Board- Medical

Question 1

Secondary Mission of Kearsarge

Answer 1

Causality receiving ship

Question 2

Capabilities

Answer 2

• 6 operating rooms
• 15 Bed ICU
• 42 Bed Ward( can extend out to 542 with use of troops berthings)
• Blood bank = 400 units
• 4 battle dressing stations( FWD, AFT, Flight Deck, Main)

Question 3

Ships company

Answer 3

• independent duty corpsman
• 2 preventive medicine technicians
• 1 lab/ blood bank technician
• 1 X-ray technician
• 1 biomedical repair technician
• Pharmacy technician
• 1 OR tech
• 1 aviation medicine technician
• 10 general duty HM
• 1 Dental hygienist
• 1 advanced dental technician
• 2 dental assistants

Question 4

Where are we able to receive patients from

Answer 4

Well deck operations or helos

Question 5

Objectives of First Aid

Answer 5

1- Save lives
2- Prevent Further Injury
3- Limit Infection

Question 6

Priorities of First Aid

Answer 6

1- stop bleeding
2- maintain breathing
3- prevent or reduce shock

Question 7

What to do if there is more than one victim

Answer 7

Triage or sort the victims

1-Immediate/Red
2-Delayed/Yellow
3-Minimal/Green
4-Expectant/Black

Question 8

Treatment of shock

Answer 8

Keep patient warm and comfortable

Elevate feet 6-12 inches

Question 9

Heat Stroke

Answer 9

Skin is hot and dry

Temps is 105 or greater

Question 10

Heat exhaustion

Answer 10

Moist, clammy skin

Question 11

Heat Cramps

Answer 11

Cramping of muscles, usually the abdomen, legs and arms

Question 12

Army Pole Litter

Answer 12

Green mesh with metal poles on each side
1- Flight deck uses
2- Patient transport in medical

Question 13

Reeves Sleeves

Answer 13

Rigid orange plastic with Velcro securing strap
1-used for vertical access
2-used for suspected spine/neck fractures
3-used to remove victims from spaces with limited access

Question 14

Strokes stretcher

Answer 14

Looked like wire basket and it is used for horizontal movements

1-used for water rescue when flotation devices are attached
2-used to transport patients by high line

Question 15

How many personnel to carry a stretcher

Answer 15

4

Question 16

Main BDS

Answer 16

In main medical 01-77-0-L

Question 17

Forward BDS

Answer 17

1-7-2-L FWD Port side main deck

Question 18

AFT BDS

Answer 18

1-119-2-L aft end of hangar bay

Question 19

Flight Deck BDS

Answer 19

In flight deck triage 03-73-1-1

Question 20

How many mass causality boxes?

Answer 20

9

Question 21

How many first aid boxes?

Answer 21

95, 1 in your workspace

Question 22

Steps for any medical emergency

Answer 22

EARL

E-ensure the scene is safe
A-asses
R-report the causality
L-locate first aid box

Question 23

Massive Hemorrhage with Amputation

Answer 23

1-report to DCCC or OOD
2-apply direct pressure with preparing tourniquet
3-place tourniquet 2-4 inches above amputation
4-mark victims forehead with a T and time
5-cover amputation site with large battle dressing, secure snugly
6-check front and back for further injury
7-monitor airway, conduct CPR as needed and treat for shock. Keep victim warm
8-if possible save the amputated appendage and bring it with the victim. Wrap in cloth and place inside bag with ice

Question 24

Smoke inhalation

Answer 24

1- remove causality from smoke filled environment and to an area outside secondary smoke boundaries in a safe manner attempting to minimize injury. Victim must remain in fresh air for 20 minutes
2-verify the victim has a pulse, open airway, and breathing, if none start CPR. Report to DCCC or OOD
3-conduct check for additional injury’s
4-monitor airway, conduct CPR as needed and treat for shock. Keep victim warm

Question 25

Fracture

Answer 25

1-Report to DCCC or OOD 2-place victim on back and expose injury. If fracture immediately apply pressure by pinching sides of wounds. Do not apply direct pressure over bones 3-wrap battle dressing to maintain pressure over entire wound. Secure dressing in place 4-using the unaffected opposing extremity, mold a SAMS splint to extend above and below joints 5-place splints under injury in position found 6-when handled, ensure injury is supported above and below fracture sight at all times 7-wrap molded splints with 3in ace wraps 8-check for further injury’s 9-monitor airway, conduct CPR as needed, treat for shock. Keep victim warm

Question 26

Sucking Chest Wound

Answer 26

1-place victim on back and expose injury. Verify circulation, an open airway and breathing 2-report causality to DCCC and OOD 3-attempt to plug wound immediately with palm of hand 4-wipe away blood/fluid from wound 5-cover entire wound with plastic covering. Secure with tape on 3 sides, leaving one side open toward injury side 6-cover plastic with large battle dressing 7-roll the victim on injured side and check for exit wound. If exit wound exist, seal with plastic on all 4 sides 8-cover plastic with large battle dressing 9-check for further injury’s 10-place victim on affected side 11-monitor airway, conduct CPR as needed and treat for shock. Keep victim warm

Question 27

Electrical Shock

Answer 27

1-secure power to the circuit prior to touching victim if you know how 2-remove victim from circuit utilizing a non-conductive material 3-report causality to DCCC or OOD 4-verify circulation, open airway and breathing. If pulse is not present, start CPR 5-continue until properly relieved by medical authority or until victim regains breathing and pulse 6-check for further injury’s 7-treat other injury’s 8-monitor for airway, conduct CPR as needed and treat for Shock. Keep victim warm

Question 28

CAB

Answer 28

C-circulation A-airway B-breathing

Question 29

CPR-circulation

Answer 29

1-place heal of hand at nipple line 2-compression ratio- 30 compressions to 2 breaths 3-depth of compression should be 2in 4-compression rate is 100 beats per minute

Question 30

CPR-Airway Management

Answer 30

1-chin lift or jaw thrust

Question 31

CPR-Breathing

Answer 31

1-if casualty is experiencing difficulty breathing remove casualty from space 2-get to fresh air immediately 3-keep casualty calm and remain in fresh air for minimum of 20 minutes

Question 32

First aid box

Answer 32

``` 1- large and small emergency trauma dressing 2- trauma shears 3- SAM Splints 4- ace bandage 5- nasal pharyngeal 6- surgical lubricant 7-skin market 8- occlusion dressing(chest seal or plastic with tape) 9-combat action tourniquet (CAT) ```