Tier 2 Course 008

Tier 2 Head Injury and Alert, Verbal, Pain, and Unresponsive (AVPU) Assessment Part 1: You are in a SAFE and SECURE location – The primary learning objective of this (and the next couple of scenarios) is to review the Alert, Verbal, Painful, and Unresponsive (AVPU) assessment. The estimated time to complete this scenario is 5 minutes. This scenario occurs in the Tactical Field Care Phase. Equipment Available: Combat Life Saver Pack. Evacuation/Disposition is possible through the tablet. Selecting the patient’s disposition will end the exercise.

Patient Communication

Patient: Can you tell me your name?
Response: I think its Robert? I can't really remember
Location: Head
Patient: Do you remember what happened?
Response: I think there was an explosion then gunfire and smoke
Location: Head
Patient: Do you feel any pain?
Response: I think I'm ok? I can't tell.
Location: Head
Patient: Do you have any medical problems?
Response: No, I don’t have any medical problems I know of
Location: Head
Patient: Do you have any allergies?
Response: No, I don't have any allergies I know of
Location: Head
Patient: Do you take any medications?
Response: No, I don't take any medications
Location: Head
Patient: Are you feeling dizzy or confused?
Response: Yes. It's hard to focus.
Location: Head
Patient: Are you having trouble breathing?
Response: I can breathe.
Location: Head
Patient: Can you see clearly?
Response: I think it's a little blurry.
Location: Head
Patient: Do you feel any swelling in your throat?
Response: No, I think its okay
Location: Head
Patient: Are your lips or tongue swollen?
Response: No, I think they are okay
Location: Head
Patient: Is your voice hoarse or different?
Response: No, I think it seems the same
Location: Head

Scoring Details

Exam: Ask patient
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
Patient disposition: Medical Evacuation

Scenario Details

Scenario Package
TCCC Tier 2 Curriculum
Learner type
  • militaryMedic
Patient severity at start
Serious
Patient severity overall
Fair
Duration to complete
5-10 minutes
Scenario difficulty
Standard
Environment
POI
Equipment
  • Trauma shears
  • Eye Guard
  • Intravenous cannula
  • Decompression needle
  • BVM
  • BVM Face Mask
  • Blanket
  • Nasopharyngeal airway
  • Combat Application Tourniquet (1)
  • Combat Application Tourniquet (2)
  • Combat Application Tourniquet (3)
  • Combat Application Tourniquet (4)
  • Chest Seal Package
  • Pressure Bandage
  • Bandage
  • Ambu Bag
  • Hemostatic Gauze
  • Gloves box
  • Combat Gauze
  • Radio
  • Triage Tag (Minimal)
  • Marker
  • SAM splint
  • Non-Adherent Dressing
  • Medication Pouch
Available medications
  • Acetaminophen Pills
  • Moxifloxacin 1 g
  • Meloxicam 15mg
Scoring summary
  • H-Assess Responsiveness (LOC)
  • H-Assess for Neurologic Deficit
  • Disposition