007 Tier 2 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.

Patient Communication

Patient: Can you tell me your name?
Response: I think it's Robert? I don't actually remember and it's hard to talk.
Location: Head
Patient: Do you remember what happened?
Response: I think there was an explosion. Then gunfire.
Location: Head
Patient: Do you feel any pain?
Response: Yes. My chest, head, arms, leg, it's all killing me. Please help me.
Location: Head
Patient: Do you have any medical problems?
Response: No medical problems that I know of.
Location: Head
Patient: Do you have any allergies?
Response: No. I don't have any allergies that 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 really hurts to breathe.
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 it's ok.
Location: Head
Patient: Are your lips or tongue swollen?
Response: No. I think they are doing ok.
Location: Head
Patient: Is your voice hoarse or different?
Response: It seems about the same as usual.
Location: Head

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
  • Trauma shears
  • 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
  • Deep wound on the right arm
  • Eye cornea trauma, left side
  • Groin junctional wound, left side
  • Gunshot entry wound, chest left
  • Open fracture of the right thigh with visible bone
Pathologies
  • external hemorrhage, right arm
  • external hemorrhage, left kidney
  • external hemorrhage, left leg
  • pneumothorax, open, left
Scoring details
  • PPE
  • M-Exposure
  • M-Blood Sweep
  • M-Place Tourniquet
  • M-Treat Laceration
  • M-Treat Groin Wound
  • A-Assess Airway
  • R-Treat Tension Pneumothorax
  • R-Treat Open Pneumothorax
  • C-Check Peripheral/Central Pulse
  • H-Treat Fracture
  • H-Assess Pupils
  • H-Assess Responsiveness (LOC)
  • H-Assess for Neurologic Deficit
  • H-Hypothermia Management
  • OP-Extended Assessment
  • Documentation
  • Disposition