Tier 2 Course 016

Менеджмент болю Tier 2, частина 2: Ви перебуваєте в БЕЗПЕЧНОМУ та ЗАХИЩЕНОМУ місці. Основна навчальна мета цього сценарію — огляд основ того, коли слід вводити пероральні (per os) антибіотики на другому рівні, та огляд препарату моксифлоксацин (Moxifloxacin). Орієнтовний час виконання цього сценарію — 5 хвилин. Цей сценарій відбувається на етапі тактичної допомоги в польових умовах (Tactical Field Care). Доступне обладнання: набір Combat Life Saver. Евакуація/Висновок (Disposition) можливі через планшет. Вибір висновку щодо пацієнта завершить вправу.

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. Everyone ran.
Location: Head
Patient: Do you feel any pain?
Response: Yes. I hit the ground.
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 to medications?
Response: No. I don't have any allergies to medications.
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: I'm feeling a little dizzy.
Location: Head
Patient: Are you having trouble breathing?
Response: No. I can breathe normally.
Location: Head
Patient: Can you see clearly?
Response: Yes. I can see clearly.
Location: Head
Patient: Do you feel any swelling in your throat?
Response: No. My throat feels normal.
Location: Head
Patient: Are your lips or tongue swollen?
Response: No. I don't think so.
Location: Head
Patient: Is your voice hoarse or different?
Response: I think it's sounds normal.
Location: Head
Patient: Have you ever had a reaction to antibiotics?
Response: No. I have not.
Location: Head

Scoring Details

Exam: Ask patient
Events: Medication Administration: Give Moxifloxacin 400mg
Exam: Assessment: Complete TCCC card
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
  • Amputated left leg at knee
  • Bruise behind right ear
  • GunshotEntrancesWoundInChestRight
Pathologies
  • external hemorrhage, left leg
Scoring summary
  • Ask About Allergies
  • Administer Antibiotics
  • Documentation
  • Disposition