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What are the two types of stretchers used onboard TR?
- Reeve Sleeve
- Stokes Stretcher
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What is the main stretched used by medical?
Reeve Sleeve
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What is the only stretcher that can be used to go up and down ladder wells?
Reeve Sleeve
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What are the two disadvantages of the Reeve Sleeve?
- There are not a lot of them onboard
- Takes longer to load and unload a patient
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What is the Reeve Sleeve designed for?
Moving patients out of engineering space, hold, vertical trunks, and other compartments where hatches or ladders are too small for other stretchers
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What is the primary stretcher used during a mass casaulty?
Stokes stretcher
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What stretcher can have a floatation device attached for ship to ship transport?
Stokes stretcher
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____ is not a factor when using the stokes stretcher
C-Spine
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What is a disadvantage of the Stokes Stretcher?
Cn only use for same deck transportation
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What is the definition or Triage?
A continual Evaluation and classification of injured personnel
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____ is used most commonly during a mass casualty
Triage (to sort)
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What are the 4 Triage categories
- Expectant (Black)
- Immediate (Red)
- Delayed (Yellow)
- Minimal (Green)
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What is Triage category "Expectant (Black)?"
Dead or dying victim
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What is Triage category "Immediate (Red)?"
Casualty has servere life-threatening wounds that require urgent intervention to prevent death
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What is Triage category "Delyaed (Yellow)?"
Serious but non-life-threatening injuries
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What is Triage category "Minimal (Green)?"
Casualties with wounds that are so superficial that they requre no more than a first aid type dressing
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____ Triage categoies are held until ______ casualties are cared for
Delayed Triage categories are held until Immediate casualties are cared for
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Who directs Triage?
Most senior medical person on scene
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What are the 3 objectives of first aid?
- Save a life
- Prevent further injury
- minimize and/or prevent infection
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When first finding a patient who is unconcious or hurt in a space, what should be your first action?
Scene safety (verify scene is safe)
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When administering first aid on a patient, what should the first and second resonder do?
- One calls for help and grabs a gun bag or first aid box
- The other tends to the victim
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What is CAB?
- (verifying a victim is able to breathe)
- Circulation
- Airway
- Breathing
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How many liters of blood does a body contain?
5 liters
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What are the 3 types of bleeding categories?
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Describe Capilary bleeding?
Very slow and small in quantity
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Describe Venous bleeding?
Steady but relatively slow flow of dark red blood
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Describe Arterial bleeding?
Least common but most dangerous. Bright red blood, large volume, spurts that correspond with heart beat
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Can prolonged bleeding from any type of would be life-threatening?
Yes
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What are the 4 different ways to treat bleeding?
- Direct pressure
- Elevation
- Pressure points
- Tourniquet
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Describe direct pressure
Place dressing over wound (if it bleeds through, add another dressing on top, do not remove already applied dressings)
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Describe elevation
Elevate extremity above heart level
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Describe pressure points
Apply pressure to the major artery above the wound, closer to the heart
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How do you apply a tourniquet?
- (do not remove once in place)
- Place 2-4 inches above site
- Mark a "T" and time of placement on forehead of victim
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How many pressure points does a person have?
10
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When twisting the rod of a tourniquet, what do you want to verify?
Bright red bleeding has stopped and the distal pulse is eliminated. Then lock the rod in place.
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Once the rod is locked in place on a tourniquet, what do you want to verify?
Check for bleeding and distal pulse
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Once the rod for a tourniquet is strapped in place, what do you want to do?
Prepare the patient for transport and reassess
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How many different types of wounds are there?
11
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What are the 11 different types of wounds?
- Burns
- Electrical Shock
- Smoke inhalation
- laceration
- sucking chest would
- abdominal would
- open and closed fracture
- amputations
- puncture wound
- heat stress
- hypothermia
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What number do you dial for medical emergency?
211
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What are the compressions and breaths to perform CPR correctly?
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How deep should each compression be when performing CPR?
2 inches
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What reps per minute should the compressions be for CPR?
100 per minute
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If uncomforatble giving mouth to mouth during CPR, what do you do?
Stick with compressions
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How onften do you want to swap rescurers during CPR?
Every 5 CPR cycles (equivalent to 2 minutes)
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Once a patient begins to breathe during CPR, what do you do?
Lay victim on their side to keep airway clear
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What are the three types on burns?
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Describe 1st degree burn
- Superficial layer of the epidermis
- Red of pink skin
- painful
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Describe 2nd degree burn
- Damage to the epidermis and dermis
- Blistering
- Very painful
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Descrive 3rd degree burn
- Damage to the epidermis and dermis
- Involves muscle and bone
- White, black and gray waxy tissue
- May not be painful due to death of nerve tissue
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Would you bust any blisters on a burn?
