Test Answers for TCCC-MP 1708

Transcription

1 Question 1. Whih of the following is a priniple of TCCC? a. Treat the asualty. Prevent aitional asualties. Complete the mission. All the aove Answer 2. Whih of the following is NOT one of the three phases of are in TCCC? a. Care Uner Fire. Tatial Fiel Care. Tatial Evauation Care. Comat Life Saving Care 3. The preferre pain meiation for someone who has wouns that are moerately painful ut not life-threatening an that o not keep him from funtioning effetively as a omatant: a. OTFC. Ketamine IM. Meloxiam an Tylenol ER. Aspirin

2 4. True or False: T The most ommon ause of potentially preventale eath on the attlefiel is loo loss from non-ompressile hemorrhage. 5. The est attlefiel iniators of shok uring Tatial Fiel Care are: a. Heart rate an fae olor. State of onsiousness an quality of the raial pulse. Rapi heart rate. None of the aove 6. True or False: F All omat asualties shoul have an IV starte as soon as possile.

3 7. True or False: T A asualty has sustaine a gunshot woun to the hest. She shoul e allowe to take fluis y mouth if she is onsious an ale to swallow. 8. True or False: T Aministering large quantities of fluis to a asualty who has leeing sites insie the hest or aomen may worsen his or her hemorrhage y iluting lotting fators or y interfering with lot formation at the leeing site. 9. True or False: T Antiiotis are reommene for all omat asualties who sustain open wouns.

4 10. Whih of the following is NOT appropriate to the Care Uner Fire phase? a. Starting an IV. Controlling life-threatening extremity leeing with a lim tourniquet. Returning fire as neessary. All the aove a 11. To e most effetive at preventing infetions, moxifloxain shoul e given when after wouning: a. As soon as possile. Whenever. Within 4 hours. None of the aove a 12. What is the next step in airway management for a orpsman who has just use the hin-lift/jaw-thrust metho to suessfully open the airway of a asualty who is unonsious from a last injury uring the Tatial Fiel Care phase: a. Nasopharyngeal airway. Surgial airway. Traheal intuation. None of the aove a

5 13. As a orpsman, you are onfronte with the following three asualties. Whih one shoul e are for first? a. Casualty A shot in the hea an unonsious. Casualty B shot in the aomen awake an alert. Casualty C heavy leeing from a thigh woun 14. True or False: T The ieal management of a asualty in a omat setting is not neessarily the same as for the iential injury in a ivilian setting. 15. True or False: F The Tatial Comat Casualty Care guielines presente in this ourse shoul e followe exatly no matter what the tatial ontext in whih the asualties must e treate.

6 16. A asualty has suffere a gunshot woun to the hest. As you wath him, he is having more an more troule with his reathing. What is the est next step: a. Enotraheal intuation. Put in a hest tue. Neele eompression for a suspete tension pneumothorax. Supraglotti airway 17. A asualty has sustaine a gunshot woun to the fae. He is onsious an maintaining his airway y sitting up an leaning forwar. A orpsman arrives on the sene. How shoul the asualty s airway e manage? a. Plae him in the supine position an intuate him. Allow him to ontinue to sit up an lean forwar as are is renere. Perform a surgial airway. None of the aove 18. What is the est quik hek for an aequate airway: a. Ask a question that requires a veral response from the asualty. Chek for a luish olor of the nail es. Determine the asualty s respiratory rate. Ausultate the hest a

7 19. The minimum amount of time in whih a asualty oul lee to eath from a femoral (thigh) woun with heavy leeing is approximately: a. 3 minutes. 10 minutes. 15 minutes. 30 minutes a 20. True or False: F A asualty who has lost a liter of loo is in anger of ying from hemorrhagi shok. 21. In an ault male, what level of loo loss is likely to e assoiate with eath from hemorrhagi shok? a. 0.5 liters. 1.0 liter. 1.5 liters. 2.5 liters e. None of the aove

8 22. The preferre antiioti in the Tatial Fiel Care phase is moxifloxain. This meiine is preferre eause it: a. Is effetive against most ateria. Has a relatively mil sie effet profile. Can e taken y mouth. Is inexpensive e. All the aove e 23. True or False: T Giving a rapi infusion of IV fluis to asualties with unontrolle leeing (suh as asualties with wouns of the hest or aomen) was shown to inrease the mortality rate in the largest stuy one to ate on this issue. 24. Whih of the following three asualties has the greatest nee for an emergent CASEVAC: a. A asualty who steppe on a lan min an has a traumati amputation of the leg at the knee with leeing ontrolle y a tourniquet.. A asualty who was shot in the hea an is unonsious with a signifiant amount of rain tissue expose.. A asualty who was shot in the aomen an who now has an asent raial pulse.

