Massive Bleeding Control Essentials: Mastering Hemorrhage Management in TCCC – Tier 1 – You are in a SAFE and SECURE location – The primary learning objective is to describe, review, and practice the full range of massive bleeding/hemorrhage control methods: tourniquet application, applying direct pressure, hemostatic dressing application, wound packing with hemostatic dressing, pressure dressing application. We will review what injury characteristics would commonly indicate the need for which type of treatment. Subsequent scenarios will allow you to practice making the decision of which method to use. The estimated time to complete this scenario is 15 minutes. This is your first time taking care of Marcus Kane. The casualty was near a drone explosion that occurred 4 minutes ago. You already have personal protective equipment (gloves) on. No interventions have been performed. This specific scenario does not use realistic physiology. The casualty has catastrophic injuries but will remain alive for training purposes only. This scenario occurs in the Tactical Field Care Phase and covers the [M]ARCH portion(s) of care. Equipment Available: Individualized First Aid Kit (IFAK) U.S Version (x2). Evacuation/Disposition is possible through the tablet. Selecting the patient’s disposition will end the exercise. (This is Scenario 003).
Dynamic Physiology Disclaimer:
To obtain the most accurate and effective training experience, we recommend completing each scenario in one uninterrupted session. The virtual patients used in this training are powered by highly realistic physiological models that continuously adjust vital signs and overall condition. The scenarios have been modified to give you time to review instructional materials, and you will not lose points for delays in scenarios with instructional content. However, it is still possible that, depending on your completion pace, the scenario may not progress in perfect alignment with the guided prompts, and for critically injured patients, even moderate delays may result in deterioration or death before the scenario concludes. This is not meant to indicate you did not perform well; rather, it is because of how the high-fidelity engine performs.
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.