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​​First Aid TC 4.02-1, STP 21-1 and FM 4-25.11 & STP 21-24

1. What is the publication for First Aid Skill level 1?
A: STP 21-1 Chapter 2.

2. What does the acronym TCCC stand for?
A: Tactical Combat Casualty Care.

3. How many phases are there for TCCC?
A: Three Phases.

4. What are the phases of TCCC?
A: 1. Care Under Fire.
2. Tactical Field Care.
3. Combat Casualty Evacuation Care.

5. Explain phase 1 Care under fire?
A: you are under hostile fire and are very limited as to the care you can provide.

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​​First Aid TC 4.02-1, STP 21-1 and FM 4-25.11 & STP 21-24. The purpose is to help Soldiers become better educated and earn quicker Army promotions by assisting in not only their army educations but also their college educations as well.  The source for Army Doctrine 2015, NCO 2020 and Doctrine 2020.  The New Army Study Guide.  This site contains questions and answers for Army boards.   It has been designed to assist Soldiers in preparing for promotion boards and competition boards.  All the questions and answers are directly from Army publications and are designed in a way for Soldiers to learn these publications while also preparing for boards.  It is also managed and updated frequently to keep up with changing army publications so please inform TOP if there is outdated material so that he can keep the material relevant and updated.  Also, Please do not hesitate to contact TOP if there is a board subject that you would like to see added. 

​​​6. Explain Phase 2 Care “Tactical Field Care?
A: you and the casualty are relatively safe and no longer under effective hostile fire, and you are free to provide casualty care to the best of your ability.

7. Explain Phase 3 Care “Combat Casualty Evacuation Care?
A: the care rendered during casualty evacuation (CASEVAC).

8. What does the acronym CASEVAC stand for?
A: Casualty Evacuation in Non Medical Vehicle or Aircraft.

9. When would you not provide First Aid to a casualty?
A: If rendering Aid will put your life in Danger or if you find a casualty with no signs of life—no pulse, no breathing.

10. In combat, what is the most likely threat to the casualty's life?
A: From Bleeding.

11. During care under fire, what could attempts to check for airway and breathing do to a rescuer?
A: Can expose the rescuer to enemy fire.

12. When would you NOT attempt to restore the airway?
A: if you find a casualty with no signs of life—no pulse, no breathing.
 
13. What is the 1st Step for Care Under Fire?
A: Return fire as directed or required before providing medical treatment.

14. When would you advise the casualty to “Play Dead”?
A: If the casualty is unable to move and you are unable to move the casualty to cover and the casualty is still under direct enemy fire.

15. What would you do If the casualty is unresponsive?
A: move the casualty, his/her weapon, and mission-essential equipment to cover, as the tactical situation permits.

16. When would you apply a Tourniquet?
A: If the casualty has severe bleeding from a limb. 

17. When would you perform tactical field care?
A: when no longer under direct enemy fire. 

18. During tactical field care what medical equipment is used?
A: Available medical equipment is limited to that carried into the field by the individual Soldier.

19. When evaluating and/or treating a casualty, when would you seek medical aid?
A: as soon as possible. 

20. When would you stop a medical evaluation?
A: If there are any signs of nerve agent poisoning., 

21. How do you determine the levels of consciousness?
A: AVPU: A = Alert; V = responds to Voice; P = responds to Pain; U = Unresponsive.

22. What should you do if the casualty is being burned?
A: take steps to remove the casualty from the source of the burns. 

23. How do you check a casualty's response to pain?
A: rub the breastbone briskly with a knuckle or squeeze the first or second toe over the toenail.

24. What do you do If the casualty is conscious but is choking and cannot talk?
A: stop the evaluation and begin treatment.

25. When would you insert a nasopharyngeal airway?
A: If the casualty is breathing.


26. After inserting a nasopharyngeal airway how would you place the casualty?
A: place the casualty in the recovery position.

27. What could attempting cardiopulmonary resuscitation (CPR) on casualties with fatal injuries on the battlefield result in?
A: may result in additional lives lost as care is diverted from casualties with less severe injuries.

28. What are the situations that CPR on the battlefield should be considered for?
A: Only in the case of nontraumatic disorders.


29. What does CPR stand for?
A: cardiopulmonary resuscitation.


30. What could converting the tourniquet to a pressure dressing save on the casualty?
A: Converting to a pressure dressing may save the Casualty’s Limb.


