Convoy IED Scenario Recap from TFC Read text The last medical interventions during TFC were: OK let’s go back to our scenario that we started in Care Fire. – Your element was in a five-vehicle convoy moving through a small Placed tourniquet on both bleeding stumps – Iraqi village when a command-detonated IED exploded under the Disarmed – second vehicle. The person next to you sustained bilateral mid-thigh Placed NPA – amputations. He had heavy arterial bleeding from the left stump, and Established IV – the right stump was only mildly oozing blood. The care you rendered Administered 1 gm TXA and I unit whole – during Tactical Field Care is shown here. The time in flight to the blood hospital will be 30 minutes. IV antibiotics – Provided hypothermia prevention – Your helo has now arrived at the HLZ • Convoy IED Scenario What’s Next? Casualty is now conscious but is confused • Reassess casualty for ABCs • NPA still in place Read text – Tourniquets in place, no significant – bleeding Attach electronic monitoring to casualty • Heart rate 140; systolic BP 70 – O2 sat = 90% – Convoy IED Scenario What’s next? Supplemental Oxygen Why? Casualty is still in shock Read text What’s next? Continue fluid resuscitation with plasma and RBCs in a 1:1 ratio Why? Casualty is still in shock
Convoy IED Scenario Recap from TFC The last medical interventions during TFC were: – Placed tourniquet on both bleeding stumps – Disarmed – Placed NPA – Established IV – Administered 1 gm TXA and I unit whole blood – IV antibiotics – Provided hypothermia prevention • Your helo has now arrived at the HLZ Read text OK – let’s go back to our scenario that we started in Care Fire. Your element was in a five-vehicle convoy moving through a small Iraqi village when a command-detonated IED exploded under the second vehicle. The person next to you sustained bilateral mid-thigh amputations. He had heavy arterial bleeding from the left stump, and the right stump was only mildly oozing blood. The care you rendered during Tactical Field Care is shown here. The time in flight to the hospital will be 30 minutes. Convoy IED Scenario What’s Next? • Casualty is now conscious but is confused • Reassess casualty for ABCs – NPA still in place – Tourniquets in place, no significant bleeding • Attach electronic monitoring to casualty – Heart rate 140; systolic BP 70 – O2 sat = 90% Read text Convoy IED Scenario What’s next? Supplemental Oxygen Why? Casualty is still in shock What’s next? Continue fluid resuscitation with plasma and RBCs in a 1:1 ratio Why? Casualty is still in shock Read text
010304%20TCCC-MP%20Tactical%20Evacuation%20Care%20IG%20160603.docx