Three Objectives of Tactical Combat Casualty Care (TCCC) - ANSWER: ➡ - Treat the casualty
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- Prevent additional casualties
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- Complete the mission
g g g
Tactical Combat Casualty Care (TCCC) Guidelines 1996 - ANSWER: ➡ - Tourniquets
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- Aggressive needle thoracostomy
g g g
- Nasopharyngeal airways
g g
- Surgical airways for maxillofacial trauma
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- Tactically appropriate fluid resuscitation
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- Battlefield antibiotics
g g
- Improved battlefield analgesia
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- Combine good tactics and good medicine
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- Scenario-based training
g g
- Combat medic input to guidelines
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The threat - ANSWER: ➡ During the gunfight, attention is focused primarily on eliminating
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what?
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3 Phases of Care in TCCC - ANSWER: ➡ - Care Under Fire
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- Tactical Field Care
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- Tactical Evacuation Care
g g g
Care Under Fire - ANSWER: ➡ Is the care rendered by the first responder or combatant at the
g g g g gg g g g g g g g g g g g g
scene of the injury while they are still under effective hostile fire.
g g g g g g g g g g g g
,- Available medical equipment is limited to that carried by the individual or by the medical
g g g g g g g g g g g g g g g
provider in his or her aid bag
g g g g g g g
Tactical Field Care - ANSWER: ➡ Is the care render by the first responder or combatant once he
g g g g gg g g g g g g g g g g g g
and the casualty are no longer under effective hostile fire.
g g g g g g g g g g
- It also applies to situations in which an injury has occurred, but there has been no hostile fire.
g g g g g g g g g g g g g g g g g g
Tactical Evacuation Care - ANSWER: ➡ Is the care rendered once the casualty has been picked
g g g g gg g g g g g g g g g g
up by an aircraft, ground vehicle or boat.
g g g g g g g g
P-MARCH-P - ANSWER: ➡ - Is a combat medicine algorithm g g gg g g g g g g
- It is used to effectively treat battlefield casualties to prevent missing vital medical
g g g g g g g g g g g g g
interventions
g
- It can be tailored to any environment and casualty
g g g g g g g g g
- It is considered the "Framework for ALL TCCC interventions"
g g g g g g g g g
Massive Hemorrhage (step 1 in care under fire) - ANSWER: ➡ - Is the only step done on the "X"
g g g g g g g g g gg g g g g g g g g g
(point of injury)
g g g
- Stop Massive bleeding
g g g
- Tourniquets
g
- Perform blood sweeps after PT has been moved off the "X" (Big pipes, little pipes down to the
g g g g g g g g g g g g g g g g g g
joints).
g
Airway Management - ANSWER: ➡ - Check level of consciousness (LOC)
g g g gg g g g g g g
- Check carotid (Dead check)
g g g g
- If patient is unresponsive, look, listen, feel (LLF)
g g g g g g g g
- Check for lacerations, obstructions broken bones, blood, and swelling (LOBBS)
g g g g g g g g g g
- Clear obstructions. NEVER BLIND SWEEP
g g g g g
- Open airway with head tilt chin lift or jaw thrust
g g g g g g g g g g
, - If still not breathing, readjust a second time and LLF.
g g g g g g g g g g
g - Breathing? = nasopharyngeal airway
g g g g
- IF STILL not breathing, consider cricothyrotomy
g g g g g g
Types of Carries for Care Under Fire - ANSWER: ➡ - One-person drag with/without line
g g g g g g g g gg g g g g g
- Two-person drag with/without line
g g g g
- SEAL Team Three Carry: One/Two person
g g g g g g
- Hawes Carry
g g
Early control of severe hemorrhage is CRITICAL - ANSWER: ➡ What is the number one
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medical priority in Care Under Fire?
g g g g g g
- There is pulsatile or steady bleeding from the wound
g g g g g g g g g
- Blood is pooling on the ground
g g g g g g
- The overlying clothes are soaked with blood
g g g g g g g
- Bandages or makeshift bandages used to cover the wound are ineffective and steadily
g g g g g g g g g g g g g
becoming soaked with blood.
g g g g
- There is a traumatic amputation of a limb
g g g g g g g g
- There was prior bleeding, and the patient is now in shock (unconscious, confused, pale) -
g g g g g g g g g g g g g g g
ANSWER: ➡ When is Bleeding Life Threatening?
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Casualties with such an injury can bleed in as little as 3 minutes - ANSWER: ➡ How long does it
g g g g g g g g g g g g g g gg g g g g
take to bleed to death from a complete femoral artery and vein disruption?
g g g g g g g g g g g g g
The MARCH algorithm - ANSWER: ➡ Is a guide to the sequence of treatment priorities in
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caring for combat casualties
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Massive hemorrhage - ANSWER: ➡ Control life-threatening bleeding
g g g gg g g g
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