9 25. What is the most important thing to o after splinting an open frature: a. Chek to ensure that the pulses istal to the splint have not een reue y the splint. Chek to ensure that the extremity is ompletely overe y wrapping material use in splinting. Chek to ensure that the extremity is in perfet alignment. None of the aove a 26. Whih of the following is a goo reason NOT to give asualty morphine? a. His wouns are minor an he an ontinue to fight. He is in shok. He has a hest woun an is in respiratory istress. All the aove 27. In Tatial Fiel Care, you are treating a asualty with a gunshot woun to his lower jaw whih severely isrupts the oropharyngeal anatomy. He suenly evelops omplete airway ostrution, struggles riefly, an loses onsiousness. What is the airway intervention of hoie at this point? a. Nasopharyngeal airway an reovery position. Enotraheal intuation. Surgial airway using the Cri-Key tehnique. Sit the asualty up an attempt two resue reaths

10 28. After a rief skirmish with the enemy 10 minutes ago, your unit is holing temporarily in a seure area. During the firefight, you sustaine a gunshot woun to your right thigh that proue heavy arterial leeing. You initially ontrolle the hemorrhage y applying your own tourniquet. There are no other meis in your unit, an the CASEVAC heliopter will arrive at your loation in one-half hour. The MTF is 10 minutes away y air. Whih is the est strategy for ealing with the tourniquet on your leg? a. Replae the tourniquet with a Comat Gauze ressing an iret pressure. Replae the tourniquet with XStat without iret pressure. Construt a pressure ressing over your leg woun, an remove the tourniquet yourself. Leave the tourniquet in plae 29. Whih of the following statements is true? a. Casualties who are alert an an swallow shoul not e allowe to take fluis y mouth.. The F.A.S.T.-1 intraosseous evie is a goo way to otain vasular aess for a asualty in whom an IV annot e starte.. Pulse oximetry an other eletroni monitoring are not useful in a heliopter uring Tatial Evauation Care.. All omat wouns proue severe pain. 30. Whih of the following statements est applies to the provision of are to woune hostile omatants? a. Woune hostile omatants may still inflit ealy fore on you an your unit.. No are shoul renere until the woune hostile omatant has roppe all weapons, iniate that he wishes to surrener, an een searhe an seure y those memers of the unit esignate as prisoner hanlers.. One seure, the same are shoul e renere to the POW as aore U.S. an frienly fores.. All the aove are true.

11 31. True or False: T Flui resusitation to treat shok is not onsiere part of Care Uner Fire. 32. True or False: T Moxifloxain requires only one-a-ay osing. 33. Why is Hexten preferre over Latate Ringer's or Plasma-Lyte A for omat asualties who often have a prolonge elay to evauation? a. It s heaper. It s mae y Halliurton. The intravasular volume expansion lasts muh longer than that ahieve with Latate Ringer's or Plasma-Lyte A.. None of the aove

12 34. Whih of the following is NOT part of the nine-line evauation request? a. Pik-up loation. Ages of the asualties. Numer of asualties to e evauate. Speial equipment require 35. Whih of the following is NOT an avantage of fentanyl lozenges over morphine in the tatial setting? a. No nee to start an IV to aminister. Works faster than IM morphine. No potential for respiratory epression. All the aove are true. 36. The orret lanmarks for performing a neele eompression (on the sie of the hest with the penetrating trauma) are: a. Seon interostal spae, mi-laviular line. Seon interostal spae, mi-axillary line. Fourth interostal spae, mi-laviular line. Fourth interostal spae, mi-axillary line a

13 37. In a tatial environment, the initial treatment of hoie for stopping severe istal extremity hemorrhage is: a. Diret pressure. Pressure point ompression. A pressure ressing. A tourniquet 38. A Comat Gauze ressing is use for: a. Control of severe external leeing. Aominal wouns without severe external leeing. Open hea wouns with minor leeing an rain matter expose. Control of minor superfiial leeing a 39. You have a asualty with severe external leeing from a groin woun uring Tatial Fiel Care. You apply a Comat Gauze ressing eep in the woun, ut it is unsuessful at stopping the hemorrhage. What shoul you o next? a. Stop an take a few minutes to think aout what to o next.. Revert to a stanar gauze ressing to ontrol leeing.. Use a seon Comat Gauze on the leeing site.. Move on to the next asualty

