SIA CP Medical First Aid for Close Protection 3

Question 1

What is the 'lethal triad' in trauma medicine?

Accepted Answer

Hypothermia, acidosis and coagulopathy — three conditions that each worsen the others and together dramatically increase mortality

Answer

The lethal triad of hypothermia, acidosis (metabolic) and coagulopathy (impaired clotting) is a self-reinforcing cycle in severe trauma; preventing any element improves survival chances.

Question 2

What is a 'CAT tourniquet' and how is it applied?

Accepted Answer

A Combat Application Tourniquet applied 5–8 cm above a wound, tightened until bleeding stops and the time noted

Answer

A CAT is applied 5–8 cm above the wound on the limb, tightened by twisting the rod until bleeding stops completely, and the time of application written on the tourniquet for the receiving medics.

Question 3

What is 'haemostatic gauze' and how is it used?

Accepted Answer

Gauze impregnated with a clotting agent, packed tightly into a wound to accelerate clotting in severe bleeding

Answer

Haemostatic gauze (such as QuikClot or Celox) contains a clotting agent that accelerates coagulation when packed firmly into a wound; it is particularly effective for junctional wounds where tourniquets cannot be applied.

Question 4

What is 'permissive hypotension' in trauma first aid management?

Accepted Answer

Allowing blood pressure to remain lower than normal to reduce internal bleeding before surgery; not forcing fluids in penetrating trauma

Answer

In penetrating trauma, aggressively trying to restore normal blood pressure can worsen internal bleeding; permissive hypotension accepts a slightly lower blood pressure until surgical control is achieved.

Question 5

What is a 'medical action card' and why should CPOs carry one for the principal?

Accepted Answer

A card containing the principal's medical conditions, allergies, medications and blood type for use by emergency responders

Answer

A medical action card provides critical information to emergency responders about the principal's conditions, allergies and medications, enabling appropriate treatment without delay in an emergency.

SIA Close Protection Practice Test

SIA Close Protection Practice Test

SIA CP Medical First Aid for Close Protection 3