No
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How do you treat 1st degree burns?
Run cold water over would for 10 minutes
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What is used from the first aid kit to treat burns?
ETD - Emergency Trauma Dressing
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How do you treat a victim for shock?
Elevate legs of victim and keep warm, calm and reassured
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What is the rule of 9s?
- 9% for each area of the body (head, arm, leg, torso)
- 1% for perineum (private part)
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Rule of 9's: Head and neck = ____
9%
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Rule of 9's: Each upper limb (arms) = ____
9% each
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Rule of 9's: Thorax and abdomen = ____
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Rule of 9's: Each lower limb (legs) = ____
Each leg = 18%
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Rule of 9's: Perineum (private part) = ____
1%
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If a laceration would is on the mouth/jaw area, what position do you adjust the patient?
A position that is comfortable to them, if not on mouth/jaw area, lay on their back
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When would you not apply direct pressure?
When there is an exposed bone
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Once bandaged up for a laceration on the mouth/jaw, how do you position that patient?
Lay victim on their side or face down with hands resting on dressing as a pillow
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If bleeding is uncontrollable, what should be used?
Tourniquet
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When treating a sucking chest wound, where do you apply tape to 3 sides of the plastic cover only?
Entry point, exit wound get's all four sides taped
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When treating an abdominal would, do you attempt to push intestines back inside?
No
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How should the Emergency Trauma Dressing be wrapped over the intestines?
Moisten, if not possible, use dry dressing
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When handling a fracture, what do you want to ensure for the above and below joints?
They are supported
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Where do you want to avoid placing tourniquets?
Over joints if possible
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Who are the only personnel allowed to remove a tourniquet?
Medical
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When treating a puncture wound with the object still in place, what should you not do?
DO NOT remove the object
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How do you treat for heat stress?
- Immediately move patient to cool area
- Begin cooling patient with ice packs or wet cold towels
- take off restrictive clothing
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How do you treat hypothermia?
Remove any wet clothing and apply a dry blanket
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What are 5 things to know about treating the 11 battle wounds?
- be agressive in treatment
- always check for seconday injuries
- treat for shock
- position casualty properly while awaiting transport
- keep casualty warm and reassure them
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What is important to know before moving a patient?
Plan before you move a patient
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What is the recommended minimum amount of personnel to use when using a stretcher?
4
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Person at the head of the casualty is _______ of commands
in charge (team leader)
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If patient is not centerd on the stretcher, what is the perferred pattern to move them in?
N pattern
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When transiting up or down a ladder with a patient, what must always be used?
30' Tending (safety) line
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Which direction do you transport a patient?
Feet first unless going up a ladder well
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What type of knots do you use when securing stretchers before going up and down ladder wells?
- Figure-eight knot
- Bowline knot
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When transporting through hatches, what technique should you use?
Staggering technique
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When transporting a pateint through a vertical trunk, what team will set up a pulley system while HM staff stabalize patient?
Deep extraction team (flying squad members)
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Does each repair locker have a stretcher bearer team?
Yes
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What is each repair locker's stretcher bearer team made up of?
- 1 Corpsman
- 4 stretcher bearers
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When needed to access a patient, would you go through a casualty space to get there?
No, plan your route first
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How many BDS stations are onboard the ship?
6
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Where is the FWD BDS station located?
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Where is the Main BDS station located?
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Where is the AFT BDS station located?
- By engineering lounge
- 2-213-3-L
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Where is the FWD AUX BDS station located?
- By Repair Locker 7F
- 03-18-2-L
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Where is the AFT AUX BDS station located?
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Where is the FLT DECK BDS Located?
- In the tower, aft of flight deck control
- 04-165-3-L
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If using multiple ladders, would you want to use multiple strethcer bearer teams?
Yes
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How many first aid boxes or located onboard TR?
90
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What do you do if a seal is broken on a medical kit?
- Report it to medical
- medical will complete an inventory and reseal box
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How many Mass Casualty Sets do we have?
- 8
- 1 in each hangar bay port side
- 2 in each mess deck area
- 1 in FLT DK BDS
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If you see a padlock in broken on a Mass Casualty Set, what should you do?
Report it to medical
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What do you do if you have an irrational patient?
Call security
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What does BVM stand for?
Bag valve mask
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What is the BVM designed for?
TO help ventilate an unconscious civtim while delivering high concentrations of O2
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When do you use a BVM?
When the patient is breathing less than 10 breaths a minute or not at all
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