14 40. True or False: T A asualty with a palpale raial pulse has a systoli loo pressure of approximately 80 mm Hg or higher. 41. You are treating a asualty in Tatial Fiel Care with a severe rush injury to his right knee. The pain is so severe he an arely onentrate on your questions, ut he answers appropriately. His raial pulse is 120 an strong. You are in a seure area an an evauation heliopter will arrive in 35 minutes. Whih is the est pain management regimen for this asualty? a. Ketamine 20 mg slow IV.. Morphine 5 mg IO every 10 minutes as neee.. OTFC 800 mirograms. Repeat in 15 minutes if neee.. Comat Woun Meiation Pak PO 42. After aministering one unit of whole loo to an unonsious asualty, her mental status has not improve an her raial pulse remains asent. At this point you shoul: a. Maintain a saline lok. Aminister a seon unit of whole loo. Aminister 1,000 ml of Hexten. Aminister 2,000 ml of Ringer s Latate at a wie-open rate

15 43. A asualty with a suking hest woun has een treate with an olusive ressing. She egins to have inreasing iffiulty reathing. You suspet a eveloping tension pneumothorax. Whih of the following is the preferre first step to manage this onition in Tatial Fiel Care? a. Put in a hest tue. Lift one sie of the olusive ressing to allow air to esape from the hest. Perform a neele eompression.. Allow her to sit up. 44. True or False: T Comat Gauze shoul e applie to the leeing site with at least 3 minutes of iret pressure. 45. Whih of the following is the preferre IV/IM antiioti in TCCC? a. Cefazolin. Ertapenem. Gentamiin. Peniillin

16 46. True or False: T Infetion may e a leaing ause of late moriity in omat asualties when antiioti aministration is elaye. 47. Why is meloxiam (Moi) preferre over other non-steroial anti-inflammatory meiations suh as aspirin an iuprofen? a. It is more effetive at relieving pain than aspirin an iuprofen. It is less expensive than aspirin an iuprofen. It oes not interfere with platelet funtion an so oes not inrease your hane of leeing to eath if woune - as aspirin an iuprofen o. None of the aove are true 48. Why is treatment of hypothermia important in the management of omat asualties? a. Shok interferes with the oy s aility to proue heat. Lak of heat proution makes the asualty more suseptile to hypothermia. Hypothermia interferes with loo lotting an inreases mortality in asualties with severe injuries. All the aove are true

17 49. True or False: T TCCC requires omat meial personnel to omine goo meiine with goo tatis on the attlefiel. 50. What is the main thing that you o not want to o for a asualty with a suspete penetrating eye injury? a. Have him take moxifloxain from his Comat Pill Pak as soon as possile.. Apply an eye path to keep gentle pressure on the injure gloe.. Put on his tatial eye protetion.. Chek his visual auity. 51. Whih hemostati ressings is est for use in eep, narrow-trat juntional wouns? a. Comat Gauze. XStat. ChitoGauze. Celox Gauze

18 52. Whih analgesi agent is NOT part of the TCCC- reommene Triple-Option analgesia plan? a. Meloxiam. Morphine IM. Oral transmuosal fentanyl itrate. Ketamine 53. True or False: T Opioi analgesis have the potential to erease loo pressure an epress respirations whih an worsen hypovolemi shok. 54. True or False: F Ketamine is known to erease loo pressure an suppress laryngeal reflexes in asualties with hypovolemi shok.

19 55. What is the reommene initial ose of IM ketamine in TCCC? a. 50 mg. 20 mg. 15 mg. 800 ug a 56. What is the reommene initial ose of fentanyl (OTFC) in TCCC? a. 50 mg. 80 mg. 800 ug. 650 mg 57. True or False: T Inaequate attlefiel analgesia is assoiate with an inrease in PTSD.

20 58. Whih of the following an make TBI worse? a. Hypovolemi shok. Hypothermia. Hypoxia. All the aove 59. Whih of the following is an iniator of shok that an e most reaily assesse on the attlefiel? a. Systoli loo pressure less than 90 mm Hg. Weak or asent raial pulse. Loss of sensation in the hans an feet. Diaphoresis 60. What is the target loo pressure for a asualty WITHOUT assoiate TBI? a mm Hg. 90 mm Hg or higher. Palpale aroti pulse. None of the aove a

21 61. What is the target loo pressure for a asualty WITH assoiate TBI? a mm Hg. 90 mm Hg or higher. Palpale aroti pulse. None of the aove 62. Whih of the following is not a CoTCCC-reommene juntional tourniquet? a. SJT. CRoC. JETT. AAT 63. As a omat mei, what is your first priority uring Care Uner Fire? a. Ignore hostile fire to treat the asualty.. Return fire an take over.. Remove the asualty from a urning vehile.. Make sure the asualty has a patent airway.

