Tier 3 Course 017

Ви надаєте допомогу поблизу лінії фронту. Після того, як ви виконаєте всі життєво необхідні втручання, передбачені для цього етапу догляду, ви можете обрати [Розподіл] на планшеті та вибрати [Медична евакуація на вищий рівень допомоги, Повернення до служби або Констатація смерті], що завершить ваш випадок. Зверніть увагу: на жаль, так само як і в реальному житті, врятувати всіх пацієнтів неможливо. Політика лікування ТІЛЬКИ ДЛЯ ЦЬОГО НАВЧАННЯ передбачає констатацію смерті пацієнта, якщо відсутній пульс понад дві хвилини. У цьому бойовому районі неможливо перевести пацієнта, який потребує активної серцево-легеневої реанімації.

Patient Communication

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

Audio Triggers

This site is okay to use, good job!
This site is okay to use, good job!
This site should not be used because of the pelvic injury. 
This site should not be used because of the pelvic injury. 
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.

Scoring Details

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: Assesment: Check right pupil
Exam: Assesment: Check left pupil
Cervical Spine Stabilization: Place C-Collar
Move the patient into a sitting position
Events: Medication Administration: Give IV HypertonicSaline 3mL
Hypothermia Management: Place Blanket
Wipe the access diaphragm using an alcohol wipe on the right arm
Wipe the access diaphragm using an alcohol wipe on the left arm
Exam: Assessment: Complete TCCC card
Patient disposition: Medical Evacuation

Scenario Details

Scenario Package
TCCC Tier 3 Curriculum
Learner type
  • militaryMedic
Patient severity at start
Serious
Patient severity overall
Serious
Duration to complete
5-10 minutes
Scenario difficulty
Standard
Environment
POI
Equipment
  • Non-Adherent Dressing
  • Duct Tape
  • Eye Guard
  • Intravenous cannula
  • ChestSealPackage
  • SAM splint
  • Combat Application Tourniquet
  • Cardiac electrodes
  • Trauma Shears
  • Decompression needle
  • Blanket
  • Nasopharyngeal airway
  • bandage
  • pressure bandage
  • hemostatic gauze
  • wound packing gauze
  • AlcoholWipe
  • Gloves box
  • PackingGauze
  • TriageTag_Any
  • BVM
  • FaceMaskBVM
  • MedicationPouch
  • Marker
  • JETT
  • Laryngeal mask airway
  • Oxygen saturation device
  • Stethoscope
  • Surgical scalpel
  • Pelvic Binder
  • Blood pressure cuff
  • Yankauer suction tip
  • Cricothyrotomy Tube
  • Intraosseous drill
  • Simple oxygen mask
  • Eldon Card
  • Vital Monitor
  • IV Holder
  • Oxygen Balloon
  • ETCO2
  • Penlight
  • Axial peripheral thermometer
  • BloodCollectionBag
  • Field Medical Card
  • Lubricant
  • Plastic Package
  • Sharps Container (small)
  • Hemostatic Injector
  • Fluid Warmer
  • Defibrillator
Available medications
Injury type
  • Abdominal internal bleeding
  • Amputated left leg at knee
  • Bruise behind right ear
  • Deep wound on the right leg
  • Hemorrhage from the ear
  • Minor head trauma
Pathologies
  • external hemorrhage, left leg
  • external hemorrhage, right leg
  • add liquid bag, Blood
Scoring summary
  • H - Assess LOC
  • H - Check Pupils
  • H - Splint Neck
  • H - Sit Patient Up
  • H - Administer Hypotonic Saline
  • H - Place Blanket
  • Flush IV Line
  • Clean IV line
  • Documentation
  • Disposition