This is the third scenario in the Tier 2/Combat Life Saver curriculum pack. The following scenarios will provide training on additional TCCC at the Tier 2 Level. There are new interventions in the Airway, Respirations, Circulation, Head Injury, Hypothermia, and Fracture portions of TCCC. Additionally, Tier 2 introduces you to new medications that can be used for pain as well as infection prevention and treatment. We will proceed sequentially through MARCH.
Tier 2 Airway Treatments (Airway and Facial Trauma Considerations): You are in a SAFE and SECURE location – The primary learning objective is to show you some important considerations when managing a patients airway when a severe facial injury is also present. 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: Can you tell me your name?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Do you feel any pain?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Do you have any medical problems?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Do you have any allergies?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Do you take any medications?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Are you feeling dizzy or confused?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Are you having trouble breathing?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Can you see clearly?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Do you feel any swelling in your throat?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Are your lips or tongue swollen?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Is your voice hoarse or different?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
Patient: Do you remember what happened?
Response: This patient's breathing is noisy and they are having difficulty talking
Location: Head
While it is good to think about airway obstruction, in this patient, placing an N P A could be harmful since the patient has a severe facial injury. Severe facial injuries can damage the bones in the patient's face, which can create a passage that allows the N P A to push up into the patient’s brain
Airway: Jaw thrust maneuver
Airway: Jaw thrust maneuver
Roll patient into recovery position
Patient disposition: Medical Evacuation