22 64. Who is the BEST person to move a asualty to over uring Care Uner Fire? a. The mei eause he knows how to protet the asualty s ervial spine.. The ai-an-litter team.. A asualty shoul never e move uring Care Uner Fire.. The asualty herself. 65. What is the numer one meial treatment priority uring Care Uner Fire? a. Protet the asualty from hostile fire. Have the asualty move himself to over. Control life-threatening leeing. Suppression of enemy fire 66. True or False: F A C.A.T. shoul e loosene for one minute every 30 minutes to prevent ishemi amage to the lim.

23 67. What is the orret treatment for pain ause y a tourniquet that is effetively ontrolling life-threatening leeing? a. Ie paks. Analgesia as reommene in TCCC guielines. Perioially loosen the tourniquet to relieve lim ishemia. Splint the lim to whih the tourniquet is applie 68. Why shoul hemostati ressings e avoie uring Care Uner Fire? a. They take up too muh spae in a mei's ruk.. A C.A.T. an ontrol any life-threatening leeing.. The minimum of three minutes of holing iret pressure on the ressing is a long time to e expose to enemy fire.. Assuring a patent airway is a greater priority than hemorrhage ontrol uring Care Uner Fire. 69. During Care Uner Fire, a evie to stailize the ervial spine shoul not e applie: a. For penetrating nek trauma alone.. If the risk of the mei or the asualty eing hit y enemy fire is greater than the risk of spinal or injury ue to movement with an unstale ervial spine.. Unless the asualty has sustaine signifiant lunt trauma.. All the aove.

24 70. A nasopharyngeal airway is etter than an oropharyngeal airway eause: a. It is less likely to ause gagging in a onsious asualty.. It oes not nee to e tape in plae.. A asualty has two nostrils ut only one mouth.. It is heaper. a 71. The est site to insert a neele to eompress a tension pneumothorax is: a. The seon ICS at the MCL. Just meial to the nipple on the injure sie of the hest. The 4th or 5th ICS at the AAL. Both a. an. are aeptale sites. 72. What is the est ressing to put over a suking hest woun? a. A vente hest seal.. An unvente hest seal.. Petrolatum gauze.. A suking hest woun shoul not e overe eause it may lea to a tension pneumothorax. a

25 73. Whih statement aout tourniquets is not true? a. Damage to an arm or a leg is rare if the tourniquet is left on for less than two hours.. Tourniquets are often left in plae for several hours uring surgial proeures.. Training tourniquets an e issue for use on missions if they have een use in training ourses for less than six months.. All unit memers shoul have a tourniquet at a stanar loation on their attle gear. 74. Why woul you onsier not starting an IV uring Tatial Fiel Care? a. If a asualty has only minor wouns, he will not nee flui resusitation or parenteral mes.. You an t arry unlimite supplies, so IV fluis shoul e reserve for those asualties who seriously nee them.. Starting an IV may ritially elay tatial movement.. All the aove. 75. Whih of the following is a ontrainiation to the use of a FAST1? a. The presene of hemorrhagi shok. A sternal frature. Female asualty. Parenteral meiations are neee urgently

26 76. Whih of the following statements regaring TXA is not true? a. It promotes new lot formation.. It prevents the reakown of forming lots.. The survival enefit assoiate with TXA aministration is greatest if it is given as soon as possile after injury.. A seon ose shoul e given after initial flui resusitation is omplete. a 77. True or False: In the resusitation of a asualty with hemorrhagi shok, infusion of fluis takes preeene over hemorrhage ontrol. F 78. Whih of the following fators oes not ause inaurate oxygen saturation values on pulse oximeters? a. Hypovolemi shok. Hypothermia. Caron monoxie poisoning. High altitue

27 79. True or False: F The presene of a suspete penetrating injury to the eye is an asolute ontrainiation to the use of ketamine. 80. True or False: T It is safe to give ketamine to a asualty who has previously reeive morphine or OTFC. 81. Whih of the following statements aout ketamine is not true? a. It presents no risk of respiratory epression.. It stimulates aria funtion.. It has a very favorale safety profile.. It an e safely given to a asualty who was previously treate with OTFC. a

