Prolonged Field Care

Question 1

How to remember what you need for operational planning and logistics?

Answer 1

RUCK - TRUCK - HOUSE - PLANE

Question 2

What does ruck, truck, house, plane stand for?

Answer 2

Ruck - gear carried by medical personnel
Truck - gear carried in vehichles
House - equipment that is more stationary and maintained at FOB
Plane - MEDEVAC vs CASEVAC

Question 3

What are the 3 phases of PFC? ***

Answer 3

Evaluation
Resuscitation
Transport

Question 4

When is the evac plan initiated out of the 3 phases of PFC?

Answer 4

Evaluation Phase

Question 5

What is the lethal triad? *****

Answer 5

Hypothermia
Coagulopathy + Sepsis
Acidosis

Question 6

What is coagulopathy?

Answer 6

Body’s inability to clot

Question 7

What form is used for documentation?

Answer 7

DD 1380 (TCCC Card), SF 600, SF 518

Question 8

10 Core capabilities of PFC?

Answer 8

• Monitor
• Resuscitate
• Ventilate
• Airway management
• Sedation and pain management
• Physical exam and diagnostics
• Nursing care
• Advanced surgical interventions
• Telemed
• Prepare patient for flight

Question 9

no nerve damage from tourniquet placement at what timeline?

Answer 9

Less than 2 hours

Question 10

What timeline can you NOT convert a tourniquet?

Answer 10

6 hours

Question 11

2) With “Plus 1” in place, loosen the first TQ. If no bleeding from the wound is noted, then leave both TQs in place but not tightened and dress the wound.
3) If bleeding is noted, apply a hemostatic agent and hold pressure for 3-5 minutes. If no further bleeding is noted, leave the loose TQs in place and dress the wound.

Answer 11

OK

Question 12

Which tourniquet do you tighten if hemostatic agent fails?

Answer 12

Original

Question 13

When do you tighten the “plus one” tourniquet?

Answer 13

if original breaks

Question 14

Best fluid to have for PFC? ***

Answer 14

Fresh Whole Blood

Question 15

Goal for adequate urine output for PFC? ***

Answer 15

.5 - 1.0 mg/kg/hr

Question 16

Goal for adequate urine output in Trauma? ***

Answer 16

.5 mg/kg/hr

Question 17

Examples for reasoning for replacement fluids?

Answer 17

Burns

Trauma

Question 18

Examples for reasoning for maintenance fluids?

Answer 18

Sweating in the heat

Question 19

Complications of large volume crystalloid?

Answer 19

compartment syndrome,
• acute respiratory distress syndrome,
• dilutional coagulopathy and
• acidosis.

Question 20

MAP goal?

Answer 20

65mmhg

Question 21

When is bolus IV given?

Answer 21

When UNSTABLE and inadequate intravascular volume

Question 22

What should hemodybnamnically unstable patients be given for pain meds?

Answer 22

Ketamine or fentanyl

Question 23

Low dose ketamine?

Answer 23

10-20mg IV

Question 24

High dose ketamine?

Answer 24

2 mg/kg IV + Versed

Question 25

What are the synergistic effects of versed with ketamine and opioids?

Answer 25

Can cause over sedation
Resp compromise
Drop in BP

Question 26

Look up dosing for fentanyl

Answer 26

Ok

Question 27

Look up dosing for morphine

Answer 27

Ok