EFMB Medical Skills & Combat Medicine 3

Question 1

Which IV fluid is the preferred resuscitation fluid for hypovolemic shock in TCCC?

Accepted Answer

Hextend (6% hetastarch)

Answer

Hextend is the preferred resuscitation fluid in TCCC for hypovolemic shock because 500 mL provides volume expansion equivalent to 2 liters of crystalloid.

Question 2

What is the maximum number of times a tourniquet site should be marked with the time of application?

Accepted Answer

Twice, on the tourniquet and the casualty's forehead

Answer

TCCC protocol requires marking the time of tourniquet application on the tourniquet and also on the casualty's forehead with a marker to prevent loss of information during handoff.

Question 3

A casualty has burns to both arms and the front of both legs. Using the Rule of Nines, what percentage of total body surface area (TBSA) is burned?

Accepted Answer

36%

Answer

Each arm = 9%, each front leg = 9%; two arms (18%) + two front legs (18%) = 36% TBSA.

Question 4

Which medication is recommended in TCCC for pain management in a casualty who can still fight?

Accepted Answer

Oral transmucosal fentanyl citrate (OTFC)

Answer

OTFC (fentanyl lollipop) is recommended for casualties who can still engage in the fight because it does not impair the ability to fire a weapon.

Question 5

What is the preferred route for IV/IO access when peripheral veins are inaccessible in a combat casualty?

Accepted Answer

Intraosseous (IO) access

Answer

IO access is preferred when peripheral IV access cannot be rapidly established, as it provides a reliable vascular access point even in hypovolemic casualties.

(EFMB) Expert Field Medical Badge Practice Test

(EFMB) Expert Field Medical Badge Practice Test

EFMB Medical Skills & Combat Medicine 3