What is the highest risk to troops? Right Ans - Improvised explosive
devices (IED) and explosively formed projectile (EFP)
What is a blast wave? Right Ans - When an explosion occurs a rapidly
expanding sphere of hot gas where air is compressed at the surface to produce
a wave of pressure. It causes primary blast injuries.
What is avulsive amputation? Right Ans - Limb ripped away by blast
What is perforated hollow viscus? Right Ans - Air in the viscus is
compressed then expands
What are secondary blast injuries? Right Ans - Damage results from being
struck by flying debris, such as schrapnel from the device or from glass or
splinters, that has been set in motion by the explosion
What are the consequences of crush injury? Right Ans - Swelling which can
affect blood supply causing compartment syndrome and release of toxins
from damaged tissue can injury the kidneys.
What is the golden hour? Right Ans - Skilled resuscitation within hour
following wounding.
What should happen after two hours? Right Ans - Damage control surgery
if necessary
What should happen after four hours? Right Ans - Primary surgery within
four hours of wounding for those with head injuries and 6 hours for all others
What is the non-permissive environment? Right Ans - Objective is to get
casualty out of the killing zone and treat life threatening injuries.
Focus is only on CATASTROPHIC BLEEDING and AIRWAY.
What treatments can you give in non-permissive environment? Right Ans -
1. CAT
2. 3/4 prone position
, 3. Rolling casualty face down and extending airway
4. Move casualty into cover
5. Keep PPE with casualty
What is the semi-permissive environment? Right Ans - This is where a
degree of safety has been achieved however threat remains.
You may carry out a TRaPS, primary survey assessment. <C>AC-SPINEBCDE.
What does <C> mean? Right Ans - Catastrophic haemorrhage.
1. CAT
2. Dressings
3. Novel haemostatics e.g. Celox
What does A mean? Right Ans - Airway.
1. Manual manoeuvres e.g. head tilt chin lift, jaw thrust
2. Suction
3. NPA +/- OPA
4. 3/4 prone position
What does C-Spine mean? Right Ans - No concern for mobilisation if there
is penetrating trauma to the neck.
1. Manual immobilisation
2. Collar
3. Log-rolling with at least four people
What does B stand for? Right Ans - Breathing.
1. RISENFALL assessment
What does RISE stand for in RISENFALL? Right Ans - Rate, injuries,
symmetry and effort.
What does N stand for in RISENFALL? Right Ans - Neck-TWELVE..
1. Trachea
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