This casualty was near a drone explosion that occurred 9 minutes ago. You started taking care of this patient in Care Under Fire, moved the patient to safety, then identified massive bleeding from a groin wound, and placed wound packing and a pressure bandage. Next, you identified an airway obstruction, which you helped resolve by sitting the patient up. Then you performed a respiratory assessment, which was unremarkable. You already have personal protective equipment (gloves) on. No other interventions have been performed. You are in a SAFE and SECURE location.
The primary learning objective is to review how to control junctional hemorrhage with a junctional tourniquet and to review other advanced hemorrhage control techniques. The estimated time to complete this scenario is 10 minutes. This scenario occurs in the Tactical Field Care Phase. Equipment Available: Combat Medic Bag. Evacuation/Disposition can be done on the tablet. Selecting the patient’s disposition will end the exercise.
Patient: Can you tell me your name?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Do you remember what happened?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Do you feel any pain?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Do you have any medical problems?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Do you have any allergies?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Do you take any medications?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Are you feeling dizzy or confused?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Are you having trouble breathing?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Can you see clearly?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Do you feel any swelling in your throat?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Are your lips or tongue swollen?
Response: The patient is sleepy and looks confused
Location: Head
Patient: Is your voice hoarse or different?
Response: The patient is sleepy and looks confused
Location: Head
The bleeding appears to stop.
The bleeding appears to stop.
Good job remembering to document care. In the field, it would be important to record specific injuries and treatments provided. For this simulator, completing the documentation step is considered sufficient
When performing this assessment, it is critical to avoid rocking the pelvis or putting any strain on the pelvis. The action you performed only checks for evidence of pelvic pain or gross instability. When in doubt, you can liberally place a pelvic binder.
Apply the junctional tourniquet to the left leg
Exam: Assessment: Complete TCCC card
Patient disposition: Medical Evacuation
