Field Medical Training Battalion (EAST)
Casualty Assessment
Performance Exam
Student Name: ____________________________ SSN # __________________ PLT:_______
Evaluator Name: _________________________________
Scenario#:_____ Attempt#: 1
2
3
CARE UNDER FIRE
NOTES
TIME:
Return fire, and take cover
Direct or expect casualty to remain engaged as a combatant, if appropriate
Direct casualty to move to cover and apply self-aid, if able
Try to keep the casualty from sustaining additional wounds
Stop LIFE-THREATENING hemorrhage if tactically feasible
-
Direct casualty to control hemorrhage by self-aid, if able
Use a tourniquet for life threatening external hemorrhage
For hemorrhage not controlled with a tourniquet, apply HemCon or QuikClot dressing with pressure
C-SPINE CONSIDERATION– (PRN) *Dependent upon MOI
TIME (5 Minutes max time limit):
TACTICAL FIELD CARE
NOTES
Casualties with an altered mental status should be disarmed immediately
AIRWAY ASSESSMENT (for UNCONSCIOUS PATIENT)
Assess Airway
Casualty with airway obstruction or impending airway obstruction
- Chin lift or jaw thrust maneuver
- Consider Nasopharyngeal airway
- If previous measures unsuccessful perform a cricothyroidotomy
REASSESS AIRWAY ADJUNCT
BREATHING
NOTES
NOTE RESPIRATORY EFFORT
INSPECT/ AUSCULTATE PALPATE Anterior Chest
TREAT LIFE THREATS
LOG ROLL (Log roll IF chest or abdominal wounds are noted)
TREAT/ REASSESS
BLEEDING
PULSE CHECK
BLOOD SWEEP
* Assess for unrecognized hemorrhage, and control all sources of bleeding.
ASSESS PULSES
* Assess radial pulse for quality.
2-119
NOTES
Revised July 2008
Field Medical Training Battalion (EAST)
Casualty Assessment
Performance Exam
BLEEDING (con’t)
NOTES
TOURNIQUET CONVERSION
* Assess for possibility of tourniquet conversion to a pressure dressing or a HemCon dressing as
appropriate
IV/IO ACCESS (FLUID CONSIDERATION)
* Determine fluid resuscitation needs
* If NOT in shock: No IV fluids necessary, PO fluids if conscious
* If in shock: Hextend 500 mL IV, Repeat in 30 minutes if still in shock, No more than 1000 mL of
Hextend
PREVENTION OF HYPOTHERMIA
MONITOR VITAL SIGNS
HEAD (DCAP-BTLS)
NOTES
SKULL
EYES
EARS
NOSE
MOUTH
TREAT/ REASSESS
NECK (DCAP-BTLS)
NOTES
ASSESS NECK
TREAT/ REASSESS
CHEST (DCAP-BTLS)
NOTES
INSPECT/ AUSCULTATE/ PALPATE
TREAT / REASSESS
ABDOMEN (DCAP-BTLS)
NOTES
INSPECT/ PALPATE
TREAT / REASSESS
PELVIS (DCAP-BTLS)
NOTES
INSPECT/ PALPATE
TREAT / REASSES
LOWER EXTREMITIES (DCAP-BTLS)
NOTES
INSPECT/ PALPATE
TREAT/ REASSESS
UPPER EXTREMITIES (DCAP-BTLS)
NOTES
INSPECT/ PALPATE
TREAT/ REASSESS
POSTERIOR (DCAP-BTLS)
NOTES
LOG ROLL (If NOT previously done during assessment)
INSPECT/ PALPATE
TREAT/ REASSESS
PAIN MANAGEMENT
NOTES
* Able to fight: Mobic, 15 mg PO qd and Tylenol, 650 mg bilayer caplet, 2 PO q8h
* Unable to fight: (Must have Naloxone available)
* No IV/ IO access: Oral Transmucosal fentanyl citrate, 800 ug, transbuccally
* IV/ IO access: Morphine Sulfate 5 mg, IV, reassess in 10 minutes, repeat every 10 minutes PRN to
control pain, monitor for respiratory depression
* Promethazine, 25 mg, IV/IO/IM PRN for Nausea
2-120
Revised July 2008
Field Medical Training Battalion (EAST)
Casualty Assessment
Performance Exam
IMMOBILIZATION
NOTES
SPLINTING AND SECURING PATIENT FOR TRANSPORT
ANTIBIOTICS
NOTES
* If able to tolerate PO: Moxifloxacin, 400 mg, PO qd
* If NOT able to tolerate PO: Cefotetan, 2g IV/IO (slow push) or IM q12h OR Ertapenem, 1g, IV/IO/IM q 24h
PATIENT TURNOVER
PATIENT TURNOVER
NOTES
VITAL SIGNS AND DOCUMENTATION
TIME (Student must complete the entire Casualty Assessment XP within 30 minutes):
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NOTES:
2-121
Revised July 2008