TECC (pt 1)

Question 1

What is performed in the hot zone?

Answer 1

1. React to threat
2. Tourniquet for life threatening hemorrhage (preferably by patient)
3. Extraction (or extrication of pinned)
4. No blood sweeps (wait till the warm zone)

Question 2

When should tourniquets be reexamined?

Answer 2

1. After every patient movement
2. During reassessment
3. When entering new zone (hot to warm; warm to cold; during transportation)

Question 3

According to TECC what size ET tube should be used for cric?

What is one additional caution

Answer 3

1. 6.0
2. A tracheal hook may rupture the ET tube balloon

Question 4

Where is the preferred site for needle decompressions? (and two additional)

Answer 4

1. fourth-fifth intercostal space, anterior axillary line (advance until the return of a rush of air is achieved and advance no further; tape to the chest)
2. Fifth intercostal space mid axillary
3. 2nd intercostal space midclavicular (chest wall is often too thick in this location

Question 5

In the tactical environment, what do I do if I come across a trauma code?

Answer 5

1. Hot zone: triage as deceased
2. Warm zone: consider bilateral needle decompression for torso trauma patients before discontinuing care

Question 6

When is the MARCH algorithm instituted?

Answer 6

in warm zone