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TCCC

Key Concepts:

Terms in this set (46)

What are the 3 goals of TCCC?
Treat the casualty
Prevent additional casualities
Complete the mission
What % of all combat deaths occur before a casuality reaches a MTF?
75 - 90%
What % of combat deaths today are potential preventable?
20%
What are the 3 most common cause of preventable death on the battlefield?
Hemorrhage from extremity
Tension pneumothorax
Airway problems
What are the 3 phases of care in TCCC?
Care under fire
Tactical field care
Tactical Evac Care (TACEVAC)
T or F. Airway management is generally best deferred until the Tactical Field Care.
True
What is the best medicine on the battlefield?
Fire superiority (returning fire)
What are the different carries for Care Under Fire?
1 person with/without line
2 person with/without line
Fireman's carry
Hawes carry
Seals Team 3 care
What is the most frequent cause of preventable battlefield deaths?
Extremity hemorrhage
How many minutes does it take someone to bleed to death from a femoral artery lac?
3 minutes
How far do you place the tourniquet?
2-3 inches above the wound
How long do you apply direct pressure when using combat gauze?
3 minutes
T or F. You always have to use c-spine mobalization in a tactical environment.
False
What care is relative and given during a reduced level of hazard from hostile fire?
Tactical Field Care
What type of airway would you give to an unconscious casualty without an airway obstruction?
Nasopharyngeal airway
What size of tube do you use for a surgical airway?
6.0
What is the target area for the surgical airway?
Cricothyroid Membrane
What is the 1st landmark for a surgical airway?
Thyroid bone
What is the 2nd landmark for a surgical airway?
Cricoid bone
Where is the needle placement for a tension pneumothorax?
Midclavicular, 2nd intercostal space, top of the 3rd rib space
What is the 2nd most common cause of preventable death encountered on the battlefield?
Tension pneumothorax
What functions are impaired with a tension pneumothorax?
Lung and heart
What should you use as an adjunct to tourniquet removal (if evacuation time is anticipated to be longer than 2 hours).
Combat gauze
T or F. When a tourniquet has been applied, do not periodically loosen it to allow circulation to return to the limb.
True
Never take off a tourniquet if has been on more than how many hours?
6 hours
What resuscitation fluids do you give for someone in shock?
Hextend 500 ml IV bolus
How many times can you give Hextend?
One more 500ml bag for a total of 1000ml
How long do you wait to administer the 2nd Hextend bag if your patient is still in shock?
30 minutes after the first bag
What is the best tactical indcation of shock?
Decreased state of consciousness
Abnormal character of the radial pulse
What is the radial palpable pulse you want to achieve with fluid resuscitation?
80 mm Hg
What is the cartoid palpable pulse you want to achieve with fluid resuscitation?
60 mm Hg
What is the amount of blood loss a person can have that will cause death.
2.5 liters
What is a normal pulse O2 reading for a person at sea level?
98%
What is the normal pulse O2 reading for a person at 12,000 feet?
86%
What situations do you want to obtain a pulse O2?
Penetrating Chest Trauma
Chest contusion
Unconscious
Traumatic Brain Injury
What is the medications of choice to treat pain management (non-narcotic)?
Tylenol 650 mg bilayer caplet x 2 q 8hrs
Mobic 15 mg PO once a day
What two analgesic medications can not be given due it interefering with blood clotting formation?
Motrin
Asprin
Toradol
What is the preferred narcotic medication given in the field?
Oral transmucosal fentanyl citrate 800 ug
How many mg of morphine do you give for a pt unable to fight?
5 mg IV
How many minutes do you wait to give additional IV/IM morphine?
10 minutes
How many minutes do you wait to give additional morphine when using the morphine injector?
45 to 60 minutes
What is the initial dose given when administering the morphine injector?
10 mg
When is it contraindicated to give morphine and fentanyl?
Hypovolemic shock
Respiratory distress
Unconsciousness
Severe head injury
T or F. Antibiotics are recommended for all open compound wounds.
True
What antibiotics are recommended to give to pt by mouth?
Moxifloxacin 400 mg (given 1 a day)
What antibiotics are recommended to give if pt can't take anything by mouth?
Cefotetan, 2 g IV or IM q 12hrs
Ertapenem 1 g IV/IM q daily
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