You are providing care near the frontline. Once you have performed all life-saving interventions indicated for this phase of care, you can select [Disposition] in the tablet and select [Medical Evacuation to Higher Level of Care, Return to Duty, or Pronounce Dead], which will end your case. Note, unfortunately, just like in real life, it is not possible to save all patients. The treatment policy for THIS TRAINING ONLY is to pronounce a patient dead if there is no pulse for more than two minutes. In this combat theater, it is not possible to transfer a patient who requires active cardiopulmonary resuscitation.
Ongoing Development Disclaimer: In this package wording has not been updated to reflect new functionality to time and date tourniquets or for the non-adhesive burn bandage functionality. Additionally, it is possible other small updates or changes are not reflected in the wording. All grading is set to the current standard described in this package.
Patient Communication
Patient: Can you tell me your name?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Do you remember what happened?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Do you feel any pain?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Do you have any medical problems?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Do you have any allergies?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Do you take any medications?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Are you feeling dizzy or confused?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Are you having trouble breathing?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Can you see clearly?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Do you feel any swelling in your throat?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Are your lips or tongue swollen?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Patient: Is your voice hoarse or different?
Response: This patient's breathing is noisy and they are having difficulty talking.
Location: Head
Audio Triggers
After placing a cricothyroidotomy it is appropriate to consider confirming placement with assisted breaths and end tidal CO2 however this is not currently possible in this simulator. The patient can only be bagged through facial mask placement. The procedure does clear the airway. Overall the same physiologic impact is achieved.
If you are placing this device for a suspected pelvic fracture, it is often suggested to also tape the patients ankles. That is not currently possible in this simulator
If you are placing this device for a suspected pelvic fracture, it is often suggested to also tape the patients ankles. That is not currently possible in this simulator
If you are placing this device for a suspected pelvic fracture, it is often suggested to also tape the patients ankles. That is not currently possible in this simulator
The system currently does not allow you to give this medication slowly in real life you would give over 5 to 10 minutes
Scoring Details
PPE: Blue Gloves (right side)
PPE: Blue Gloves (left side)
PPE: Blue Gloves (right side)
PPE: Blue Gloves (left side)
Exam: Assessment: Remove the patient clothing around left leg
Exam: Assessment: Remove the patient's shirt
Exam: Assessment: Remove the patient clothing around right leg
Exam: Assessment: Remove the patient clothing around right arm
Exam: Assessment: Remove the patient's underpants
Exam: Assessment: Roll the patient over
Exam: Assessment: Roll the patient back
Exam: Assessment: Roll the patient over
Exam: Assessment: Roll the patient back
Exam: Assessment: Remove the patient's shirt
Exam: Assessment: Remove the patient clothing around right leg
Exam: Assessment: Remove the patient clothing around left leg
Exam: Assessment: Remove the patient's underpants
Roll patient into recovery position
Blood Sweep (left lower thigh) (Left Leg Ampute)
Blood Sweep (right lower thigh) (Right Leg Ampute)
Blood Sweep (left upper arm) (Left Arm Ampute / Shrapnel Arm Left)
Blood Sweep (right upper arm) (Right Arm Ampute / Shrapnel Arm Right)
Blood Sweep (left arm) (Deep Wound Arm Left)
Blood Sweep (right arm) (Deep Wound Arm Right)
Blood Sweep (left lower leg) (Deep Wound Leg Left)
Blood Sweep (right lower leg) (Deep Wound Leg Right)
Blood Sweep (left upper thigh) (Left Leg Ampute / Shrapnel Leg Left)
Blood Sweep (right upper thigh) (Open Fracture / Open Fracture Blood / Shrapnel Leg Right)
Blood Sweep (right chest, front) (Gunshot Wound Chest Right)
Blood Sweep (left chest, front) (Gunshot Wound Chest Left)
Blood Sweep (right chest, back) (Gunshot Wound Back Right)
Blood Sweep (stomach) (Shrapnel)
Blood Sweep (groin)
Exam: Ask patient
Airway: Jaw thrust maneuver
Listen for breathing
Head-tilt-chin lift
Airway: Jaw thrust maneuver
Roll patient into recovery position
Exam: Assessment: Check Carotid Pulse Right
Exam: Assessment: Check Carotid Pulse Right
Exam: Assessment: Check Carotid Pulse Left
Exam: Assesment: Check Radial Pulse Right
Exam: Assesment: Check Radial Pulse Left
Exam: Assesment: Check Femoral Pulse Right
Exam: Assesment: Check Femoral Pulse Left
Exam: Assesment: Check Pedial Pulse Right
Exam: Assesment: Check Pedial Pulse Left
Place bandage on the left lower arm (deep wound)
Hypothermia Management: Place Blanket
Hypothermia Management: Put Back All Clothes
Hypothermia Management: Put Back Shirt
Hypothermia Management: Put Back Pants Left Leg
Hypothermia Management: Put Back Pants Right Leg
Hypothermia Management: Put Back Underpants
Hypothermia Management: Put Back Underbra
Exam: Ask patient to move right leg
Exam: Ask patient to move left leg
Exam: Ask patient to move right arm
Exam: Ask patient to move left arm
Exam: Ask patient
Send 9-liner
Exam: Assessment: Complete TCCC card
Complete NATO Field card
Patient disposition: Medical Evacuation