Cls - Lesson 1: Performing Tactical Combat Casualty care
AR CLS lesson 1 for performing tactical combat casualty care. Given a written situation concerning a casualty under combat conditions and possible responses.
Questions and Answers
- 1.
Of the deaths that occur during ground combat, about what percent die before reaching a medical treatment facility (MTF)?
- A.
10%
- B.
50%
- C.
75%
- D.
90%
Correct Answer
D. 90%Explanation
Approximately 90% of deaths that occur during ground combat happen before reaching a medical treatment facility (MTF). This suggests that the majority of fatalities in combat situations happen on the battlefield, highlighting the critical importance of immediate medical attention and support for injured soldiers. This statistic underscores the need for effective combat medical training and resources to minimize casualties and improve survival rates.Rate this question:
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- 2.
Your unit is in ground combat. You see a soldier fall as though he has been shot. Your primary duty is to:
- A.
Continue firing at the enemy.
- B.
Stop firing and go to the fallen soldier.
Correct Answer
A. Continue firing at the enemy.Explanation
In a ground combat situation, the primary duty of a soldier is to continue firing at the enemy. This is because the soldier's main objective is to neutralize the threat and protect their unit. While it is unfortunate that a fellow soldier has fallen, stopping firing and going to the fallen soldier could put the entire unit at risk and potentially lead to more casualties. It is important to prioritize the safety and effectiveness of the unit as a whole in order to accomplish the mission and minimize further harm.Rate this question:
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- 3.
Of the following types of deaths occurring during ground combat and before reaching a medical treatment facility, select the type of preventable death from which more soldiers died.
- A.
Tension pneumothorax.
- B.
Blocked airway.
- C.
Bleeding from wounds to the extremities.
- D.
Heart attack.
Correct Answer
C. Bleeding from wounds to the extremities.Explanation
Bleeding from wounds to the extremities is the type of preventable death from which more soldiers died. This is because severe bleeding from wounds can lead to exsanguination, causing rapid blood loss and ultimately death if not treated promptly. Prompt application of tourniquets and proper wound management techniques can help control bleeding and prevent these deaths. Tension pneumothorax, blocked airway, and heart attack are also serious conditions that can lead to death, but bleeding from wounds to the extremities is more prevalent and preventable in the context of ground combat.Rate this question:
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- 4.
When performing care under fire, which of the following can be rendered before moving the casualty?
- A.
Perform cardiopulmonary resuscitation (CPR).
- B.
Apply a tourniquet to control bleeding.
- C.
Perform needle chest decompression to relieve tension pneumothorax.
- D.
Administer the combat pill pack to control pain and infection.
Correct Answer
B. Apply a tourniquet to control bleeding.Explanation
In the care under fire scenario, the most immediate and life-threatening concern is controlling bleeding. Applying a tourniquet is the most effective way to stop severe bleeding and prevent further blood loss. Performing CPR, needle chest decompression, and administering the combat pill pack are all important medical interventions, but they can be done after the bleeding is controlled and the casualty is moved to a safer location.Rate this question:
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- 5.
You and a casualty are under fire. The casualty is conscious and able to fire his weapon. What should you tell him to do?
- A.
Return fire.
- B.
Radio for help.
- C.
Perform self-aid.
- D.
Shoot randomly in the air to confuse the enemy.
Correct Answer
A. Return fire.Explanation
In a situation where both you and a casualty are under fire, it is important to prioritize self-defense. By telling the casualty to return fire, you are instructing them to engage the enemy and protect themselves. This action can help neutralize the threat and create a safer environment for both of you. Radioing for help and performing self-aid are also important actions, but they should be done after ensuring immediate safety by returning fire. Shooting randomly in the air to confuse the enemy is not a recommended course of action as it can waste ammunition and potentially alert the enemy to your position.Rate this question:
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- 6.
You and a casualty are under fire. The casualty has a severe wound to the arm. You can administer treatment without endangering the mission or yourself. What treatment should you administer?
- A.
Black magic.
- B.
Tourniquet.
- C.
Saline lock.
- D.
IV.
Correct Answer
B. Tourniquet.Explanation
In a situation where both you and the casualty are under fire, the priority is to quickly stop the bleeding and prevent further damage. A tourniquet is the most appropriate treatment in this scenario as it can effectively control severe bleeding from the arm. It can be applied quickly and easily, allowing you to administer immediate aid without putting yourself or the mission at risk. A tourniquet is a proven method to save lives in situations where immediate medical assistance is not readily available.Rate this question:
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- 7.
You have been wounded and are still under enemy fire. You are unable to return fire and there is no safe cover nearby. What should you do?
Correct Answer
play deadExplanation
In this situation, playing dead can be a viable option. By pretending to be dead, you may be able to deceive the enemy and reduce their aggression towards you. This can buy you some time until help arrives or until the enemy moves away. It is important to remain still and not give away any signs of life. However, it is crucial to note that this is not a foolproof strategy and may not always work depending on the circumstances.Rate this question:
- 8.