28 82. Whih of the following is not a lue to the presene of a lose frature? a. Trauma with signifiant pain an marke swelling. Different length of a lim ompare to the ontralateral. Presene of ouning pulses istal to the injury. Crepitus 83. Whih of the following is not a reason to splint a frature? a. To protet loo vessels an nerves. To prevent further injury from the movement of sharp one ens. To reue pain. To reue the hane of woun infetion 84. Uner what irumstane woul you onsier performing CPR uring Tatial Fiel Care? a. After you have performe ilateral neele eompressions to rule out tension pneumothorax.. Caria arrest ue to eletroution.. A asualty with ilateral lower leg amputations has no ovious thorai trauma.. A asualty with a gunshot woun to his aomen has not respone to flui resusitation.

29 85. True or False: F Only meial personnel shoul fill out the TCCC Casualty Car. 86. True or False: F Every intervention shown on the TCCC Casualty Car shoul e omplete for eah asualty. 87. Whih statement aout Casualty Colletion Points in not orret? a. They shoul e loate reasonaly far away from the fighting.. They shoul provie oth over an onealment.. They shoul have reay aess to evauation routes.. All the statements aove are orret. a

30 88. Using JTS-reommene evauation ategories, whih of the following asualties woul not e ategorize Urgent? a. Shrapnel injury to the aomen. High lower extremity amputation an pelvi injury from a ismounte IED attak. Extremity injury with asent istal pulses. Casualty with ongoing airway iffiulty 89. True or False: T Soft tissue injuries are ommon an may look a, ut usually on t kill unless assoiate with shok. 90. Whih efinition elow is orret? a. CASEVAC is using meial platforms to evauate tatial asualties.. MEDEVAC is using tatial platforms for meial evauation missions.. En Route Care is asualty are renere at transloation failities.. TACEVAC refers to evauation of omat asualties y oth eiate meial platforms an tatial vehiles of opportunity.

31 91. What is the primary ifferene etween Tatial Fiel Care an Tatial Evauation Care? a. The guielines are markely ifferent.. Extra meial personnel an equipment may allow for a greater level of are in Tatial Evauation Care.. The iffiulties involve in elivering meial are in a moving vehile mean that a lesser level of are an e elivere in Tatial Evauation Care.. There is no real ifferene. 92. Whih of the following are onerns assoiate with inreasing altitue uring evauation? a. A asualty with a hest woun may evelop tension pneumothorax.. Pulse oximeter reaings will rop.. Air-fille uffs on enotraheal tues may expan enough to ause tissue amage.. All the aove. 93. Some asualties may enefit from supplemental oxygen if it is availale uring Tatial Evauation Care. Whih of these asualties is not in that group? a. A asualty with an aominal woun who is in shok. A semi-onsious asualty with TBI. A asualty with a elow-knee amputation, normal mental status, leeing ontrolle y a tourniquet. A asualty with a ullet woun through his right hest, entrane an exit wouns overe y vente hest seals

32 94. During Tatial Evauation Care, a asualty with TBI shoul e monitore for: a. O2 saturation >90%. Systoli loo pressure >90 mm Hg. Dereasing level of onsiousness. All the aove 95. A asualty who has suffere a severe TBI may exhiit signs of ereral herniation. If unilateral pupillary ilation ours with a ereasing level of onsiousness uring Tatial Evauation Care, all the following shoul e performe exept: a. Hyperventilation with oxygen. Aminister 250 of 3% or 5% hypertoni saline IV olus. Cool the asualty y removing the HPMK, an protetive gear, an lothing. Elevate the asualty s hea to 30 egrees 96. Uner what irumstanes woul you onsier performing CPR uring Tatial Evauation Care? a. The asualty s wouns are not oviously fatal an he will reeive surgial are soon.. Performing CPR will not eny life-saving are to other asualties.. Performing CPR will not ompromise the mission.. All the aove must e true.

33 97. When shoul omat meial personnel provie are to woune hostile omatants? a. Never. When they have surrenere an other memers of the unit have taken ations to assure they no longer represent a threat. After are to the unit s woune is omplete. One they reah a POW Colletion Point 98. Iniations for leaving a tourniquet in plae inlue all the following exept: a. The tourniquet has een on for more than six hours. The asualty will reeive surgial are within two hours of the tourniquet s appliation. The asualty s vital signs remain normal three hours after the tourniquet was applie. The extremity istal to the tourniquet has een traumatially amputate 99. True or False: F Diret pressure is a proven pratial an effetive way to maintain ontrol of heavy leeing while moving a asualty.

