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Study Guide
First Aid - TC 4.02-1, STP 21-1 and FM 4-25.11 & STP 21-24
96
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Professional
09/15/2017

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Cards

Term
What Publication for Skill level 1 First Aid?
Definition
STP 21-1 Chapter 2
Term
What does the acronym TCCC stand for?
Definition
Tactical Combat Casualty Care
Term
How many Phases are there for TCCC?
Definition
Three Phases
Term
What are the Phases of TCCC?
Definition
1. Care Under Fire 
2. Tactical Field Care 
3. Combat Casualty Evacuation Care
Term
Explain Phase 1 Care Under Fire?
Definition
you are under hostile fire and are very limited as to the care you can provide
Term
Explain Phase 2 Care “Tactical Field Care?
Definition
you and the casualty are relatively safe and no longer under effective hostile fire, and you are free to provide casualty care to the best of your ability
Term
Explain Phase 3 Care “Combat Casualty Evacuation Care?
Definition
the care rendered during casualty evacuation (CASEVAC)
Term
What does the Acronym CASEVAC stand for?
Definition
Casualty Evacuation in Non Medical Vehicle or Aircraft
Term
When would you not provide First Aid to a Casualty?
Definition
If rendering Aid will put your life in Danger or if you find a casualty with no signs of life—no pulse, no breathing
Term
In combat, what is the most likely threat to the casualty's life?
Definition
From Bleeding
Term
During care under fire, what could Attempts to check for airway and breathing do to a Rescuer?
Definition
Can expose the rescuer to enemy fire
Term
When would you NOT attempt to restore the airway?
Definition
if you find a casualty with no signs of life—no pulse, no breathing
Term
What is the 1st Step for Care Under Fire?
Definition
Return fire as directed or required before providing medical treatment
Term
When would you advise the Casualty to “Play Dead”?
Definition
If the casualty is unable to move and you are unable to move the casualty to cover and the casualty is still under direct enemy fire
Term
What would you do If the casualty is unresponsive?
Definition
move the casualty, his/her weapon, and mission-essential equipment to cover, as the tactical situation permits
Term
When would you Apply a Tourniquet?
Definition
If the casualty has severe bleeding from a limb or has suffered amputation of a limb, administer life-saving hemorrhage control and before moving the casualty
Term
 When would you Perform tactical field care?
Definition
when no longer under direct enemy fire or situations in which an injury has occurred during the mission but there has been no hostile fire
Term
During Tactical Field Care what medical equipment is?
Definition
Available medical equipment is limited to that carried into the field by the individual Soldier
Term
When evaluating and/or treating a casualty, when would you seek medical aid?
Definition
as soon as possible. Do NOT stop treatment. If the situation allows, send another person to find medical aid.
Term
When would you stop a medical evaluation?
Definition
If there are any signs of nerve agent poisoning, stop the evaluation, take the necessary protective measures, and begin first aid.
Term
How do you Determine the Levels of consciousness?
Definition
AVPU: A = Alert; V = responds to Voice; P = responds to Pain; U = Unresponsive
Term
What should you do if the Casualty is being burned?
Definition
take steps to remove the casualty from the source of the burns before continuing evaluation and treatment
Term
How do you check a casualty's response to pain?
Definition
rub the breastbone briskly with a knuckle or squeeze the first or second toe over the toenail
Term
What do you do If the casualty is conscious but is choking and cannot talk?
Definition
stop the evaluation and begin treatment.
Term
When would you insert a nasopharyngeal airway?
Definition
If the casualty is breathing​
Term
After inserting a nasopharyngeal airway how would you place the casualty?
Definition
place the casualty in the recovery position
Term
What could attempting cardiopulmonary resuscitation (CPR) on casualties with inevitably fatal injuries on the Battlefield result in?
Definition
may result in additional lives lost as care is diverted from casualties with less severe injuries
Term
What are the Situations that CPR on the Battlefield should be considered for?
Definition
Only in the case of nontraumatic disorders such as hypothermia, near drowning, or electrocution should CPR be considered prior to the CASEVAC phase
Term
What does CPR Stand for?
Definition

cardiopulmonary resuscitation

 

Term
What could Converting the tourniquet to a pressure dressing save on the Casualty?
Definition
Converting to a pressure dressing may save the Casualty’s Limb
Term
Who should be issued a combat pill pack before deploying on tactical missions?
Definition
Each Soldier
Term
What does FMC stand for?
Definition
Field Medical Card
Term
Who should initiate a FMC?
Definition
The FMC is usually initiated by the combat medic. However, a certified combat lifesaver can initiate the FMC if a combat medic is not available or if the combat medic directs the combat lifesaver to initiate the card
Term
What is the Job of A Soldier accompanying an unconscious casualty during CASEVAC?
Definition
A Soldier accompanying an unconscious casualty should monitor the casualty's airway, breathing, and bleeding
Term
What are the signs of a severe airway obstruction?
Definition
poor air exchange and increased breathing difficulty, a silent cough, cyanosis, or inability to speak or breathe
Term
What is the “One” Question you can ask a Casualty you suspect is Choking?
Definition
"Are you choking?"
Term
What should you do if the casualty Nods Yes to the Question "Are you choking?”?
Definition
Render Aid for Conscious Casualty Choking
Term
Can you slap a choking casualty on the back?
Definition
NO
Term
What could slapping a choking casualty on the back do?
Definition
This may cause the object to go down the airway instead of out.
Term
When should Abdominal thrusts not be used?
Definition

if the victim is in the advanced stages of pregnancy, is very obese, or has a significant abdominal wound

