3.1.2. MMPL-CMS Hemorrhage Control and Patient Assessment Flashcards
What are two major differences between combat casualty care and civilian care?
- Care under fire; working in the dark; multiple casualties and limited equipment
- Prolonged evacuation times as well as the need for tactical maneuver
How is tourniquet use different between the military and civilian world?
Liberal use encouraged with the military (BIG difference b/w civilian and combat casualty care)
When was the first splint used and what was it?
Thomas Splint in WWI
What is MASH based on?
Mobile Surgical Hospitals
What is TCCC
Tactical Combat Casualty Care
Who issed TCCC and when?
1993 by Naval Special Warfare Command.
Later continued by the US Special Operations Command USSOCOM
What was develped out of the proposal for TCCC?
Developed a set of tactically appropriate battlefield trauma care guidelines that were published as a supplement to Military Medicine in 1996
What does TCCC give combat medics and corpsmen?
The TCCC guidelines provide battlefield medics and corpsmen with trauma management strategies that combine good medicine with good small-unit tactics
3 goals of TCCC
Treat the casualty
Prevent additional casualties
Complete the mission
Trauma care measures proposed in the original TCCC guidelines include what?
A 3-phase approach to tactical trauma care; tourniquets; battlefield antibiotics; tactically appropriate fluid resuscitation; improved battlefield analgesia; etc
What are the different combat medic personnel in the branches of the military referred to as?
Medics in the Army; corpsmen in the Navy and Marine Corps; medics and “PJs” in the Air Force
What are the three phases (not goals) of TCCC?
Care under Fire
Tactical Field Care
Tactical Evacuation Care
What steps do you need to take before you begin the ABCs of tactical care?
- Remove the weapon and look for life threatening injuries
2. Check for major hemorrhaging and address it
What are the ABCs of tactical field medical care?
Airway Breathing Circulation Disability Exposure/Environment
Describe what you are doing/looking for during the Airway portion of tactical medical care
If the airway is compromised, it will have to be opened, initially using manual methods (trauma chin lift or trauma jaw thrust), and cleared of blood, body substances, and foreign bodies, if necessary
Airway management can advance to mechanical means (oral airway, nasal airway, supraglottic airway, or endotracheal intubation) or to transtracheal methods (percutaneous transtracheal ventilation)
C-Spine stabilization is important during this phase!