34 100. During Care Uner Fire when the asualty an the mei are uner effetive hostile fire, the est loation to apply a lim tourniquet when the most proximal soure of leeing is not reaily visile is: a. Three inhes aove the most proximal loo stain on the asualty s uniform.. Over the asualty s uniform as high on the injure lim as possile.. Two to three inhes aove the most proximal woun you an fin after utting the asualty s uniform away to expose the entire injure lim.. Two to three inhes aove the joint that is immeiately proximal to the loo on the asualty s uniform, if it is possile to apply a lim tourniquet there The phrase tourniquet onversion refers to: a. Removing a lim tourniquet after surgial ontrol of hemorrhage has een ahieve.. Removing a lim tourniquet that was erroneously plae on an unwoune lim.. Perioially loosening a lim tourniquet to prevent strangulation of the lim an ompartment synrome.. Transitioning from ontrol of hemorrhage y a lim tourniquet to ontrol of hemorrhage y a hemostati ressing an a pressure ressing The following statements are true EXCEPT: a. When properly applie, a lim tourniquet will stop leeing from istal wouns an eliminate istal pulses.. If a lim tourniquet is not applie tightly enough, it may olue venous return ut not arterial flow into the lim istally, leaing to ompartment synrome.. One a lim tourniquet has een applie tightly enough to stop leeing an eliminate istal pulses, re-leeing from istal wouns is unommon.. You an apply a seon lim tourniquet sie-y-sie with the first if the first fails to stop leeing an eliminate pulses.

35 103. Whih of the following is NOT an iniation that a lim tourniquet shoul e onverte as soon as possile? a. The tourniquet is not plae aove an amputation.. The asualty is not in shok.. You an monitor the woun losely for re-leeing.. The tourniquet has een in plae for seven hours an the Comat Support Hospital is one hour away Whih of the following is not a reason why onansetron was selete to replae promethazine for the treatment of nausea an vomiting in omat trauma vitims? a. Onansetron has een use safely an effetively in omat theaters.. Onansetron is frequently use as the antiemeti of hoie in ivilian prehospital trauma are.. The sie effets profile of onansetron is aout the same as that of promethazine.. Onansetron arries no FDA Blak Box warnings Whih of the following statements is inorret? a. Onansetron Oral Disintegrating Talet works almost as quikly as the oral (PO) talet.. Onansetron oes not ause hypotension.. Onansetron, in the oses reommene, is unlikely to ause seation.. The antiemeti effet of onansetron is just as strong as that of promethazine. a

36 106. Whih of the following is the preferre option for riothyroiotomy? a. Bougie-aie open surgial tehnique.. Stanar open surgial tehnique.. Cri-Key tehnique.. Perutaneous riothyrotomy Avantages of the Cri-Key tehnique for riothyroiotomy inlue all exept: a. The roune, anterior-faing tip of the Cri-Key allows you to feel the traheal rings as it slies over them.. If the Cri-Key is inserte uner the skin overlying the trahea, the tip will proue visile tenting of the skin in front of the nek.. The Melker airway is flange, an therefore unlikely to isappear own the asualty s trahea.. The Cri-Key eliminates the nee to make an inision through the riothyroi memrane You are treating a asualty whose only injury is a shrapnel woun to the insie of his left arm high up in his armpit. Bloo is flowing heavily from the woun. The woun trat is eep an narrow, an too proximal to get a lim tourniquet aove it. You have alreay use your only CRoC on another asualty. You are in a Tatial Fiel Care situation, ut your unit must leave the area as soon as possile. Whih is the est plan for ontrolling this leeing? a. Comat Gauze plus pressure ressing.. XStat plus pressure ressing.. Pressure ressing alone.. TXA plus pressure ressing.

37 109. Your asualty has a eep, narrow woun to his inner, upper right thigh that is leeing opiously. Your est ourse of ation for ontrolling the hemorrhage is: a. Pak the woun with Comat Gauze an hol iret pressure for at least three minutes, then apply a pressure ressing.. Have a helper hol iret pressure on the woun while you prepare to apply a juntional tourniquet.. Pak the woun with Chito Gauze then quikly apply a pressure ressing.. Pak the woun with XStat, then have a helper hol iret pressure on the woun while you prepare to apply a juntional tourniquet The est time to give the first ose of TXA to a asualty with non-ompressile hemorrhage is: a. Within an hour after injury.. Within three hours after injury.. As soon as possile an efore three hours after injury.. More than three hours after injury if evauation is elaye.