Knuckle Dragger Training

Which of the following is a principle of TECC?

TECC requires medical personnel to combine good medicine with good tactics.

Which of the following is NOT one of the three phases of care in TECC?

The preferred pain medication for someone who has wounds that are moderately painful but not life-threatening and that do not keep him from functioning effectively as a combatant is?

The most common cause of preventable death on the battlefield is the failure to use a tourniquet to control severe extremity bleeding.

The best battlefield indicators of shock during Tactical Field Care are:

All combat casualties should have an IV started as soon as possible.

A casualty has sustained a gunshot wound to the chest. He/she should be allowed to take fluids by mouth if able to?

Administering large quantities of fluids to a casualty who has bleeding sites inside the chest or abdomen may worsen his or her hemorrhage by diluting clotting factors or by interfering with clot formation at the bleeding site.

Antibiotics are recommended for all combat casualties who sustain open wounds?

Which of the following is NOT appropriate to the Care Under Fire phase?

To be most effective at preventing infections, when should moxifloxacin be given after wounding?

What is the next step in airway management for a corpsman who has just used the chin-lift/jaw-thrust method to successfully open the airway of a casualty who is unconscious from a blast injury during the Tactical Field Care phase?

As a corpsman you are confronted with the following three casualties. Which one should be cared for first?

The ideal management of a casualty in a combat setting is NOT necessarily the same as for the identical injury in a civilian setting.

The Tactical Emergency Casualty Care guidelines presented in this course should not be modified no matter what the tactical context in which the casualties occur.

A casualty has suffered a gunshot wound to the chest. As you watch him, he is having more and more trouble with his breathing. What is the best next step?

A casualty has sustained a gunshot wound to the face. He is conscious and maintains his airway by sitting up and leaning forward. A corpsman arrives on the scene. How should the casualty’s airway be managed?

What is the best quick check for an adequate airway?

The minimum amount of time in which a casualty could bleed to death from a femoral (thigh) wound with heavy bleeding is approximately?

A casualty who has lost a liter of blood is in danger of dying from hemorrhagic shock.

What level of blood loss is likely to be associated with death from hemorrhagic shock?

The preferred antibiotic in the Tactical Field Care phase is moxifloxacin. This medicine is preferred because it,

Giving a rapid infusion of IV fluids to casualties with uncontrolled bleeding (such as casualties with wounds of the chest or abdomen) was shown to increase the mortality rate in the largest study done to date on this issue.

Which of the following three casualties has the greatest need for an emergent CASEVAC?

What is the most important thing to do after splinting an open fracture?

Which of the following is a good reason NOT to give the casualty morphine?

Which of the following is true?

You are treating a casualty with a gunshot wound to his lower jaw which severely disrupts the oropharyngeal anatomy. He suddenly develops complete airway obstruction, struggles briefly, and loses consciousness. What is the airway intervention of choice at this point?

After a brief skirmish with the enemy 10 minutes ago, your unit is holding temporarily in a secure area. During the firefight, you sustained a gun shot wound to your right thigh that produced heavy arterial bleeding. You initially controlled the hemorrhage by applying your own tourniquet. There are no other medics in your unit, and the CASEVAC helicopter will arrive at your location in one-half hour. The MTF is 10 minutes away by air. Which is the best strategy for dealing with the tourniquet on your leg?

Which of the following statements is true?

Regarding the provision of care to hostile combatants, which of the following statements is true?

Fluid resuscitation to treat shock is not considered part of Care under Fire.

Moxifloxacin requires only once-a-day dosing.

Why is whole blood preferred over normal saline or Lactated Ringers for combat casualties who often have a prolonged delay to evacuation?

Which of the following is NOT part of the nine-line evacuation request?

Which of the following is NOT an advantage of fentanyl lozenges over morphine in the tactical setting?

The correct landmarks for performing a needle decompression (on the side of the chest with the penetrating trauma) are:

In a tactical environment, the initial treatment of choice for stopping severe extremity hemorrhage is:

A Combat Gauze dressing is used for:

You have a casualty with severe external bleeding from a groin wound during Tactical Field Care. Combat Gauze is unsuccessful at stopping the hemorrhage. What should you do next?

A casualty with a palpable radial pulse has a systolic blood pressure of approximately 80mmHg or higher.

Which is the most effective route for administering morphine to a battlefield casualty?

Thirty minutes after administering 500 ml of Hextend® to an unconscious casualty, the mental status has not improved and the radial pulse remains absent. At this point you should:

A casualty with a sucking chest wound has been treated with an occlusive dressing. She begins to have increasing difficulty breathing. You suspect a developing tension pneumothorax. Which of the following is the correct first action?

Combat Gauze should be applied to the bleeding site with at least 3 minutes of direct pressure.

Which of the following is the preferred IV/IM antibiotic in TECC?

Infection may be a leading cause of late morbidity in combat casualties when antibiotic administration is delayed.

Why is meloxicam (Mobic) preferred over other non-steroidal anti-inflammatory medications such as spirin and ibuprofen?

Why is the treatment of hypothermia important in the management of combat casualties