FIELD CRAFT 2 68W WITH 100% CORRECT ANSWERS

A difference in pupil size greater then 1.0 mm Is considered abnormal If both eyes are fialated but not reactive to light Brain stem injury is probable If csf is draining from nose or ears you should suspect? Basilar skull fracture Different types of scalp injuries? Avulsions abrasions, lacerations Types of skull fractures Linear, basilar, mandible, depressed, nasal, mid-faced Conplaing of missing tooth feeling. Mandible skull fracture Linear skull fractures make up about? 80% of skull fractures Scalp wounds Highly vascular What might happen if you elevate casulties head greater then 30 degrees? Cerebral profusion. Hypovolemic shock does not happen from just a tbi. Cushings triad Increased bp (hypertension) Decreased in pulse rate (bradycardia) Respiratory rate increase Loss of conciousness is not required for a concussion What two things greatly decrease long term effects of tbi Early detection and treatment Mile TBI Lasts less then 24hrs Loss of consciousness up to 30mins Memory loss less then 24hrs Full recovery within weeks Moderate TBI Lasts more then 24hrs Loss of consciousness more then 30mins but less then 24hrs Memory loss more then 24hrs but less then a week. MRI - normal or abnormal Severe TBI Closed and open Last more then 24hrs Loss of consciousness longer then 24hrs Memory loss more then a week Mortality 40% within 48hrs Severe TBI's Intracranial, epidural, subdural hematoma, cerebral contusion, and subarachnoid hemorrhage. MACE First distributed for clinical use in the military august 2006 by the DVBIC When should MACE be used? 1: Any service member in a vehicle with blast event, collision or roll over 2: within 50 meters of blast 3: direct blow to head 4: at commands discretion Red flags for head injury. LOC 2 or more blast exposures in 72hrs Unusual behavior Unequal pupils Seizures Repeat emesis Double vision Cannot recognize ppl First step when treating a casulty with chemical burns? Irrigate until fluid is gone or burning stops Most important step when evaluating occular injury? Visual acuity test Abx that can affect the eye? Moxifloxican Passive protection? Wearing eye pro, taking cover Active protection? Minimizing use of binoculars in areas with lasers, scanning with one eye Low level eye injuries? Lasers Higher level eye injuries Vision loss, Permanent blindness Iscovering both eyes recomended? No, rendered defenseless. Depend on others. Eye injuries, Make sure to transport patient with their glasses. Ocular extrusion Eye is protruding from the socket. Thermal burns. Stop burning process, Cover eye with dry sterile dressing Best intervention for occular injuries? Prevention Solid and vascular organs? Liver, spleen, aorta, vena cava, True or false. A casulties entire blood volume can be lost in their abdomen? True Hollow organs Intestine, gallbladder, urinary bladder. What is the most common cause of penetrating injuries in combat? Fragmentation Abdominal injury Signs of hypovolemic shock without obvious cause Most important step with decreasing morbidity with abdominal wounds? Early detection What position should a patient with abdominal injury be in? Transport with knees bent No palpation of abdomen with impaled objects Pregnancy and abdominal injury Mothers blood increases by 50% So she may lose 30%-35% of total blood volume without showing signs How to transport pregnant Like any other patient