EFMB Trauma Care & Physical Fitness 3

Question 1

How long should a rescuer maintain pressure after packing a wound with hemostatic gauze?

Accepted Answer

At least 5 minutes (or until bleeding stops)

Answer

TCCC guidelines recommend at least 3 minutes of direct pressure (Quikclot/Combat Gauze), but field guidance commonly emphasizes sustained pressure until bleeding is controlled, often cited as up to 5 minutes.

Question 2

During the EFMB 12-mile forced march, what is the maximum time allowed to complete the course?

Accepted Answer

3 hours

Answer

The EFMB 12-mile road march must be completed in under 3 hours while wearing full combat equipment.

Question 3

What is the primary purpose of the hypothermia prevention bundle in TCCC?

Accepted Answer

Prevent the lethal triad of hypothermia, acidosis, and coagulopathy

Answer

The hypothermia prevention bundle directly combats the 'lethal triad,' which worsens bleeding and shock outcomes in trauma.

Question 4

An unconscious casualty with no gag reflex needs airway management. What is the preferred airway adjunct in TCCC?

Accepted Answer

Nasopharyngeal airway (NPA)

Answer

The NPA is preferred in TCCC because it can be used in semi-conscious patients and doesn't require the patient to be fully unconscious, reducing aspiration risk.

Question 5

Which IV fluid is preferred for initial resuscitation in a hemorrhagic shock casualty under TCCC guidelines?

Accepted Answer

Whole blood or plasma/packed RBC ratio 1:1:1

Answer

TCCC recommends blood products (whole blood or 1:1:1 ratio) as the resuscitation fluid of choice to restore oxygen-carrying capacity and clotting factors.

(EFMB) Expert Field Medical Badge Practice Test

(EFMB) Expert Field Medical Badge Practice Test

EFMB Trauma Care & Physical Fitness 3