EFMB 2022: Part 2

Deglycerolized Red Blood Cells are derived from _____ ml of whole blood collected in Citrate/Phosphate/Dextrose bags

You are concerned that infection is present for a patient with immersion foot, which bacteria should treatment target?

Only enemy patients require an initial inspection to remove all weapons and ammo, friendly should be treated immediately

Which chemical irritant may produce a severe cough with laryngospasm when exposed to high concentrations?

Trauma care facilities should monitor adherence to antimicrobial prophylaxis regimens as listed in the JTS guidelines

Who assumes risk of reduced capability when a medevac organization can't provide the required intratheater en route care

Continuous infusions should be stopped _______ to obtain a reliable physical examination.

Adjuncts can increase the effectiveness of narcotics to treat pain while reducing side effects. Examples of adjuncts?

During debridement, truncal wounds should be extended _________.

The triad of severe cyanide toxicity consists of:

Which chemical irritant has a sweet, pleasant smell of mown hay?

All retained ordnance impaled in a patient should be considered "armed".

A provider of prolonged field care must first and foremost be an expert in __________.

For impaled ordnance, the _________ can provide advice on specific concerns to prevent detonating the device.

Sedation should be optimized as a priority over pain control.

How long does it take to thaw frozen red blood cells in a 42°C water bath?

Which of the following is the most commonly available antidote for cyanide poisoning?

________________, in parenteral doses of 0.15-0.3 mg/kg, has been shown to reduce pain scores when used with morphine

How frequently are CLEW software updates on the i-STAT device are mandated?

Sunburns are an example of ______________ degree burns.

____________ is a syndrome related to prolonged exposure to moisture causing water logged of the feet.

Amputation of a limb with an impaled UXO may occur when?

What must be established prior to making the diagnosis of cold injury?

Optimal operating temperature for the i-STAT is 16-30 degress Celcius (61-86 degree Fahrenheit).

Antimicrobial drug usage has no impact on the development of multidrug resistant organisms

The gold standard for unstable patient transport is movement with critical care capability led by a ____________

The DoD/VA Pain Rating Scale requires patients to select their pain level on a scale of 0-10, with 10 being ___________.

The goal for patients with delirium is to achieve a delirium free state as measured by the __________.

The risk of transmission for human immunodeficiency virus is very high after blast injury and warrants immediate action

Which approved Joint Trauma System patient care record (PCR) is used for Critical Care Air Transport Team movements?

During the re-warming process for frostbite, which medications should be utilized liberally for pain management?

High index of suspicion must be present when treating patients exposed to carbon monoxide despite normal PaO2 and SpO2

When running the i-STAT external simulator the electronic simulator will fail if high relative humidity interferes.

For large wounds, calculate the size of the wound by using the patient's hand size to represent a 1% TBSA.

The Richmond Agitation Sedation Scale (RASS) is used to assess ________.

For an escharotomy incision on a burn patient, you must not carry the incision across any of the involved joints.

RBCs are stored up to 6 days at 1-6 C then frozen in a cryoprotectant (40% glycerol) and stored at -65 C for up to ___

MIST stands for:

For the sake of caution in the field, treat all acute cold injuries presentations of cold injury as frostnip.

_______________ is the main indicator of resuscitation adequacy in burn shock.

Assurance of ________ and is essential to reduce the load of contamination prior to dressing application

For a patient that has severe frostbite on two extremities, what is maximum rate of Tissue Plasminogen Activator (tPA)?

Safe removal of impaled UXO's require significant coordination with:

Which chemical irritant smells like rotten eggs?

Surgical debridement should be done at a definitive care site outside of theater.

When executing a blood draw for the i-STAT on a patient w/ IV fluids in, you must draw blood proximal to an IV site.

Propelled explosive devices impaled in a casualty usually consist of:

What are risk factors of invasive fungal infections assessed for during the first wound debridement?

Who should the final selection of the surgeon(s) to conduct operations on patients with an impaled UXO be left up to?

i-STAT does not recommend the use of ____________ cartridges for patients receiving Propofol or thiopental sodium.

The Acute Pain Service is responsible for _________ pain rounds and reports to the trauma team leader.

