Trauma Care & Physical Fitness Flashcards

When applying a tourniquet, how far above the wound should it be placed?

Answer: 2–3 inches proximal to the wound

Tourniquets should be placed 2–3 inches proximal to the wound to effectively occlude arterial blood flow.

What does the 'E' in the MARCH algorithm stand for?

Answer: Expose and Examine

In MARCH, 'E' stands for Expose and Examine, ensuring the casualty is fully assessed for hidden wounds.

Which sign indicates a tension pneumothorax requires immediate needle decompression?

Answer: Absent breath sounds on one side with tracheal deviation and hypotension

Absent unilateral breath sounds combined with tracheal deviation and hypotension are hallmark signs of tension pneumothorax.

In the EFMB physical fitness test, what is the minimum passing score on the Army Combat Fitness Test (ACFT) for male candidates?

Answer: 300 points

EFMB candidates must score a minimum of 300 points on the ACFT to meet the fitness standard.

What is the correct site for needle decompression of a tension pneumothorax using the 2nd intercostal space approach?

Answer: Midclavicular line, 2nd intercostal space, superior border of the 3rd rib

The needle is inserted at the 2nd intercostal space, midclavicular line, over the superior border of the 3rd rib to avoid the neurovascular bundle.

What is the maximum volume of fluid recommended for a single 14-gauge needle decompression syringe used in the field?

Answer: This procedure uses a needle, not a syringe for aspiration

Needle decompression uses a large-bore needle inserted to release trapped air; no syringe aspiration is performed in the TCCC protocol.

A casualty has a gunshot wound to the neck with active bleeding. What is the preferred hemorrhage control method?

Answer: Wound packing with hemostatic gauze and direct pressure

Junctional or neck wounds not amenable to tourniquet use should be controlled with wound packing using hemostatic gauze and sustained direct pressure.