You can move a casualty out of enemy fire. Should you try to retrieve his weapon also?
- A.
No.
- B.
Yes.
Correct Answer
B. Yes.Explanation
When moving a casualty out of enemy fire, the priority should be to ensure their safety and provide medical assistance if necessary. Retrieving their weapon can be considered secondary and should only be done if it can be accomplished without jeopardizing the safety of the casualty or the rescuer. It is important to remember that the primary goal is to save lives and protect individuals from harm.Rate this question:
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- 9.
A nasopharyngeal air is inserted to maintain the casualty's airway as part of:
- A.
Care under fire.
- B.
Tactical field care.
- C.
Both care under fire and tactical field care.
Correct Answer
B. Tactical field care.Explanation
A nasopharyngeal airway is inserted to maintain the casualty's airway during tactical field care. Tactical field care refers to the immediate care provided to a casualty in a combat environment, after the initial care under fire. This includes interventions to stabilize the casualty's condition and prevent further deterioration until they can be evacuated to a higher level of care. Inserting a nasopharyngeal airway helps to ensure that the casualty's airway remains open and unobstructed, allowing for proper oxygenation and ventilation.Rate this question:
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- 10.
What is in the combat pill pack that you and other soldiers carry in combat?
- A.
Tylenol.
- B.
800m Motrin.
- C.
Chewing gum.
- D.
Pain medication and antibiotics.
Correct Answer
D. Pain medication and antibiotics.Explanation
The combat pill pack carried by soldiers in combat contains pain medication and antibiotics. This is essential for managing pain and treating infections that may occur during combat situations. Pain medication helps alleviate any pain or discomfort experienced by soldiers, while antibiotics are used to treat and prevent infections that can arise from injuries sustained in combat.Rate this question:
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- 11.
A casualty has a significant wound to his leg. The casualty is coherent and has a palpable radial pulse. The wound has been dressed and the bleeding is controlled. What should you do now?
- A.
Initiate a saline lock.
- B.
Nothing, unless the casualty looses consciousness.
- C.
Initiate a saline lock and begin administering intravenous fluids.
Correct Answer
A. Initiate a saline lock.Explanation
In this scenario, the casualty has a significant wound to his leg, but he is coherent and has a palpable radial pulse. The bleeding has been controlled and the wound has been dressed. Initiating a saline lock is the appropriate next step. A saline lock involves inserting a catheter into a vein in order to have access for administering medications or fluids if needed in the future. This allows for quick administration of fluids or medications if the casualty's condition deteriorates. Since the casualty is stable at the moment, there is no need to administer intravenous fluids immediately.Rate this question:
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- 12.
Why must a penetrating chest wound be sealed?
- A.
To keep air from entering through the wound.
- B.
To keep air from escaping through the wound.
- C.
To control bleeding.
Correct Answer
A. To keep air from entering through the wound.Explanation
A penetrating chest wound must be sealed to keep air from entering through the wound. This is important because if air enters the chest cavity, it can cause a condition called a tension pneumothorax. In a tension pneumothorax, the air builds up and puts pressure on the lungs and heart, leading to difficulty in breathing and potentially life-threatening complications. Sealing the wound helps to prevent this from happening and allows for proper medical intervention to be administered.Rate this question:
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- 13.
You are going to administer a combat pill pack to a casualty. You should administer:
- A.
The casualty's pack.
- B.
Your personal pack.
- C.
A pack from your aid bag.
Correct Answer
A. The casualty's pack.Explanation
The correct answer is to administer the casualty's pack. This is because the combat pill pack is specifically designed for the casualty and may contain medication or supplies that are tailored to their needs. Using your personal pack or a pack from your aid bag may not have the necessary items or could potentially be harmful to the casualty. It is important to prioritize the use of the casualty's pack to ensure their safety and well-being.Rate this question:
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- 14.
You are accompanying an unconscious casualty during evacuation. The casualty has an IV. What should you do?
- A.
Monitor the casualty's breathing.
- B.
Monitor bleeding from the casualty's wounds.
- C.
Monitor the casualty's IV.
- D.
All of the above.
Correct Answer
D. All of the above.Explanation
When accompanying an unconscious casualty during evacuation who has an IV, it is important to monitor various aspects of their condition. Monitoring the casualty's breathing is crucial to ensure they are receiving enough oxygen and to detect any changes in their respiratory status. Monitoring bleeding from the casualty's wounds is important to identify any significant bleeding that may require immediate attention. Additionally, monitoring the casualty's IV is essential to ensure that the IV line is functioning properly and that the fluids or medications are being administered correctly. Therefore, all of the above options should be done when accompanying an unconscious casualty with an IV.Rate this question:
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