CCA Casualty - Airway
•
CCA Injuries:
1.
•
Blast injury to face and/or neck causing
airway compromise
2.
Blast injury to lower extremities causing
bilateral partial/full amputation
3.
Any additional distracting injuries can be
proctor dependent
CCA Treatments
•
Tourniquets
•
Surgical Airway
•
IV/IO Access
•
TXA
•
Whole Blood
•
Treatment outcomes
•
Tourniquet application
•
•
•
•
CCA Outcomes
Evaluate tourniquet procedure
Evaluate surgical airway procedure
Evaluate venous or interosseous access
Evaluate TXA administration
Evaluate Whole Blood Transfusion
Evaluate Casualty documentation
•
Success: casualty remains in shock
•
Failure: casualty dies at step 6
MHP1234
MHP1234
Dak Prescott
1234
Mouth
RA
HHD 232d
PCN
Whole Blood
Success: casualty remains in shock
•
Failure: casualty dies at step 6
IV/IO Access
•
Success: casualty remains in shock
•
Failure: unable to admin TXA/WB
TXA administration
•
Success: casualty remains in shock
•
Failure: Continual oozing from stumps
Whole blood administration
•
Success: improve AOx2, decrease HR
•
Failure: casualty remains in shock
IV/IO
1
Ketamine
Ketamine
2
2
Surgical airway
•
450ml
No
Blood
120
130
80/P 80/P
26
28
92%
88%
V
P
10/10 10/10
Yes
Blood
115
80/P
22
90%
V
10/10
20-30 mg IV/IO
50-100 mg IM/IN
Ertapenem
1g
IM
TXA
2g
IV/IO
CCA Casualty - Respiration
•
CCA Injuries:
1.
•
•
•
•
•
•
•
GSW injury to the right arm causing arterial
hemorrhage
2.
GSW injury to right chest with exit wound
causing hemo/pneumothorax
3.
Any additional distracting injuries can be
proctor dependent
CCA Treatments
•
Tourniquets
•
NPA
•
OCD/NDC
•
IV/IO Access
•
TXA
•
Whole Blood
Treatment outcomes
CCA Outcomes
Evaluate tourniquet procedure
Evaluate occlusive dressing
Evaluate needle decompression
Evaluate venous or interosseous access
Evaluate TXA administration
Evaluate Whole Blood Transfusion
Evaluate Casualty documentation
MHR5678
MHR5678
Tony Romo
RA
5678
HHD 232d
Sulfa
Whole Blood
1 2
Ketamine
2 1
Ketamine
450ml
IV/IO
20-30 mg IV/IO
50-100 mg IM/IN
Tourniquet application
•
Success: casualty remains in shock
•
Failure: casualty dies at step 6
Ertapenem
1g
IM
TXA
2g
IV/IO
NDC/OCD application
•
Success: VS improve/remain in shock
•
Failure: increase RR/HR, CAX dies at step 20
•
*Success can also be achieved by burping
OCD* (instructor dependent)
IV/IO Access
•
Success: casualty remains in shock
•
Failure: unable to admin TXA/WB
TXA administration
•
Success: casualty remains in shock
•
Failure: none
Whole blood administration
•
Success: improve AOx2, decrease HR
•
Failure: casualty remains in shock
No
NDC
130
80/P
30
88%
P
10/10
Yes
Yes
No
NDC Blood Blood
130 115
120
80/P
80/P
80/P
26
26
22
90%
90% 92%
V
P
V
10/10 10/10 10/10
•
•
Alternative: removing/burping the chest seal will
have same effect as NDC
Casualty will get mild relief from NDC but will still
remain in shock
CCA Casualty - Junctional
•
CCA Injuries:
1.
•
Grenade injury to the right leg causing
amputation
2.
Grenade injury to left hip with exit wound
causing junctional hemorrhage
3.
Any additional distracting injuries can be
proctor dependent
CCA Treatments
•
Tourniquets
•
Junctional Tourniquet
•
IV/IO Access
•
TXA
•
Whole Blood
•
Treatment outcomes
•
Tourniquet application
•
•
•
•
CCA Outcomes
Evaluate tourniquet procedure
Evaluate junctional tourniquet
Evaluate venous or interosseous access
Evaluate TXA administration
Evaluate Whole Blood Transfusion
Evaluate Casualty documentation
•
Success: casualty remains in shock
•
Failure: casualty dies at step 6
MHA3344
MHA3344
Troy Aikman
RA
3344
HHD 232d
NKDA
Whole Blood
2
2
1
1
450ml
IV/IO
Ketamine
20-30 mg IV/IO
Ketamine
50-100 mg IM/IN
Ertapenem
1g
IM
TXA
2g
IV/IO
Junctional application
•
Success: casualty remains in shock
•
Failure: casualty dies at step 20
IV/IO Access
•
Success: casualty remains in shock
•
Failure: unable to admin TXA/WB
TXA administration
•
Success: casualty remains in shock
•
Failure: none
Whole blood administration
•
Success: improve AOx2, decrease HR
•
Failure: casualty remains in shock
Yes
No
Blood Blood
130
115
80/P
80/P
22
26
89% 91%
V
P
10/10 10/10
•
Casualty should need re-adjustment to the
junctional tourniquet at least once following a
movement