Tier 2 Course 012

Tier 2 Basic Fracture Management: You are in a SAFE and SECURE location – The primary learning objective of this scenario is to briefly review fracture management and splinting. 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 Communication

Patient: Can you tell me your name?
Response: I think it's Robert?
Location: Head
Patient: Do you remember what happened?
Response: There was an explosion. People were screaming so I ran.
Location: Head
Patient: Do you feel any pain?
Response: Yes. My legs are killing me.
Location: Head
Patient: Do you have any medical problems?
Response: No. I don't think I have any medical problems.
Location: Head
Patient: Do you have any allergies?
Response: No. I don't think I have any allergies.
Location: Head
Patient: Do you take any medications?
Response: No. I don'tt hink I take any medications.
Location: Head
Patient: Are you feeling dizzy or confused?
Response: Yeah. I'm not really sure where I am right now.
Location: Head
Patient: Are you having trouble breathing?
Response: No. I think I can breathe normally.
Location: Head
Patient: Can you see clearly?
Response: For the most part yes.
Location: Head
Patient: Do you feel any swelling in your throat?
Response: No. I don't think so.
Location: Head
Patient: Are your lips or tongue swollen?
Response: No. My lips is normal.
Location: Head
Patient: Is your voice hoarse or different?
Response: I think it sounds normal.
Location: Head
Patient: Do you have any numbness or tingling in your toes?
Response: No. I don't think so.
Location: Head

Scoring Details

Exam: Assessment: Palpate Right Leg (Proximal)
Exam: Assessment: Palpate Right Leg (Medial)
Exam: Assessment: Palpate Right Leg (Distal)
Place SAM splints on the right leg
Patient disposition: Medical Evacuation

Scenario Details

Scenario Package
TCCC Tier 2 Curriculum
Learner type
  • militaryMedic
Patient severity at start
Serious
Patient severity overall
Fair
Duration to complete
5-10 minutes
Scenario difficulty
Standard
Environment
POI
Equipment
  • Trauma shears
  • Eye Guard
  • Intravenous cannula
  • Decompression needle
  • BVM
  • BVM Face Mask
  • Blanket
  • Nasopharyngeal airway
  • Combat Application Tourniquet (1)
  • Combat Application Tourniquet (2)
  • Combat Application Tourniquet (3)
  • Combat Application Tourniquet (4)
  • Chest Seal Package
  • Pressure Bandage
  • Bandage
  • Ambu Bag
  • Hemostatic Gauze
  • Gloves box
  • Combat Gauze
  • Radio
  • Triage Tag (Minimal)
  • Marker
  • SAM splint
  • Non-Adherent Dressing
  • Medication Pouch
Available medications
  • Acetaminophen Pills
  • Moxifloxacin 1 g
  • Meloxicam 15mg
Injury type
  • Abdominal internal bleeding
  • Amputated left leg at knee
  • Bruise behind right ear
  • GunshotEntrancesWoundInChestRight
  • Open fracture of the right thigh with visible bone
Pathologies
  • external hemorrhage, left leg
Scoring summary
  • OP-Palpate Leg
  • H-Place Splint on Leg
  • Disposition