TAC MED

Question 1

(TAC MED) TCCC Means…

Answer 1

Tactical
Combat
Casualty
Care

Question 2

(TAC MED) Terminal Learning Objective

Answer 2

Assess and recognize a life-threatening injury, provide effective treatment and extricate the causality from hostile fire while maintaining cover and effectively utilize tactical movement strategies.

Question 3

(TAC MED) Homework

Answer 3

Medical Threat Assesment

Question 4

(TAC MED) Medical Threat Assessment Questions (8)

Answer 4

1. Have you been trained?
2. How long would it take EMS to get to you?
3. How many ambulances in your area or jurisdiction?
4. Do you have a first aid kit in your car?
5. Have you looked in the first aid kit?
6. Have anything that will stop massive arterial bleeding?
7. Have you been trained to use the item(s)?
8. Where is your blowout bag located?

Question 5

(TAC MED) Medical Threat Assessment (4)

Answer 5

Environment Threats

Medical Resources

Misc. Services

Helicopter Plan

Question 6

(TAC MED) What are the (3) Primary goals of TCCC

Answer 6

(1) Continue the mission
(2) Prevent additional casualties
(3) Treat the casualty

Grading for the Scenarios

Question 7

(TAC MED) WHat are the (3) Distinct Phases of TCCC ‘Care’

Answer 7

(1) Care Under Fire (Hot Zone)
(2) Tactical Field Care (Warm Zone)
(3) Tactical Evacuation Care (Cool Zone)

Question 8

(TAC MED) Cool Zone is…

Answer 8

Tactical Evacuation Care

Question 9

(TAC MED) Warm Zone is…

Answer 9

Tactical Field Care

Question 10

(TAC MED) Hot Zone is…

Answer 10

Care Under Fire

Question 11

(TAC MED) Key SLide is

Answer 11

11

Question 12

(TAC MED) Preventable Combat Deaths

Answer 12

• Hemorrhage 60%
• Tension Pneumothorax 33%
• Airway Obstructions 6%

Question 13

(TAC MED) Extremety Hemorrhage is

Answer 13

Bleeding out

Question 14

(TAC MED) Tension Pneumothorax is…

Answer 14

Pressue on lung or internal organs creating cardiac arrest

Question 15

(TAC MED) What does ‘MARCH’ stand for…

Answer 15

Massive Exsanguination
Massive Evacuation
Airway
Respiratory
Circulation (CPR)
Hypothermia / Head trauma / Heat Injury / Burn

Question 16

(TAC MED) Care Under Fire Priority List

Answer 16

1. Return fire and take cover.
2. Direct or expect casualty to remain engaged.
3. Direct casualty to move to cover and apply self aid.
4. Try to keep casualty from sustaining additional wounds.
5. Stop life-threatening external hemorrhage if tactically feasible.
6. Direct Casualty to control hemorrhage by self-aid if able.
7. Use a TCCC recommended limb tourniquet.
8. Airway management is deferred until the Tactical Field Care phase.

Question 17

(TAC MED) Care Under Fire - Conduct Remote Assessment (a-f)

Answer 17

A. Is the casualty dead or alive?
B. How seriously injured?
C. Is there cover nearby to move him to?
D. Can rescuers move him quickly/safely?
E. Can unit provide directed fire/smoke, etc?
F. “What’s the plan. . .?”

Information about the threat

Determine what zone am I in?

Question 18

(TAC MED) If you must move a casualty under fire, consider the
following:

Answer 18

 Location of nearest cover
 How best to move him to the cover
 The risk to the rescuers
 Weight of casualty and rescuer
 Distance to be covered
 Use directed fire and smoke to best advantage
 Recover casualty’s weapons if possible

Question 19

(TAC MED) Grading point for scenarios is…

Answer 19

attempted remote assessment of scenario

Question 20

(TAC MED) IFAK

Answer 20

Individual First Aid Kit

Question 21

(TAC MED) SHock is caused by…

Answer 21

Shock is caused by insufficient blood flow to body tissues

Leading cause of death on battle field

Question 22

(TAC MED) WARM ZONE PRIORITIES

Answer 22

• No longer under fire
• Limited medical equipment
• Establish security perimeter; follow tactical SOP’s
• Maintain situational awareness
• Triage causalities as required
• Massive Hemorrhage—Complete Blood Rake Before “ARCH”…

Question 23

(TAC MED) Hemostatic means

Answer 23

blood stopping

Question 24

(TAC MED) deployed medicine app

Question 25

(TAC MED) For shock AVPU

Answer 25

Alert Verbal Stimuli Painful stimuli Unresponsive

Question 26

(TAC MED) Resources:

Answer 26

Deployed Medicine Skinny Medic

Question 27

(TAC MED) Supplies:

Answer 27

North American Rescue Rhino Rescue (CAT Trainers) Rescue Essentials Primary Arms

Question 28

(TAC MED) Abonds@kcgov.us

Answer 28

Dep. Bonds email

Question 29

(TAC MED) MARCH means?

Answer 29

Massive Hemorrhage (Kills in 30 -60s) Airway Respiration Circulation (CPR) Hypothermia Its a checklist

Question 30

(TAC MED) GMATE means?

Answer 30

***NOT POST CIRRICULUM G = Gain Fire Superiority (Hot Zone Treatment) M = Move (Hot Zone Treatment) Get off the X / Tourniquet A = Assess (Warm Zone) T = Treat (MARCH starts here) (Warm Zone) E = Evacuation (Cold Zone) (Re-assessing Constantly) Start and beginning run again, start at beginning run again, start at bringing run again

Question 31

(TAC MED) Sacred Heart Spokane is a level ___ hospital

Answer 31

Level 2

Question 32

(TAC MED) Someone who is burned is at extreme risk of

Answer 32

Hypothermia

Question 33

(TAC MED) Scenarios

Answer 33

Provide right treatment for zone you are in Do not violated (Continue mission, Prevent Additional Casualties and Treat) Conduct a remote assessment Verbal Assessments while holding cover or from a distance Double check Tourniquets