EFMB Trauma Care & Physical Fitness 5 — Questions and Answers
Question 1: A casualty has a blood pressure of 80/60 mmHg after a penetrating abdominal wound. What is the TCCC-recommended target systolic BP for permissive hypotension (no TBI)?
- 120 mmHg
- 100 mmHg
- 80–90 mmHg (Correct answer)
- 60 mmHg
Correct answer: 80–90 mmHg
Permissive hypotension targets a systolic BP of 80–90 mmHg in hemorrhagic shock without TBI, reducing re-bleeding risk while maintaining organ perfusion.
Question 2: When does the TCCC Care Under Fire phase end and Tactical Field Care begin?
- When all casualties have tourniquets applied
- When the unit gains fire superiority or moves to a covered position (Correct answer)
- When the medic arrives on scene
- When the casualty is loaded onto an evacuation vehicle
Correct answer: When the unit gains fire superiority or moves to a covered position
Tactical Field Care begins once the unit achieves fire superiority or moves to a position with relative protection from direct enemy fire.
Question 3: A casualty with a penetrating eye injury should have the eye:
- Irrigated with saline and patched tightly
- Covered with a rigid shield without applying pressure (Correct answer)
- Manually reduced and bandaged firmly
- Left uncovered to prevent pressure on the globe
Correct 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.
Question 4: The EFMB written test requires a minimum score of what percentage to pass?
- 70%
- 75%
- 80% (Correct answer)
- 85%
Correct answer: 80%
Candidates must achieve a minimum score of 80% on the EFMB written examination covering medical knowledge.
Question 5: Which intervention is performed LAST in the MARCH algorithm during Tactical Field Care?
- Airway management
- Hemorrhage control
- Hypothermia prevention (Correct answer)
- Circulation/IV access
Correct answer: Hypothermia prevention
Hypothermia prevention (the 'H' step) is performed after addressing hemorrhage, airway, respiration, and circulation in the MARCH sequence.
Question 6: A casualty has a pelvic fracture with suspected internal hemorrhage. What device should be applied in the field to reduce pelvic volume and control bleeding?
- Traction splint
- Pelvic binder or improvised sheet wrap (Correct answer)
- MAST/PASG trousers inflated to maximum
- Compression wrap around both thighs
Correct answer: Pelvic binder or improvised sheet wrap
A commercial pelvic binder or improvised circumferential sheet wrap reduces pelvic ring volume and applies pressure to tamponade internal hemorrhage from pelvic fractures.
Question 7: During the EFMB litter carry lane, how many litter bearers are required to carry a simulated casualty, and what is the standard carry distance?
- 2 bearers for 100 meters
- 4 bearers for 100 meters (Correct answer)
- 4 bearers for 200 meters
- 6 bearers for 150 meters
Correct answer: 4 bearers for 100 meters
The EFMB standard litter carry uses a 4-person team to transport a simulated casualty over 100 meters as part of the evacuation lane.
EFMB Trauma Care & Physical Fitness 5
A casualty has a blood pressure of 80/60 mmHg after a penetrating abdominal wound.
What is the TCCC-recommended target systolic BP for permissive hypotension (no TBI)?