Tier 3 Curriculum 015

This casualty was near a drone explosion that occurred 25 minutes ago. You started by providing Care Under Fire, where you saw MASSIVE HEMORRHAGE from both of the patient’s legs. You placed two hasty high and tight tourniquets. Then you moved the patient to safety where you were able to treat the right lower extremity hemorrhage and take the tourniquet down. You replaced the left lower extremity tourniquet with a deliberate tourniquet. The patient is maintaining their AIRWAY. The patient’s chest is clear, and they do not have a RESPIRATORY injury. You identified that the patient’s pelvis was unstable and placed a pelvic binder. You identified that the patient was going into shock. You placed large bore intravenous access and gave one unit of Low-Titer O Whole Blood as well as a dose of Calcium. Then you identified the patient has an A+ blood type and you started a unit of A+ blood that is running now. You already have gloves on. It will take at least two hours to get the patient to a higher level of care. A team member just brought an electronic vital sign monitor to your Casualty Collection Point that can check blood pressure, pulse oximetry, end tidal CO2, and has a cardiac rhythm monitor.

The primary learning objective is to continue reviewing more advanced approaches to monitoring the patient in the CIRCULATION section of MARCH, focusing on the use of Electronic Vital Signs Monitoring and Continuous End Tidal CO2 Monitoring. The estimated time to complete this scenario is 10 minutes. This scenario occurs in the Tactical Field Care Phase.