 

Term
Can Clearing a conscious casualty's airway obstruction be done sitting or standing?
Definition
Either Standing or Sitting
Term
What should happen if a conscious casualty becomes unconscious while attempting to clear an obstruction?
Definition
lay him/her down and then start mouth-to-mouth resuscitation procedures
Term
What are the 9 signs and symptoms of shock?
Definition
1. Sweaty but cool skin.
2. Pale skin.
3. Restlessness or nervousness.
4. Thirst.
5. Severe bleeding.
6. Confusion.
7. Rapid breathing.
8. Blotchy blue skin.
9. Nausea and/or vomiting.
Term
What position should a casualty be placed in to treat for shock?
Definition
Lay the casualty on his/her back unless a sitting position will allow the casualty to breathe easier
Term
When would you not elevate the casualty's legs?
Definition
If the casualty has an unsplinted fractured leg, an abdominal wound, or a head or spinal injury
Term
What do you need to start if the casualty is in hypovolemic shock from combat injuries?
Definition
you may need to establish a saline lock and start an intravenous infusion. A saline lock should be initiated any time the casualty has suffered a severe loss of blood. If the casualty has an abnormal level of consciousness or no palpable radial (wrist) pulse on an uninjured arm, convert the saline lock to an intravenous infusion
Term
When would you NOT loosen clothing?
Definition
In a Chemical Environment
Term
What does Immobilizing the limb reduce?
Definition
Immobilizing the limb reduces muscular activity helping to stop bleeding and reduce pain
Term
What should you do if you must leave the casualty?
Definition
his/her head to the side to prevent choking if vomiting occurs.
Term
What is the First Step for treating any type of Burn?
Definition
Eliminate the source of the burn
Term
What type of materials may melt and cause further injury?
Definition
Synthetic materials, such as nylon
Term
What could High voltage electrical burns from an electrical source or lightning cause?
Definition
may cause temporary unconsciousness, difficulties in breathing, or difficulties with the heart (irregular heartbeat).
Term
What are Blisters caused by a blister agent?
Definition
Blisters caused by a blister agent are actually burns.
Term
Would you decontaminate skin where blisters have already formed?
Definition
NO; Do not try to decontaminate skin where blisters have already formed.
Term
What should you do to clothing that is stuck to the wound?
Definition
Do NOT attempt to remove clothing that is stuck to the wound. Additional harm could result.
Term
If the burn is caused by white phosphorus what should the bandage be?
Definition
Wet
Term
 What is significant about Electrical Burns?
Definition
Electricity often leaves entry and exit burns.
Term
When can you give the Casualty small amounts of water to drink when treating burns?
Definition
If the casualty is conscious and not nauseated
Term
How many different types of Burns are there?
Definition
4
Term
What are the 4 Different Types of Burns?
Definition
1. Thermal Burns
2. Electrical Burns
3. Chemical Burns
4. Laser Burns
Term
What is the First Step to treating a Casualty for a Heat Injury?
Definition
Identify the Type of Heat Injury
Term
What are symptoms for Heat Cramps?
Definition
(1) Cramping in the extremities (arms and legs).
(2) Abdominal (stomach) cramps.
(3) Excessive sweating.
Term
What are the symptoms for Heat exhaustion?
Definition
(1) Profuse sweating with pale, moist, cool skin.
(2) Headache.
(3) Weakness.
(4) Dizziness.
(5) Loss of appetite.
(6) Cramping.
(7) Nausea (with or without vomiting).
(8) Urge to defecate.
(9) Chills (gooseflesh).
(10) Rapid breathing.
(11) Tingling of the hands and/or feet.
(12) Confusion (not answering easy questions correctly).
Term
What are the symptoms for Heatstroke?
Definition
(1) Red (flushed), hot, dry skin.
(2) Weakness.
(3) Dizziness.
(4) Confusion.
(5) Headache.
(6) Seizures.
(7) Nausea.
(8) Stomach pains or cramps.
(9) Respiration and pulse may be rapid and weak.
(10) Unconsciousness and collapse may occur suddenly.
Term
What are Iced Sheets?
Definition
Sheets soaked in cold/icy water and placed directly onto the skin of the casualty will lower body temperature rapidly
Term
Which heat casualty is a medical emergency that may result in death if treatment is Delayed?
Definition
Heatstroke
Term
Where are the items needed to start a saline lock and/or IV infusion?
Definition
They are not a part of the individual first aid kit. They are components of a combat lifesaver aid bag or a combat medic aid bag
Term
Where are the preferred sites for the saline lock and IV?
Definition
the veins in the crook of the elbow because they are among the largest, most visible, and accessible veins in the arm
Term
What is the next location for a saline lock and IV?
Definition
the back of the hand, the foot or a vein on the leg
Term
What is The purpose of the constricting band?
Definition
to stop the blood in the vein from flowing back to the heart causing the vein to enlarge and become easier to locate. The constricting band should not be applied so tight that arterial blood flow stops
Term
