Tier 3 Course 018

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

Good job, you successfully placed a 16 Gauge intravenous catheter.
Good job, you successfully placed a 16 Gauge intravenous catheter.
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

Place non-adherent dressing on the left lower arm (deep wound)
Events: Medication Administration: Give Naloxone Syringe 40mg/mL
Events: Medication Administration: Give Fentanyl Lollipop 800mcg
Events: Medication Administration: Give Acetaminophen 10 500mg
Events: Medication Administration: Give Ondansetron Tablet 4mg
Events: Medication Administration: Give Ketamine 50mg
Place oxygen mask
Hypothermia Management: Place Blanket
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
Available blood and fluids
  • 1100 500
  • 1101 250
  • 1102 250
  • 1103 250
  • 1104 250
  • 1105 250
  • 1106 250
  • 1107 250
  • 1108 250
  • 1109 250
  • 1110 250
  • 1111 250
  • 1112 250
  • 1113 250
  • 1114 250
  • 1115 250
  • 1116 250
  • 1117 250
  • 1118 1000
  • 1119 500
  • 1120 250
  • 1121 100
  • 1122 1000
  • 1123 500
  • 1124 250
  • 1125 100
  • 1126 1000
  • 1127 1000
Injury type
  • Burned left leg
  • Burned right leg
  • Deep wound on the right arm
  • Eye cornea trauma, left side
  • Hemorrhage from the ear
  • Left lower hand burn
Pathologies
  • external hemorrhage, right arm
Scoring summary
  • Dress Wounds
  • Administer Naloxone
  • Administer Fentynal
  • Administer Acetaminophin
  • Administer Ondansteron
  • Administer Ketamine
  • Administer Oxygen
  • H - Place Blanket
  • Documentation
  • Disposition