31. Who should be issued a combat pill pack before deploying on tactical missions?
A: Each Soldier.

32. What does FMC stand for?
A: Field Medical Card.

33. Who should initiate a FMC?
A: The FMC is usually initiated by the combat medic or a certified combat lifesaver.

34. What is the job of A Soldier accompanying an unconscious casualty during CASEVAC?
A: they should monitor the casualty's airway, breathing, and bleeding.

35. What are the signs of a severe airway obstruction?
A: poor air exchange and increased breathing difficulty, a silent cough, cyanosis, or inability to speak or breathe.


36. What is the “One” question you should ask a Casualty you suspect is Choking?
A: "Are you choking?".


37. What should you do if the casualty nods Yes to the Question "Are you choking?”?
A: Render Aid for Conscious Casualty Choking.

38. Can you slap a choking casualty on the back?
A: NO.


39. What could slapping a choking casualty on the back do?
A: This may cause the object to go down the airway instead of out.

40. When should abdominal thrusts not be used?
A: if the victim is in the advanced stages of pregnancy, is very obese, or has a significant abdominal wound.


41. Can clearing a conscious casualty's airway obstruction be done sitting or standing?
A: Either Standing or Sitting.


42. What should happen if a conscious casualty becomes unconscious while attempting to clear an obstruction?
A: lay him/her down and then start mouth-to-mouth resuscitation procedures.

43. What are the 9 signs and symptoms of shock?
A: 1. Sweaty but cool skin.
2. Pale skin.
3. Restlessness or nervousness.
4. Thirst.
5. Severe bleeding.
6. Confusion.
7. Rapid breathing.
8. Blotchy blue skin.
9. Nausea and/or vomiting.

44. What position should a casualty be placed in to treat for shock?
A: Lay the casualty on his/her back unless a sitting position will allow the casualty to breathe easier.

45. When would you not elevate the casualty's legs?
A: If the casualty has an unsplinted fractured leg, an abdominal wound, or a head or spinal injury.

​46. What do you need to start if the casualty is in hypovolemic shock from combat injuries?
A: you may need to establish a saline lock and start an intravenous infusion. 


47. When would you NOT loosen clothing?
A: In a Chemical Environment.


48. What does Immobilizing the limb reduce?
A: Immobilizing the limb reduces muscular activity helping to stop bleeding and reduce pain.

49. What should you do if you must leave the casualty?
A: place his/her head to the side to prevent choking if vomiting occurs.

50. What is the first step for treating any type of burn?
A: Eliminate the source of the burn.

51. What type of materials may melt and cause further injury?
A: Synthetic materials, such as nylon.


52. What could high voltage electrical burns from an electrical source or lightning cause?
A: may cause temporary unconsciousness, difficulties in breathing, or difficulties with the heart (irregular heartbeat).


53. What are blisters caused by a blister agent?
A: Blisters caused by a blister agent are actually burns.


54. Would you decontaminate skin where blisters have already formed?
A: NO.


55. What should you do to clothing that is stuck to the wound?
A: Do NOT attempt to remove clothing that is stuck to the wound. 


56. If the burn is caused by white phosphorus what should the bandage be?
A: Wet.

57. What is significant about electrical burns?
A: Electricity often leaves entry and exit burns.


58. When can you give the casualty small amounts of water to drink when treating burns?
A: If the casualty is conscious and not nauseated.

59. How many different types of burns are there?
A: 4.

60. What are the 4 different types of burns?
A: 1. Thermal Burns.
2. Electrical Burns.
3. Chemical Burns.
4. Laser Burns.


61. What is the first step to treating a casualty for a heat injury?
A: Identify the Type of Heat Injury.

62. What are symptoms for heat cramps?
A: (1) Cramping in the extremities (arms and legs).
(2) Abdominal (stomach) cramps.
(3) Excessive sweating.


63. What are the symptoms for heat exhaustion?
A: (1) Profuse sweating with pale, moist, cool skin.
(2) Headache.
(3) Weakness.
(4) Dizziness.
(5) Loss of appetite.
(6) Cramping.
(7) Nausea (with or without vomiting).
(8) Urge to defecate.
(9) Chills (gooseflesh).
(10) Rapid breathing.
(11) Tingling of the hands and/or feet.
(12) Confusion (not answering easy questions correctly).


64. What are the symptoms for heatstroke?
A: (1) Red (flushed), hot, dry skin.
(2) Weakness.
(3) Dizziness.
(4) Confusion.
(5) Headache.
(6) Seizures.
(7) Nausea.
(8) Stomach pains or cramps.
(9) Respiration and pulse may be rapid and weak.
(10) Unconsciousness and collapse may occur suddenly.


65. What are iced sheets?
A: Sheets soaked in cold/icy water and placed directly onto the skin of the casualty will lower body temperature rapidly.


