Tier 2 Practice Pack 006

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.

Patient Communication

Patient: Can you tell me your name?
Response: I think its Robert? I can't really remember
Location: Head
Patient: Do you remember what happened?
Response: I think there was an explosion then gunfire and smoke
Location: Head
Patient: Do you feel any pain?
Response: Yes everything hurts please help 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: It is really hard to breath, my chest hurts so bad
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 okay
Location: Head
Patient: Is your voice hoarse or different?
Response: No, I think it seems the same
Location: Head

Scoring Details

PPE: Blue Gloves (right side)
PPE: Blue Gloves (left side)
PPE: Blue Gloves (right side)
PPE: Blue Gloves (left side)
Blood Sweep (left lower thigh) (Left Leg Ampute)
Blood Sweep (right lower thigh) (Right Leg Ampute)
Blood Sweep (left upper arm) (Left Arm Ampute / Shrapnel Arm Left)
Blood Sweep (right upper arm) (Right Arm Ampute / Shrapnel Arm Right)
Blood Sweep (left arm) (Deep Wound Arm Left)
Blood Sweep (right arm) (Deep Wound Arm Right)
Blood Sweep (left lower leg) (Deep Wound Leg Left)
Blood Sweep (right lower leg) (Deep Wound Leg Right)
Blood Sweep (left upper thigh) (Left Leg Ampute / Shrapnel Leg Left)
Blood Sweep (right upper thigh) (Open Fracture / Open Fracture Blood / Shrapnel Leg Right)
Blood Sweep (right chest, front) (Gunshot Wound Chest Right)
Blood Sweep (left chest, front) (Gunshot Wound Chest Left)
Blood Sweep (right chest, back) (Gunshot Wound Back Right)
Blood Sweep (stomach) (Shrapnel)
Blood Sweep (groin)
Exam: Assessment: Remove the patient's shirt
Exam: Assessment: Remove the patient clothing around right leg
Exam: Assessment: Remove the patient clothing around left leg
Exam: Assessment: Remove the patient's underpants
Exam: Assessment: Roll the patient over
Exam: Assessment: Roll the patient back
Exam: Assessment: Roll the patient over
Exam: Assessment: Roll the patient back
Exam: Assessment: Remove the patient's shirt
Exam: Assessment: Remove the patient clothing around right leg
Exam: Assessment: Remove the patient clothing around left leg
Exam: Assessment: Remove the patient's underpants
Roll patient into recovery position
Massive Hemorrhage: Place Tourniquet on Right Lower Arm
Massive Hemorrhage: Place Tourniquet on Right Upper Arm
Apply pressure to right leg
Place bandage on the right lower leg (deep wound)
Place bandage on the right lower leg (deep wound)
Apply pressure to right leg
Exam: Ask patient
Airway: Jaw thrust maneuver
Listen for breathing
Breathing: Needle Decompression left side placement
Place Chest Seal Back Left
Exam: Assessment: Check Carotid Pulse Right
Exam: Assessment: Check Carotid Pulse Right
Exam: Assessment: Check Carotid Pulse Left
Exam: Assesment: Check Radial Pulse Right
Exam: Assesment: Check Radial Pulse Left
Exam: Assesment: Check Femoral Pulse Right
Exam: Assesment: Check Femoral Pulse Left
Exam: Assesment: Check Pedial Pulse Right
Exam: Assesment: Check Pedial Pulse Left
Lift right eyelid
Lift left eyelid
Lift right eyelid
Lift left eyelid
Hypothermia Management: Place Blanket
Hypothermia Management: Put Back All Clothes
Exam: Ask patient
Exam: Ask patient to move right leg
Exam: Ask patient to move left leg
Exam: Ask patient to move right arm
Exam: Ask patient to move left arm
Exam: Assessment: Palpate Upper Left Abdomen
Exam: Assessment: Palpate Thorax (Left)
Exam: Assessment: Palpate Lower Left Abdomen
Exam: Assessment: Palpate Lower Right Abdomen
Exam: Assessment: Palpate Lower Right Abdomen
Exam: Assessment: Palpate Upper Right Abdomen
Exam: Assessment: Palpate Right Arm
Exam: Assessment: Palpate Right Palm
Exam: Assessment: Palpate Left Arm
Exam: Assessment: Palpate Left Palm
Exam: Assessment: Palpate Right Leg (Proximal)
Exam: Assessment: Palpate Right Leg (Medial)
Exam: Assessment: Palpate Right Leg (Distal)
Exam: Assessment: Palpate Left Leg (Proximal)
Exam: Assessment: Palpate Left Leg (Medial)
Exam: Assessment: Palpate Left Leg (Distal)
Exam: Assessment: Palpate along back
Exam: Assessment: Palpate Head (Left)
Exam: Assessment: Palpate Head (Right)
Exam: Assessment: Palpate Trachea
Exam: Assessment: Palpate Jaw
Exam: Assessment: Complete TCCC card
Patient disposition: Medical Evacuation

Scenario Details

Scenario Package
TCCC Tier 2 Practice Pack
Learner type
  • militaryMedic
Patient severity at start
Serious
Patient severity overall
Serious
Duration to complete
<5 minutes
Scenario difficulty
Moderate
Environment
POI
Equipment
  • Non-Adherent Dressing
  • Duct Tape
  • Eye Guard
  • Intravenous cannula
  • ChestSealPackage
  • SAM splint
  • Combat Application Tourniquet
  • Combat Application Tourniquet
  • Combat Application Tourniquet
  • Combat Application Tourniquet
  • Trauma Shears
  • Decompression needle
  • Blanket
  • Nasopharyngeal airway
  • bandage
  • pressure bandage
  • hemostatic gauze
  • wound packing gauze
  • ambubag
  • AlcoholWipe
  • Gloves box
  • PackingGauze
  • TriageTag_Any
  • BVM
  • FaceMaskBVM
  • MedicationPouch
  • Marker
  • JETT
  • Laryngeal mask airway
  • Oxygen saturation device
  • Stethoscope
  • ETCO2
  • Penlight
  • Axial peripheral thermometer
  • Field Medical Card
Available medications
Injury type
  • Abdominal internal bleeding
  • Amputated right arm
  • Chest wound (posterior left)
  • Deep wound on the right leg
Pathologies
  • external hemorrhage, right arm
  • external hemorrhage, right leg
  • internal hemorrhage, vena cava
  • pneumothorax, open, left
Scoring summary
  • PPE
  • M-Blood Sweep
  • M-Exposure
  • M-Place Tourniquet
  • M-Treat Laceration
  • A-Assess Airway
  • R-Treat Tension Pneumothorax
  • R-Treat Open Pneumothorax
  • C-Check Peripheral/Central Pulse
  • H-Assess Pupils
  • H-Hypothermia Management
  • H-Assess Responsiveness (LOC)
  • H-Assess for Neurologic Deficit
  • OP-Extended Assessment
  • Documentation
  • Disposition