What is the maximum time you can have the constricting band in place for?
Definition
No more than 2 minutes
Term
How should you apply a constricting band?
Definition
about 2 inches above the selected infusion (venipuncture) site in such a manner that the band can be released using only one hand.
Term
What can be used to prepare the skin for IV needle insertion?
Definition
Both alcohol  or povidone-iodine
Term
What is the main reason for wearing gloves when you initiate an IV In battle?
Definition
Cleanliness
Term
What will be felt as the needle enters the vein?
Definition
A slight "give"
Term
How many venipuncture attempts can you make?
Definition
No more than 2
Term
Why should you not attempt to reinsert the needle it into the catheter?
Definition
Reinsertion could cause a portion of the catheter to be sheared off, enter the bloodstream, and move to the heart where it could cause cardiac arrest
Term
What does An occlusive dressing do?
Definition
An occlusive dressing seals the catheter, at its point of insertion, to the surrounding skin
Term
What should you do If an IV is not to be started immediately?
Definition
you should flush the catheter and examine the site for signs of infiltration
Term
What IV Items should you check for if you have a combat lifesaver aid bag prior to going on a Mission?
Definition
IV solution. If you have any doubt about the sterility of the solution, do not use it. Obtain another bag. Check the bag for—Expiration date. Do not use outdated solutions. Clearness of the fluid. Make sure the fluid is clear and has no floating particles in the solution. Leaks. Discard any leaky bag; the IV solution inside is no longer sterile.IV set. Check the packaging of the IV set for tears and watermarks. Tears and watermarks indicate that the set may no longer be sterile. If possible, check the tubing for tears, discoloration, and cracks. Obtain another IV set if your set has been damaged. Catheter/needle units. Check the packaging of the catheter/needle unit for tears and watermarks. Obtain another catheter/needle unit if yours has been damaged.
Term
What can happen if you do not remove the air from the tubing?
Definition
it can enter the bloodstream and rapidly move to the heart. This can cause the casualty's heart to stop beating (cardiac arrest)
Term
What are the signs and symptoms of infiltration of an IV?
Definition
1. Unusual pain felt by the casualty at the infusion site.
2. Swelling at the infusion site.
3. Redness at the infusion site.
4. The site is cool to the touch.
5. Clear fluid isleaking around the site.
Term
How should you roll a casualty onto their back?
Definition
The casualty should be carefully rolled as a whole, so the body does not twist.
Term
What should you do if foreign material or vomit is in the mouth?
Definition
remove it as quickly as possible
Term
What are the two methods used to open an airway?
Definition
Head-tilt/chin-lift method and Jaw-thrust method.
Term
Explain how to perform the Head-tilt/chin-lift method?
Definition
(1) Kneel at the level of the casualty’s shoulders.
(2) Place one hand on the casualty’s forehead and apply firm, backward pressure with the palm to tilt the head back.
(3) Place the fingertips of the other hand under the bony part of the lower jaw and lift, bringing the chin forward.
Term
Explain how to perform the Jaw-thrust method?
Definition
(1) Kneel above the casualty’s head (looking toward the casualty’s feet).
(2) Rest your elbows on the ground or floor. the jaw, below the ears.
(3) Stabilize the casualty’s head with your forearms.
(4) Use the index fingers to push the angles of the casualty’s lower jaw forward.
Term
When do you NOT use the Head-tilt/chin lift method?
Definition
Do NOT use this method if a spinal or neck injury is suspected.
Term
What are things you should avoid when doing the Head-tilt/chin lift method?
Definition
1. Do NOT use the thumb to lift.
2. Do NOT completely close the casualty’s mouth.
3. Do NOT press deeply into the soft tissue under the chin with the fingers.
Term
What is the maximum amount of times you should attempt to use Jaw-thrust method if it does not work?
Definition
no more than 2 times
Term
When should you insert a NPA?
Definition
If the casualty is unconscious; if respiratory rate is less than 2 in 15 seconds, and/or if the casualty is making snoring or gurgling sounds
Term
What nostril are Most NPAs are designed to be placed in?
Definition
the right Nostril
Term
What are the 2 resuscitation breathing methods to assist a casualty that is not breathing?
Definition
Mouth to mouth and mouth to nose
Term
When would you use the Mouth to Nose resuscitation method?
Definition
because the casualty has jaw injuries or spasms
Term
How would you perform the Mouth to Nose resuscitation method?
Definition
Blow into the nose while holding the lips closed and let air escape by removing your mouth and, in some cases, separating the casualty’s lips
Term
How do you check for the Casualties pulse?
Definition
Use the first two fingers in the groove in the casualty’s throat beside the Adam’s apple on the side closest to you
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