DETAILED ANSWERSAGRADE

Combat medic 68w FIELDCRAFT 2 EXAM C168W144 EXAM -

DETAILED ANSWERS|AGRADE

Type of fracture in which the casualty presents asymmetrical or flattened face - ANSWER- Mid-face fractures

Contraindication for nasopharyngeal airway? - ANSWER- Evidence of head injury

What should be avoided when managing breathing for casualties with suspected head injuries? - ANSWER- Hyperventilation

What is the ventilation rate of a casualty with suspected increased intracranial pressure? - ANSWER- 20 breaths per minute

What can hyperventilation do to casualties with a TBI? - ANSWER- Can contribute to ischemia through vasoconstriction

If the patient can vocalize their head pain should the medic give pain medication? - ANSWER- Yes, if they can vocalize pain then the TBI is not severe enough to be further damaged by pain meds

Pain medication that should be avoided with TBI casualties - ANSWER- Morphine Two pain medications that can make a moderate to severe TBI worse but can be used for mild TBI? - ANSWER- Fentanyl and Ketamine

Type of bandage that can be used to keep pressure off of a depressed or open skull fracture - ANSWER- A kerlix "Donut"

"Raccoon eyes" indicates what kind of skull fracture? - ANSWER- Basilar

Difference in pupil size that is considered abnormal? - ANSWER- Greater than 1 mm

Position to transport a casualty with suspected TBI? - ANSWER- Supine position and tilt the casualty towards the side of injury to allow for drainage

What type of classification should a casualty be if they have suspected TBI? - ANSWER- Urgent Surgical

Definition of a traumatic brain injury - ANSWER- An injury to the brain resulting from an external force and/or acceleration/deceleration mechanism from an event

Is loss of consciousness required to diagnose a concussion - ANSWER- No What is required to make a definitive diagnosis of a TBI level? - ANSWER- CT or MRI scan

What type of problems can a TBI cause in a casualty? - ANSWER- Physical, cognitive, emotional, and social

Components of a Mild TBI - ANSWER- Confused and disoriented state for *less* *than* 24 hours, loss of consciousness for *up* *to* 30 minutes, memory loss lasting *less* *than* 24 hours

Components of a Moderate TBI - ANSWER- Confused and disoriented state for *more* *than* 24 hours, loss of consciousness for *more* *than* 30 minutes but *less* *than* 24 hours, memory loss lasting *more* *than* 24 hours but *less* *than* 7 days

Components of a Severe TBI - ANSWER- *Closed* or *Open* injuries, Confused and disoriented state for *more* *than* 24 hours, loss of consciousness lasting *more* *than* 7 days

Intracranial hematoma, epidural hematoma, subdural hematoma, cerebral contusions, and subarachnoid hemorrhage are considered what?

• ANSWER- Traumatic brain injuries

What is MACE? - ANSWER- Military Acute Concussion Evaluation 1-2 liters Amount of blood that can be lost by a femur fracture

1.5 liters How much blood the abdominal cavity can hold before evidence of distention is apparent

20 breaths per minute What is the ventilation rate of a casualty with suspected increased intracranial pressure?

20 minutes Minimal time to irrigate eyes?

25 points

MACE score below _______ is shown to be the best indicator for a true cognitive impairment

Absorption of the carbohydrates, sugars, proteins, and fats Function of the small intestine

Absorption of water Function of the colon

acromion process Highest point on the shoulder

Airway patency Priority in a burn casualty

Any soldier in a vehicle associated with a blast or rollover, any soldier within 50 meters of a blast, any soldier that sustains a blow to the head Conditions that mandate prompt concussion evaluation and a 24 hour rest period

Arachnoid Center layer membrane of the brain

Avelox Brand name of moxifloxacin