Prolonged Field Care

Question 1

What are the reasons for Prolonged Field Care?

Answer 1

1. Long evac times
2. Indigenous Capabilities
3. Requires Different Skill
4. Different Environments

Question 2

What acronym is use for operational planning and logistics?

Answer 2

RTHP
Ruck
Truck
House
Plane

Question 3

What are the three Phases of Prolonged Field Care?

Answer 3

1. Evaluation Phase
2. Resuscitation Phase
3. Transport Phase

Question 4

What is the Lethal Triade addresses for Resuscitative Phase in PFC?

Answer 4

1. Hypothermia
2. Acidosis
3. Coagulopathy + Sepsis

Question 5

What can be used to test for oxygen levels in the blood?

Answer 5

Pulse Oximetry

Question 5

What can be used to test for oxygen levels in the blood?

Answer 5

Pulse Oximetry

Question 6

When attempting to convert the is approriated amount of time?

Answer 6

1. < 2 hours
2. 2-6 hours

Question 7

When is it causes for caution when convert TQ apporiate?

Answer 7

> 6 hours

Question 8

What is the goal for adequate Urine out put for PFC?

Answer 8

0.5-1 mg/kg/hr

Question 9

What are the clinical fluid administration goals?

Answer 9

1. UOP of 0.5-1 mg/kg/hr
2. Improve Mental status
3. Improve hemodynamics ( decreasing HR and MAP > 65)
4. Improving peripheral pulse

Question 10

What are the complications of large volume crytalloids resuscitation includes?

Answer 10

1. Compartment Syndrome
2. Acute Respiratory distress syndrome
3. Dilutional Coagulopathy
4. Acidosis

Question 11

Fresh WHole blood is the fluid of choice for Patients in hemorragic chock, to mitigate isk in PFC recommendation are as follows?

Answer 11

1. MAP of 65 mmHg
2. Adequate UOP 0.5 cc/kg/hr
3. Adequate mentation

Question 12

If UNSTABLE with inadequate intravascular volume, resuscitate with?

Answer 12

Bolus Fluid

Question 12

If UNSTABLE with inadequate intravascular volume, resuscitate with?

Answer 12

Bolus Fluid

Question 13

IF STABLE with adequate intravascular volume, use maintance fluid to achive what UOP?

Answer 13

0.5 mL/kg/hr

Question 14

Stable patients can get what opioids?

Answer 14

Morphine

Question 15

Hemodynamically unstable patients should get what type of opioids?

Answer 15

Fentanyl or Ketamine

Question 16

What is the low range for Ketamine dosage?

Answer 16

10-20 mg IV every 10 mins

Question 17

What is the mild range for Ketamine dosage?

Answer 17

0.3 mg/kg IV

Question 18

What is the high range for Keatmine dosage?

Answer 18

2.0 mg/kg IV with Versed to aviod vivid dreams

Question 19

What are concerns while giving a patient versed with ketamine?

Answer 19

1. Over sedation
2. Respiratory compromise
3. Drop in BP