66. Which heat casualty is a medical emergency that may result in death if treatment is delayed?
A: Heatstroke.

67. Where are the items needed to start a saline lock and/or IV infusion?
A: They are components of a combat lifesaver aid bag or a combat medic aid bag. 

68. Where are the preferred sites for the saline lock and IV?
A: the veins in the crook of the elbow because they are among the largest, most visible, and accessible veins in the arm.

69. What is the next location for a saline lock and IV?
A: the back of the hand, the foot or a vein on the leg.

70. What is the purpose of the constricting band?
A: to stop the blood in the vein from flowing back to the heart causing the vein to enlarge and become easier to locate. 


71. What is the maximum time you can have the constricting band in place for?
A: No more than 2 minutes.

72. How should you apply a constricting band?
A: about 2 inches above the selected infusion (venipuncture) site in such a manner that the band can be released using only one hand.

73. What can be used to prepare the skin for IV needle insertion?
A: Both alcohol  or povidone-iodine.

74. What is the main reason for wearing gloves when you initiate an IV In battle?
A: Cleanliness.


75. What will be felt as the needle enters the vein?
A: A slight "give".

76. How many venipuncture attempts can you make?
A: No more than 2.

77. Why should you not attempt to reinsert the needle it into the catheter?
A: Reinsertion could cause a portion of the catheter to be sheared off, enter the bloodstream, and move to the heart where it could cause cardiac arrest.

78. What does an occlusive dressing do?
A: An occlusive dressing seals the catheter, at its point of insertion, to the surrounding skin.

79. What should you do If an IV is not to be started immediately?
A: you should flush the catheter and examine the site for signs of infiltration.


80. What main Items should you check for if you have a combat lifesaver aid bag prior to going on a mission?
A: IV solution, Check the bag for Expiration date.  a sterile.I V set. Catheter/needle units. 


81. What can happen if you do not remove the air from the tubing?
A: it can enter the bloodstream and rapidly move to the heart. 

​82. What are the signs and symptoms of infiltration of an IV?
A: 1. Unusual pain felt by the casualty at the infusion site.
2. Swelling at the infusion site.
3. Redness at the infusion site.
4. The site is cool to the touch.
5. Clear fluid is leaking around the site.

83. How should you roll a casualty onto their back?
A: The casualty should be carefully rolled as a whole, so the body does not twist.

84. What should you do if foreign material or vomit is in the mouth?
A: remove it as quickly as possible.

85. What are the two methods used to open an airway?
A: Head-tilt/chin-lift method and Jaw-thrust method.

86. Explain how to perform the Head-tilt/chin-lift method?
A: (1) Kneel at the level of the casualty’s shoulders.
(2) Place one hand on the casualty’s forehead and apply firm, backward pressure with the palm to tilt the head back.
(3) Place the fingertips of the other hand under the bony part of the lower jaw and lift, bringing the chin forward.

​87. Explain how to perform the Jaw-thrust method?
A: (1) Kneel above the casualty’s head (looking toward the casualty’s feet).
(2) Rest your elbows on the ground or floor. the jaw, below the ears.
(3) Stabilize the casualty’s head with your forearms.
(4) Use the index fingers to push the angles of the casualty’s lower jaw forward.

88. When do you NOT use the head-tilt/chin lift method?
A: Do NOT use this method if a spinal or neck injury is suspected.

89. What are things you should avoid when doing the Head-tilt/chin lift method?
A: 1. Do NOT use the thumb to lift.
2. Do NOT completely close the casualty’s mouth.
3. Do NOT press deeply into the soft tissue under the chin with the fingers.


90. What is the maximum amount of times you should attempt to use Jaw-thrust method if it does not work?
A: no more than 2 times.

91. When should you insert a NPA?
A: If the casualty is unconscious; if respiratory rate is less than 2 in 15 seconds, and/or if the casualty is making snoring or gurgling sounds.

92. What nostril are most NPAs designed to be placed in?
A: the right Nostril.


93. What are the 2 resuscitation breathing methods to assist a casualty that is not breathing?
A: Mouth to mouth and mouth to nose.


94. Why would you use the mouth to nose resuscitation method?
A: because the casualty has jaw injuries or spasms.

95. How would you perform the mouth to nose resuscitation method?
A: Blow into the nose while holding the lips closed and let air escape by removing your mouth and, in some cases, separating the casualty’s lips.


96. How do you check for the casualties pulse?
A: Use the first two fingers in the groove in the casualty’s throat beside the Adam’s apple on the side closest to you.



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