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fieldcraft 2
| Question | Answer |
|---|---|
| why is it important to take multiple gcs assessments | to establish baselines and trends |
| how many points does a score have to deteriorate to be considered a significant finding? | 2 points |
| you find your casualties pupils are dilated, and do not react to light, what does this tell you | that it may be caused by reasons other then brain injuries |
| which casualties should a mace assessment be performed | casualties suspected of having a concussion |
| where and when should a mace test be performed | in the combat theatre of operations at the battalion aid station |
| casualty complains of teeth feeling weird or missing tooth | mandible fracture |
| should you hypervenilate a casualty with a head injury | no it has shown to worsen injury |
| how should you transport a casualty with a head injury | in supine position |
| what is the definitive treatment facility for a casualty with head injuries | medical treatment facility with neurosurgical capabilities |
| how should a casualty with shock due to trauma and has head injuries be managed | follow fluid resuscitation algoryhtm |
| define hempiparesis | weakness on one side of the body |
| dysarthia | difficulty speaking |
| hemiplegia | paralysis on one side of the body |
| lucid interval | loss of consciousness |
| what is tbi | traumatic brain injury: an injury resulting from an external force |
| what are the levels of tbi and their gcs score | mild- 14 or 15: 80% of head injuries moderate- 9-13: 10% severe- lower then 9: 10% |
| cushngs traid cause and symptoms | increasing intracranial pressure: 1)increased blood pressure 2)decreased pulse rate 3)irregular respiratory rate (up or down) |
| decorticate | (the core)arms flexed at elbows with hands coming in towards core...injury upper mid brain |
| decerebrate | (angel wings)teeth clenced, arms and legs extended, wrist flexed...injury central midbrain |
| meninges | three membranes that cover the brain: (pad) -pia matter:thin innermost -arachnoid:center layer -dura matter:outer most most resiliant |
| cerebrum | largest part of brain controls higher thought |
| cerebellum | primitive functions: coordination, balance |
| brain stem | controls vital body functions: cardio respiratory functions |
| foramen magnum | primary opening through which pressure can be released. circular opening which spine passes through at base of skull |
| what type of vision acuity (va) can be completed on the battlefield | gross vision examination |
| first step in treating a casualty with chemical burns to eyes | flush eyes to eliminate moi |
| when assessing for occular injury what other injury should be assessed for | underlying head injuries |
| most successful thing to do for eye injuries | prevention ... dont become a casualty (eye pro) |
| what is special about the antibiotic found in the combat pill pack | one of the few that can affect the eye - moxifloacin (avelox) |
| should you ever try to remove a foreign body from the eye with your fingers? | no it can worsen injury or drain fluid from the eye |
| eye should be irrigated for how long | 20 min or as long as resources allow until medical treatment facility is reached |
| what is the standard eye exam used in clinic | snelling chart |
| what are most common treatments for eye injuries | irrigation, cover with fox eye shield if injury allows, administer combat pill pack |
| what is found in right upper quadrant of abdomen | liver, gallbladder, head of pancreas |
| left upper quadrant of abdomen | stomach, spleen, tail of pancreas |
| right lower quadrant of abdomen | part of colon, appendix |
| left lower quadrant of abdomen | small intestine, part of colon |
| what type of physical exam should be performed on a casualty with an abdominal injury | no auscultation and light palpation |
| what percentage of penetrating trauma in the gluteal area is associated with significant intraabdominal trauma | 50% |
| what options do you have when treating an abdominal eviceration | efforts should be focused on protecting the protruding segment of intestines or organs. apply clean and moist dressing. |
| how should an obviously pregnant casualty be transported | on her left sidewith right leg elevated. |
Created by:
mgrillojr