping blood circulation? - ✅✅✅Tourniquet 93. Both you and the casualty are in a place of safety and you have sufficient time to treat a casualty. In which of the following situations, if any would you apply a tourniquet without first trying to control the bleeding with a pressure dressing? - ✅✅✅Amputation of the forearm four inches below the elbow 94. When applying the CAT, the friction adaptor buckle is not necessary for proper application to a(n) ------, but it must be used as added protection when using two hands to apply the CAT to a(n) -----. - ✅✅✅1) Arm (upper extremity) 95. 2) Thigh 96. Which one of the following would be preferred for an improvised tourniquet band? - ✅✅✅A square of cloth (one yard on each side) cut diagonally and folded into a cravat 97. You are going to apply an improvised tourniquet band made from a muslin bandage. The tourniquet band [Document title] CHARLIE WINDLER 107. When performing the heal-tilt/chin-tilt method of opening a casualty's airway, you ----- allow your fingers to press deeply in the soft tissues under the chin. - ✅✅✅Should not 108. When rolling a casualty, one of your hands is used to support the casualty's head and neck. What should you do with the other hand? - ✅✅✅Reach across the casualty's chest, grab under the casualty's arm, and pull the casualty toward you 109. When you check for breathing, you should: - ✅✅✅1)Watch the casualty's chest to see if it rises and falls 110. 2) Listen for sounds of breathing 111. 3) Feel for any exhaled breath blowing against your face 112. What are three indicators that a nasopharyngeal airway should be inserted into a casualty who is breathing on his own? - ✅✅✅1) Casualty's respiration rate is less than 2 breaths every 15 seconds 113. 2) Casualty is making snoring or gurgling sounds 114. 3) Casualty is unconscious [Document title] CHARLIE WINDLER 115. What should you do with the nasopharyngeal tube before inserting it into the casualty's nostril? - ✅✅✅Lubricate the outside of the tube with water or sterile lubricating jelly 116. Normally, the nasopharngeal tube is inserted into the casualty's ----- nostril. - ✅✅✅Right 117. You are inserting a nasopharyngeal tube into the casualty's nostril when resistance is met. What should you do? - ✅✅✅Remove the tube and insert it into the other nostril 118. Upon successfully inserting a nasopharyngeal airway, the flange of the airway should be: - ✅✅✅Against the outer part of the casualty's nostril 119. You have inserted a nasopharyngeal airway. How should you position the casualty? - ✅✅✅On his side 120. A soldier has been stabbed in his chest. The blade entered the chest just above his right nipple, penetrated the chest wall, and was withdrawn. Which of the [Document title] CHARLIE WINDLER following is most likely to happen? - ✅✅✅His right lung will begin to collapse 121. A soldier has suffered a wound to the chest. You are not sure if the chest wall has been penetrated. What should you do? - ✅✅✅Apply airtight material over the wound and tape down all four sides of the material, then dress and bandage the wound 122. An open chest wound is sometimes called another name. What is the name? - ✅✅✅Sucking chest wound 123. List three signs or symptoms other than the sound of air passing through the wound that may indicate the casualty has an open chest wound. - ✅✅✅1) Coughing up blood 124. 2) Breathing problems 125. 3) Pain increases when breathing 126. 4) Rapid, but weak, pulse 127. 5) Bubbles in blood on chest 128. 6) Abnormal chest actions 129. 7) Cyanosis [Document title] CHARLIE WINDLER 142. You are inserting a needle to relieve tension pneumothorax. How can you tell when you have penetrated the chest wall and the tip of the needle is now in plural space? - ✅✅✅Feel a "pop" and hear air escaping 143. Once you have penetrated the plural space with a large bore needle/catheter, you should: - ✅✅✅Advance the needle/catheter all the way to the hub, remove the needle while leaving the catheter, and tape the catheter hub to the chest. 144. A casualty who has been treated for tension pneumothorax with needle chest decompression is being evacuated on a litter. How should he be positioned? - ✅✅✅On his injured side ( the side with the catheter) 145. The signs and symptoms of tension pneumothorax may be difficult to assess in a combat situation. Therefore you should perform needle chest decompression if the casualty has a ----- wound and has -----. - ✅✅✅1) Open chest (penetrating chest) 146. 2) Progressive respiratory distress (increasing trouble breathing) [Document title] CHARLIE WINDLER 147. The MEDEVAC request format is used to request evacuation by: - ✅✅✅Both air and ground ambulances 148. Of the nine lines of information in a wartime evacuation request, the first ----- lines must be transmitted before the ambulance begins its mission? - ✅✅✅Five 149. Of the nine lines of information in a wartime evacuation request, which line is omitted if it is not applicable? - ✅✅✅Line 9 150. What has historically been a problem with requests for medical evacuation? - ✅✅✅Overclassification 151. What proword means you have finished your transmission and a response from the receiving station is needed? - ✅✅✅Over 152. When is the term "ROGER WILCO" used in making a MEDEVAC request? - ✅✅✅Never. The term should not be used [Document title] CHARLIE WINDLER 153. A "priority" casualty should be evacuated within: - ✅✅✅4 hours 154. A "urgent" or "urgent surgical" casualty should be evacuated within: - ✅✅✅2 hours 155. Casualties are divided into two types (line 5) what are they? - ✅✅✅Ambulatory and litter 156. You are making a MEDEVAC request for a ground ambulance during wartime. The casualty has a broken arm and no other injuries. What should be transmitted for Line 4? - ✅✅✅The code "A" 157. A soldier says, "Good medicine is always good tactics." Do you agree and why? - ✅✅✅No. Performing needed treatment at the wrong time can result in both the casualty and the rescuer being killed 158. The fireman's carry is the typical one-person carry practiced in training. However, it is now being discouraged from being used. Why? - ✅✅✅It is very [Document title] CHARLIE WINDLER