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(ESWS) Gouge > Medical Gouge > Flashcards

Medical Gouge Flashcards

(54 cards)

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1
Q

What is the secondary mission of the LHD platform (USS ESSEX)?

A

Casualty receiving.

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2
Q

What makes us a casualty receiving ship?

A

Surgical and stabilization capabilities. Only when Fleet Surgical Team is embarked.

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3
Q

Who is in charge of patient movement throughout the ARG when FST is embarked?

A

Commander, Amphibious Task Force (CATF) Surgeon.

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4
Q

When forward deployed, who do we dispatch for amphibious operations for casualty treatment and transport?

A

CASEVAC team from the Combat Logistics Battalion (CLB). Includes physician, flight/ER nurse, HMs.

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5
Q

What is the Battle Bill?

A

Outlines responsibilities of the Medical Department personnel under hostile and non-hostile emergency conditions.

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6
Q

What is the Mass Casualty Bill?

A

How the ship responds to a mass casualty situation.

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7
Q

What constitutes a mass casualty situation?

A

More casualties than providers onboard.

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8
Q

Where are hard copies of Mass Casualty Bill located?

A

QD, Pilot House, DC Central, and all four BDS’s.

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9
Q

Who has responsibilities outlined in Mass Casualty Bill besides medical personnel?

A

Flight Deck Officer, First Lieutenant, Hangar Deck Officer, OOD, Commander, Landing Force Staff, Damage Control Assistant, Admin Officer, Supply Officer, Security Officer, CHENG, Chaplain.

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10
Q

What does BDS stand for?

A

Battle Dressing Station.

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11
Q

Who mans a BDS?

A

At least 1 HM, 4 stretcher bearers, and a non-medical phone talker.

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12
Q

What are the steps to set up a manned and ready BDS for BDS operations?

A

ALL personnel in full battle dress, Comms established with DC Central, BDS fully manned and ready, Emergency Potable water aligned for operation, Oxygen ready for use, Suction apparatus charged, Surgical light operational, Battle Lanterns operational, Operating table secured to deck/straps available, Safe route obtained from DCC/CCS to designated BDS prior to patient transport.

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13
Q

Where is the casualty decontamination (DECON) station located?

A

Flight deck triage, patients can be decontaminated on litters.

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14
Q

How many beds are available in the Intensive Care Unit (ICU)?

A

15.

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15
Q

How many beds are in the Patient Ward (P-Ward)?

A

46.

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16
Q

How many beds are available for overflow if needed?

A

250 patient beds available in Troop Berthing behind Medical.

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17
Q

What ancillary services does medical provide?

A

Lab, X-ray, Pharmacy, Preventive Medicine, Mental Health, Physical Therapy.

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18
Q

How many Dental Operating Rooms onboard the Essex?

A

4.

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19
Q

How many Operating Rooms (OR) onboard the Essex?

A

6.

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20
Q

With one surgeon embarked, how many ORs are required to be operational?

A

2.

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21
Q

Where is the Morgue located?

A

Near flight deck control and Flight Deck BDS.

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22
Q

How many bodies can the morgue accommodate?

23
Q

Where do additional bodies go if required?

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A

Reefer designated by SUPPO.

24
Q

How many Battle Dressing Stations (BDS) are onboard the Essex?

25
Name the locations of all BDS.
Flight Deck, FWD BDS, AFT BDS, MAIN BDS (located in medical).
26
What are the three objectives of First Aid?
Save lives, Prevent further injury, Prevent infection.
27
How many MASCAS boxes do we have onboard?
9.
28
Where are they located?
MCB 1 (1-50-4-L) Route 49, MCB 2 (02-49-0-L) Office, MCB 3 (02-82-2-L) Repair 4, MCB 4 (02-L-0-Q) ACC Room, MCB 5 (3-49-0-A) FR 78 UPP, MCB 6 (04-84-1-L) PRI-F, MCB 7 (1-39.5-1-L) By ENGI, MCB 8 (1-63-1-L) Repair 5M, MCB 9 (1-67-2-L) Route 49.
29
Where are two first aid boxes near your work center?
_____
30
What are some litters that can be found onboard USS Essex?
Army Litter, Stokes Stretcher, and Reeves Sleeve.
31
What are they used for?
Army = Mass casualties/Decon, Stokes = Protected patient transport, Reeves Sleeves = Primary used litter onboard.
32
How many personnel are required to safely transport a patient on a stretcher?
4.
33
What direction is the patient transported when going down a ladder / up a ladder?
FEET first (down), HEAD first (up).
34
What are 4 triage categories?
Category I - Immediate (Red), Category II - Delayed (Yellow), Category III - Minimal/Walking Wounded (Green), Category IV - Expectant (Black).
35
How long should you assess breathing and pulse?
No more than 10 seconds.
36
You have assessed your patient and recognized that they are in cardiac arrest. When should you begin CPR?
Immediately.
37
What is the ratio of compressions to every breath, for Adult CPR?
30/2.
38
How many compressions should be completed within 1 minute?
100 to 120 compressions per minute.
39
You are alone performing high-quality CPR when a second provider arrives to take over compressions. When switching roles, you should minimize interruptions in chest compressions to less than how many seconds?
Less than 10 seconds.
40
In a two-provider response when performing high quality CPR, you and your partner should be switching off compressions every how many minutes?
2 minutes.
41
What are two methods for opening an airway?
Head-Tilt Chin-Lift or Jaw Thrust (if you suspect a C-spine Injury).
42
What does TCCC stand for?
Tactical Casualty Combat Care.
43
What are the three phases of TCCC?
Care Under Fire, Tactical Field Care, and Tactical Evacuation Care.
44
What is the only treatment done in Care Under Fire?
Control life threatening bleeding.
45
What does the M.A.R.C.H. sequence stand for?
M- Massive Bleeding, A- Airway, R- Respiration/Breathing, C- Circulation, H- Head/Hypothermia.
46
How do you recognize massive life-threatening bleeding?
Bright red blood or clothing soaked with blood or bright red blood pooling on the ground.
47
How long does it take for a casualty with severe injuries to bleed to death?
3 mins or less.
48
What are three ways to control massive bleeding?
Tourniquet, Hemostatic Dressing, and Pressure Bandage.
49
Where is a tourniquet placed on extremities?
As high as possible, over singular bone (i.e., upper arm, upper leg).
50
What are signs and symptoms of shock?
Rapid breathing, difficulty engaging, sweaty/cool/clammy skin, pale or gray skin.
51
How do you prevent shock?
Control bleeding, re-assess, and elevate both legs higher than the heart.
52
What are the signs of hypothermia?
Slurred speech or mumbling, slow breathing, drowsiness, and shivering.
53
How do you prevent hypothermia?
Keep clothing on unless wet, cover the casualty with blanket or something that will retain heat, and keep the casualty off the ground.
54
What form is used to document treatment of a casualty, and where is it found?
DD form 1380/First Aid Bag.

(ESWS) Gouge (10 decks)

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