Mixed Deck — All EFMB Topics Flashcards

What is the maximum volume of fluid recommended for a single 14-gauge needle decompression syringe used in the field?

Answer: This procedure uses a needle, not a syringe for aspiration

Needle decompression uses a large-bore needle inserted to release trapped air; no syringe aspiration is performed in the TCCC protocol.

When establishing priorities of work at a new patrol base, the medic's FIRST consideration should be:

Answer: Ensuring security is established before conducting medical assessments

Security must be established before any other work begins at a patrol base; no mission function, including medical care, is effective without security.

What minimum urine output color indicates adequate hydration during field operations?

Answer: Pale yellow (lemonade color)

Pale yellow urine (lemonade color) indicates adequate hydration; clear urine may indicate overhydration while dark urine signals dehydration.

What is a crucial part of mental endurance in field training?

Answer: To maintain focus and resilience during challenging situations

A crucial part of mental endurance in field training is the ability to maintain focus and resilience during challenging and stressful situations. Medics must be able to concentrate on their tasks, make sound decisions, and persevere through discomfort, fear, and chaos. This mental fortitude ensures they can effectively provide care and manage complex scenarios without becoming overwhelmed.

The SAMPLE history mnemonic used in casualty assessment stands for which of the following?

Answer: Symptoms, Allergies, Medications, Pertinent history, Last oral intake, Events

SAMPLE stands for Symptoms, Allergies, Medications, Pertinent history, Last oral intake, and Events leading to the injury.

When treating a combat casualty for hypothermia prevention, at what core body temperature does severe hypothermia (risk of cardiac arrhythmia) begin?

Answer: Below 30°C (86°F)

Severe hypothermia is defined as a core temperature below 30°C (86°F), at which ventricular fibrillation and other life-threatening arrhythmias become likely.

How should a hypothermic combat casualty be managed in Tactical Evacuation Care (TACEVAC)?

Answer: Remove wet clothing, apply heat packs to the axillae and groin, cover with a hypothermia wrap

Preventing and treating hypothermia involves removing wet clothing, applying chemical heat packs to high-blood-flow areas, and wrapping the casualty in an insulating layer.

When documenting assessment findings in EFMB practice, which approach is MOST appropriate?

Answer: Record objective findings, measurements, and professional observations factually

Assessment documentation must be objective, factual, and comprehensive. Recording measurements, observations, and findings without bias ensures that the documentation is useful for decision-making and withstands scrutiny.

What is the correct dosage of oral transmucosal fentanyl citrate (OTFC) used in Tactical Combat Casualty Care (TCCC)?

Answer: 400 mcg lozenge placed in the cheek

TCCC guidelines call for a 400 mcg OTFC lozenge placed between the cheek and gum for absorption through the oral mucosa.

A casualty with a penetrating eye injury should have the eye:

Answer: Covered with a rigid shield without applying pressure

A rigid eye shield protects the globe without exerting pressure that could worsen a ruptured globe or expel intraocular contents.

What does the acronym SKED stand for in casualty evacuation equipment?

Answer: SKED is a brand name, not an acronym

SKED is a brand name for a flexible plastic litter system used for confined-space and technical rescues; it is not an acronym.

What is the first action when a combat casualty goes into cardiac arrest due to non-traumatic causes (e.g., heat stroke)?

Answer: Begin CPR immediately

For non-traumatic cardiac arrest, standard CPR (chest compressions and ventilations) should begin immediately according to TCCC guidelines.

A soldier collapses during a field training exercise with hot, dry skin and altered mental status. This presentation is most consistent with:

Answer: Heat stroke

Hot, dry skin combined with altered mental status indicates heat stroke, a life-threatening emergency requiring immediate cooling.

What does the acronym 'SALT' stand for in mass casualty triage?

Answer: Sort, Assess, Lifesaving interventions, Treatment/Transport

SALT stands for Sort, Assess, Lifesaving interventions, Treatment/Transport — the sequential steps of this triage method.

In a mixed trauma and medical emergency MASCAL, which patient would most appropriately receive an 'Immediate' (T1) triage category?

Answer: A patient with a sucking chest wound and declining oxygen saturation

A sucking chest wound with declining SpO2 indicates an open pneumothorax compromising breathing and oxygenation — a life-threatening emergency requiring immediate intervention.

The Army's concept of 'mental toughness' in the context of EFMB is BEST described as:

Answer: Consistently performing to the best of one's ability under adverse conditions

Mental toughness is the ability to maintain focus and perform consistently at one's best even under extreme physical and psychological stress.

Epinephrine auto-injector (EpiPen) is indicated for which emergency condition?

Answer: Anaphylaxis

Epinephrine is the first-line treatment for anaphylaxis because it reverses bronchoconstriction, vasodilation, and urticaria caused by severe allergic reactions.

During EFMB lane evaluations, a candidate observes an evaluator making what appears to be a scoring error against them. The CORRECT course of action is to:

Answer: Complete the task, then calmly request clarification through proper channels after the lane

Candidates should complete tasks professionally and then address scoring concerns through proper administrative channels after the lane is complete.

How does mental toughness play a role in trauma care?

Answer: It helps them stay calm and focused during critical situations

Mental toughness is indispensable in trauma care, especially in combat, as it enables medics to remain calm, focused, and decisive amidst chaos, stress, and graphic injuries. This resilience allows them to think clearly, prioritize interventions, and execute complex medical procedures accurately under immense pressure. Maintaining composure is critical for effective decision-making and providing optimal care when lives are on the line.

What is the BEST way for a Expert Field Medical Badge professional to stay current with regulatory changes?

Answer: Actively monitor regulatory bodies, attend continuing education, and participate in professional associations

Staying current requires a multi-faceted approach: monitoring regulatory agencies directly, attending relevant continuing education programs, and participating in professional associations that disseminate regulatory updates.