008 Tier 1 Practice Pack

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: I can't really remember, and its hard to talk
Location: Head
Patient: Do you remember what happened?
Response: I think there was explosion. Then gunfire.
Location: Head
Patient: Do you feel any pain?
Response: Yes my chest and head are killing me
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: A little it’s getting hard to focus.
Location: Head
Patient: Are you having trouble breathing?
Response: I think the pain is making it hard to breath
Location: Head
Patient: Can you see clearly?
Response: Everything seems 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 doing okay
Location: Head
Patient: Is your voice hoarse or different?
Response: It seems like it is about the same as usual
Location: Head
Patient: Any numbness or tingling?
Response: No. Everything feels normal.
Location: Right Arm
Patient: Any numbness or tingling?
Response: No. Everything feels normal.
Location: Left Arm
Patient: Any numbness or tingling?
Response: No. Everything feels normal.
Location: Right Leg
Patient: Any numbness or tingling?
Response: No. Everything feels normal.
Location: Left Leg

Scenario Details

Scenario Package
TCCC Tier 1 Practice Pack
Learner type
  • militaryMedic
Patient severity at start
Serious
Patient severity overall
Serious
Duration to complete
<5 minutes
Scenario difficulty
Challenging
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
  • Decompression needle
  • Medication Pouch
  • Radio
  • Marker
  • Triage Tag (Minimal)
Available medications
  • Acetaminophen Pills
  • Moxifloxacin 1 g
  • Meloxicam 15mg
Injury type
  • Amputated left leg at knee
  • Bruise behind right ear
  • Deep wound on the right leg
  • Gunshot entry wound, chest right
  • Gunshot exit wound, back right
Pathologies
  • pneumothorax, open, right
  • external hemorrhage, right leg
  • external hemorrhage, left leg
Scoring details
  • PPE
  • M-Exposure
  • M-Blood Sweep
  • M-Place Tourniquet
  • M-Treat Laceration
  • A-Assess Airway
  • C-Check Peripheral/Central Pulse
  • H-Pupil Assessment
  • H-Hypothermia Management
  • H-Assess for Neurologic Deficit
  • Communicate to Team
  • Documentation
  • Disposition