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Chapter 58. Airway Management Under Combat Conditions

What are the goals for trauma care in the tactical setting according to the TCCC principles EXCEPT?

A. treat the casualty

B. apply the same quality of medical care as practiced in the civilian setting

C. prevent additional casualties

D. stop mission

E. complete mission

(D) According to the TCCC principles, casualty treatment, prevention of additional casualties, and the mission completion are of utmost importance.

What is the most important medical measure in a combat situation during the “Care under Fire” phase?

A. initiate an IV and start fluid resuscitation

B. application of a hemostyptic agent in compressible hemorrhage not amenable to tourniquet

C. perform endotracheal intubation in casualties with altered mental status

D. pain therapy by administering aspirin

E. control life-threatening extremity hemorrhage by tourniquet application

(E) According to TCCC guidelines, immediate control of life-threatening extremity hemorrhage by tourniquet application is the most important measure.

What are the preferable airway management measures in the “Tactical Field Care” phase EXCEPT?

A. chin lift or jaw thrust maneuver in unconscious casualties

B. the use of a nasopharyngeal airway, if an airway obstruction persists in unconscious patients

C. endotracheal intubation

D. placing unconscious patients with spontaneous breathing in a semi-prone position

E. perform cricothyroidotomy when nasopharyngeal airway is not effective

(C) According to the TCCC guidelines, (A), (B), (D), and (E) are correct answers. Endotracheal intubation is not recommended, because this technique may be difficult to accomplish even in the hands of a more experienced paramedic personnel and under less austere conditions.

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