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Exam of 5 pages for the course TCCC at TCCC (Tccc2)
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TcccTCCC - answer Tactical Combat Casualty Care
Who uses TCCC - answer Army, Navy, Air Force, Marine Corps, Coast Guard
What is the number one medical priority in care under fire? - answer Early control of severe Hemorrhage
What civilian courses was combat medical training modeled from - answer Emergency medical technician Advanced trauma life support
What is the TCCC approach - answer • identify the causes of preventable death on the battlefield • address them aggressively • combine good medicine with good tactics
What is tension pneumothorax? - answer • air escapes from injured lung - pressure builds up in chest • air pressure collapses lung and pushes on the heart • heart compressed - not able to pump well
What are the three objectives of TCCC? - answer • treat the casualty • prevent additional casualties • complete the mission
Who makes changes in TCCC? - answer The committee on tactical combat casualty care (CoTCCC)
What are the phases of TCCC? - answer • care under fire • tactical field care • tactical evacuation care
How many combat deaths are potentially preventable? - answer 24%
What does the first P in P-MARCH-P stand for? - answer Patient/provider safety
What does the M in P-MARCH-P stand for? - answer Massive Hemorrhage
What does the A in P-MARCH-P stand for? - answer Airway
What does the R in P-MARCH-P stand for? - answer Respirations What does the C in P-MARCH-P stand for? - answer Circulation
What does the H in P-MARCH-P stand for? - answer Head trauma/hypothermia
What does the second P in P-MARCH-P stand for? - answer Pain management
What is the only step done on the X (point of injury) - answer Massive Hemorrhage
non-life threatening bleeding should be ignored until the Tactical Field Care phase - answer True
How far above the bleeding site should a tourniquet be placed? - answer 2-3"
Where can a tourniquet not be applied? - answer • Neck
• Axilla (armpit)
• Groin
Penetrating head and neck injuries do not require C-spine stabilization - answer True
Blunt trauma head and neck injuries do not require C-spine stabilization - answer False
When do you apply C-spine stabilization for a blunt force trauma? - answer Only if the danger of hostile fire does not constitute a greater threat
What is the recommended size for a needle D - answer 14 gauge and 3.25 inches long
How do you treat Tension Pneumothorax - answer Let the trapped air out using needle decompression
What are the needle D insertion locations - answer • 2nd inter costal space • 4th or 5th intercostal space at the anterior axillary line
What are the four types of hemostatic dressing? - answer • combat gauze • celox gauze • chito gauze • XSTAT (best for deep, narrow-tract junctional wounds)
How long should direct pressure be applied with Hemostatic Dressings - answer At least 3 min
Every effort should be made to convert tourniquets in less than 2 hours if bleeding can be controlled with other means - answer True
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