TCC Hypothermia management

Question 1

BSI

Answer 1

you get it yet? You need that shit

Question 2

2. Take actions to prevent hypothermia

Answer 2

a. Drape hypothermia prevention and management kit (HPMK) or blizzard blanket
b. Log roll casualty and place on litter
c. Place active heating blanket on casualty’s anterior torso and under arms in axillae
d. Minimize exposure to cold ground, wind and air temp
e. Pace active heating blanket on the casualty’s anterior torso and under arms in the axillae
f. Enclose w exterior impermeable enclosure bag

Question 3

3. Initiate electronic monitoring of the patient

Answer 3

do it

Question 4

4. Administer meds

Answer 4

a. Option 1
i. Mild/moderate pain, still able to fight
ii. TCCC combat wound med pack (CWMP)
iii. Tylenl 500, meloxicam 15mg
b. Option 2
i. Mild/moderate pain, NOT IN SHOCK or RESP Direstres, AND not sig risk of either
ii. Transmucosal fentanyl 800 micrograms
c. Option 3
i. Moderate/severe pain
ii. IS in SHOCK/RESP Distress OR SIG risk of either
iii. Ketamine 30mg IV/IO push q 20min PRN
iv. End points – control of pain or nystagmus

Question 5

5. Administer abx

Answer 5

a. All open wounds

b. If PO tolerant – moxifloxican 400mg, if NOT PO tolerant – ertapenem 1gm IV/IM