036 ASM

This is a summary scenario that allows you to practice all you have learned. The casualty was near a drone explosion that occurred 4 minutes ago. Your team has addressed the threat, and you are in a SAFE and SECURE location. No interventions have been performed.Once you have completed all assessments and interventions you believe are appropriate for this casualty in a safe location you can disposition the patient via medical evacuation to move the casualty to safety and to end the scenario.

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.

Patient Communication

Patient: Hey, I am here to take care of you.
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Can you tell me your name?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: What happened?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Are you hurting anywhere?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Does your throat hurt or feel tight?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Are you having a hard time breathing?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Does your chest hurt?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Did you pass out (lose consciousness)?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Do you have any numbness or weakness?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Does your head hurt?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Does your neck hurt?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Does your back hurt?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Does your abdomen hurt?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Do you have any allergies?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Do you take any medications?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Do you have any medical problems?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Have you ever had any surgeries?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: When did you last eat or drink something?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: Do you smoke, drink, or use recreational drugs?
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: I've called a medic for help. They will be here soon.
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: I am here to take care of you.
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: I'm going to remove your clothes to search for wounds.
Response: The patient isn't able to speak, and has noisy breathing
Location: Head
Patient: I'm going to use the back of my hand to look under your breast.
Response: The patient isn't able to speak, and has noisy breathing
Location: Head

Guided Steps

This is your first time taking care of this casualty. The casualty was near a drone explosion that occurred 4 minutes ago. Your team has addressed the threat, and you are in a safe and secure location. No interventions have been performed.
Once you have completed all assessments and interventions you believe are appropriate for this casualty you can disposition the patient (medical evacuation, return to duty, or pronounce dead) to end the scenario.
Congratulation! This scenario concludes the All Service Members training course! You can revisit and practice any of the scenarios at any time. If you've completed the course, feel free to exit the scenario and close the application. Thank you for taking the time to learn these life-saving skills!

Scenario Details

Scenario Package
TCCC Tier 1 Curriculum
Learner type
  • militaryMedic
Patient severity at start
Critical
Patient severity overall
Serious
Duration to complete
5-10 minutes
Scenario difficulty
Moderate
Environment
POI
Equipment
  • Bandage
  • Combat Application Tourniquet (1)
  • Combat Application Tourniquet (2)
  • Trauma Shears
  • Blanket
  • FoilBlanket
  • Nasopharyngeal airway
  • Chest Seal Package
  • Packing Gauze
  • Gloves
  • Eye Guard
  • Non-Adherent Dressing
  • Medication Pouch
  • Radio
  • Marker
  • Triage Tag (Minimal)
Available medications
  • Acetaminophen Pills
  • Moxifloxacin 1 g
  • Meloxicam 15mg
Injury type
  • Deep wound on the right arm
  • Gunshot entry wound, chest right
  • Gunshot exit wound, back right
  • Open fracture of the right thigh with visible bone
  • Tracheal shift to the left side
Pathologies
  • airway obstruction
  • pneumothorax, open, right
Scoring details
  • PPE
  • M-Blood Sweep
  • A-Assess Airway
  • A - Airway Intervention
  • R-Displace Mammary Tissue
  • C-Check peripheral/central pulse
  • C-Exposure
  • H-Check Pupils
  • H-Hypothermia Management
  • H-Assess Neuro & Response
  • Communicate with leadership
  • Communicate with evacuation team
  • Communicate with patient
  • Documentation
  • Disposition