Head injury, eye injury, fracture, and burn assessment and management essentials in TCCC – Tier 1 – You are in a SAFE and SECURE location – The primary learning objective is to describe, review, and practice head injury, eye injury, fracture, and burn assessment and management on a patient where the core M A R C H algorithm was already initially completed. The estimated time to complete this scenario is 5 minutes.
You first started taking care of this patient in Care Under Fire, you moved the patient to safety, and no massive bleeding was identified on blood sweep. You then identified an airway obstruction, that improved with a head-tilt-chin lift. Then you performed a respiratory assessment which revealed a suspected tension pneumothorax. Next, during the circulation phase you evaluated the patient and felt they were in shock, likely secondary to the tension pneumothorax. During the hypothermia phase you put the patient’s clothes and gear back on. You already have personal protective equipment (gloves) on. No other interventions have been performed.
Initially, the casualty was near a drone explosion that occurred 11 minutes ago (it has been one minute since you last saw the patient). This scenario occurs in the Tactical Field Care Phase and continues beyond the MARCH 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 029).
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.