TP-C flashcards
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32 cards. Read the term and the definition here. The deck at the top of this page is optional.
- Care under fire
- First TECC phase in which the casualty is still under active threat; priorities are returning fire, moving to cover, and controlling life-threatening extremity hemorrhage with a tourniquet before evacuation.
- Tactical field care
- Second TECC phase conducted in a relatively safe position but before evacuation; includes full MARCH assessment, airway management, chest seals, and additional hemorrhage control.
- Tactical evacuation care
- Third TECC phase during transport; adds monitoring, pain management, antibiotics, wound care, and splinting to the MARCH priorities already addressed in the field.
- MARCH sequence
- TCCC/TECC primary assessment order: Massive hemorrhage, Airway, Respiration, Circulation, Head injury and hypothermia prevention. It replaces the civilian ABCDE order in tactical settings.
- MARCH PAWS
- Extended tactical assessment adding Pain management, Antibiotics, Wounds, and Splinting after the initial MARCH priorities are addressed during tactical evacuation care.
- Tourniquet placement
- Apply 2-3 inches proximal to the wound and never directly over a joint; tighten until hemorrhage stops and distal pulse is absent; record application time and do not loosen in the tactical setting.
- Junctional hemorrhage control
- Bleeding from the groin, axilla, or neck that cannot be controlled with a tourniquet; treat with hemostatic gauze packing, at least 3 minutes of direct pressure, and a junctional pressure device.
- Hemostatic gauze packing
- Wound-packing technique using kaolin- or chitosan-impregnated gauze; pack deeply and firmly into the wound tract, then hold direct pressure for at least 3 minutes before reassessment.
- Tension pneumothorax signs
- Progressive respiratory distress, unilateral absent breath sounds, hypotension, distended neck veins, and late tracheal deviation; requires immediate needle decompression before cardiac arrest occurs.
- Needle decompression sites
- Preferred site is the 4th or 5th intercostal space at the anterior axillary line; alternative is the 2nd intercostal space at the midclavicular line. Use a 14-gauge, 3.25-inch needle.
- Chest seal application
- Place an occlusive or vented chest seal over open chest wounds during tactical field care; if respiratory status deteriorates, burp or remove the seal to allow trapped air to escape.
- Hypothermia prevention
- Continuous tactical priority because hemorrhage and shock accelerate heat loss; remove wet clothing, apply passive insulation, and use active warming even in warm climates.
- Tactical casualty triage categories
- TECC uses urgent (life-threatening, surgery within 2 hours), priority (within 4 hours), and routine categories, mapped to red, yellow, and green triage colors respectively.
- Ketamine analgesia
- Preferred analgesic for hemodynamically unstable tactical casualties; provides dissociative analgesia without significant respiratory depression at sub-dissociative doses when the airway is monitored.
- Oral transmucosal fentanyl
- Alternative analgesia when IV access is unavailable and the airway is secure; absorbed through the buccal mucosa and requires monitoring for respiratory depression.
- Tactical combat casualty care
- Evidence-based prehospital trauma care framework for military and tactical settings that organizes care into care under fire, tactical field care, and tactical evacuation care phases.
- Tourniquet conversion
- Replacing a tourniquet with a pressure dressing when the casualty is in a safe, monitored setting and bleeding is controlled; not performed in the tactical field environment.
- Wound packing technique
- Insert hemostatic gauze deep into the wound tract until it resists, then maintain firm direct pressure; document packing and reassess for ongoing hemorrhage and distal perfusion.
- Sucking chest wound
- Open chest injury with air movement through the wound; manage with a vented chest seal during tactical field care and monitor for tension pneumothorax development.
- Tactical evacuation platform
- Vehicle or aircraft used to move casualties; en route care includes monitoring, pain management, antibiotic administration, wound reassessment, and splinting of fractures.
- Hemostatic dressing types
- Kaolin-impregnated gauze (Combat Gauze) and chitosan-based dressings are common; both require deep packing and sustained direct pressure to be effective.
- Tactical airway management
- Airway interventions are deferred until in cover; options include positioning, nasopharyngeal airway, supraglottic airway, and cricothyrotomy for complete obstruction.
- Cricothyrotomy indication
- Complete upper airway obstruction or inability to ventilate after failed basic and supraglottic airway attempts; performed as a surgical airway in tactical field care.
- Tactical casualty movement
- Moving a casualty to cover during care under fire uses drags, carries, or litter techniques; the rescuer's safety and the mission take priority over casualty comfort.
- Tactical triage
- Sorting casualties by urgency under TECC; uses the same red/yellow/green/black color scheme as civilian triage but accounts for delayed evacuation times in tactical settings.
- Antibiotic administration
- Part of MARCH PAWS during tactical evacuation care; oral or IV antibiotics are given for open wounds and burns to reduce infection risk during prolonged evacuation.
- Splinting in tactical care
- Applied during tactical evacuation care for suspected fractures; splint before movement to reduce pain and prevent further neurovascular injury during transport.
- Head injury management
- Part of MARCH; maintain oxygenation, avoid hypotension, elevate the head if no shock, and monitor for signs of increased intracranial pressure during tactical care.
- Tactical paramedic scope
- Extends beyond civilian paramedic practice to include tourniquets, hemostatic dressings, chest seals, needle decompression, and tactical analgesia under protocol.
- Direct threat care
- Another term for care under fire; emphasizes threat suppression, casualty extraction to cover, and rapid tourniquet application for extremity hemorrhage only.
- Indirect threat care
- Another term for tactical field care; conducted when the casualty is in a relatively safe position but evacuation has not yet begun; includes full MARCH assessment.
- Prolonged field care
- Extended tactical care when evacuation is delayed beyond standard timelines; requires monitoring, fluid resuscitation, pain control, and prevention of hypothermia and infection.