Low molecular weight heparin use in patients undergoing epidural anesthesia increases the risk of epidural hematoma

Over the first 24-48 post burn, _______________ is lost into the burned and unburned tissues, causing hypovolemic shock

Early pain control is shown to reduce PTSD and ongoing pain control is an obligatory part of trauma care

What are standardized and validated scoring systems for the assessment of pain, anxiety, and delirium?

Which role of care should have a designated Infection Prevention and Control Officer?

The results from the i-STAT are generally available in ________ minutes or less?

Normal saline, sterile water and potable tap water all have comparable efficacy and safety as irrigation solutions.

A Glasgow Coma Scale (GCS) score of 13-15 indicates a traumatic brain injury (TBI) severity classification of ____ TBI

During debridement, extremity wounds should be extended _________.

Medical direction at the regional level is centered on online medical direction activities.

Metal detector wands are NOT recommended to assist with locating impaled UXOs due to the risk of detonating the device

Medical capability is the ability to provide the expected and required medical services and support to the casualty

_________ transport is required when "the patient has a critical illness or injury that impairs a vital organ system

A patient sustained injuries from a suicide bomber, an HBV and HIV test should be obtained _____ and 6 months after

For patients with an impaled UXO, use a bunker to limit potential trauma from a blast to those not involved in treatment

When using an i-STAT device _____________ and creatine can increase creatinine measurements by 0.20-0.25 mg/dl.

Personnel participating in surgery on a patient with an impaled UXO should wear what protective equipment?

Which chemical irritant causes a "knockdown" effect, sudden loss of consciousness, when exposed to high concentrations?

What is not a narcotic agent of choice approved for repeated Patient Controlled Analgesia (PCA) pump?

Trauma care facilities should monitor adherence to _________ as listed in the Joint Trauma System guidelines

Each unit of deglycerolized RBCs is equal to a fresh unit of RBCs since they are frozen within 6 days of collection

___________ medical direction = protocol development & review, education of prehospital providers, and quality assurance

All facilities should avoid unnecessary empiric use of broad spectrum antibiotics.

What substance is NOT a highly water soluble irritant?

The current recommendation of irrigation volume for moderate wounds is:

Blast injuries related to___________, present a unique bloodborne pathogen risk if an impaled body part is introduced in

Battlefield Acupuncture (BFA) is accomplished by applying needles to which body part?

While the patient is delivered to the receiving treatment facility, the PCR should be maintained with the evac unit

Due to their heavy contamination etc., how long should the closure of blast wounds be avoided after the injury occurs?

A______is an iatrogenic event where a surgical instrument is left behind and the wound proceeds to definitive management

The commander of the unit assigned to perform medevac should appoint the unit's ________________ as the medical director

Plain water is ineffective for shock resuscitation and can cause hyponatremia.

Prolonged duration of prophylaxis may decrease long term rates of infections in pts. with combat-related open fractures.

Which imaging device is considered safe with respect to potential inadvertent triggering of a UXO?

All wounds must be closed prior to arrival at a definitive care location to prevent further bacterial introduction.

The senior military person present, along with the senior medical person, decides when to request medevac and precedence

How long does it take to thaw frozen red blood cells in a plasma thawer?

Monitoring ____ is an important capability for all intubated pts. A rising _____ could indicate clogging of endotrachea

The current recommendation of irrigation volume for small wounds is:

If a third degree frostbite forms an eschar, it should be immediately debrided, even if in an operational environment.

Which can cause mucosal irritation, severe upper airway irritation, and alkali skin burns when reacting with water?

What are some factors that will qualify a patient with cold injuries as candidate for Thrombolytic Therapy?

All patients with burn covering greater than __________ percentage total body surface area (TBSA) should be intubated.

The i-STAT device will function for 15 days with expired software.

______________ is a safe antiemetic for adults and is increasingly the therapy of choice for acute trauma-related nausea

The Acute pain service (APS) should be established and be an integral part of casualty care starting at the Role I.

What is the MINIMUM recommendation regarding airway management when providing prolonged field care for a burn patient?

The ABCDE's are incorporated into treatment plans to prevent delirium in critically injured patients..."E" stands for:

Daily __________of ICU patients has shown a reduction of infections with vancomycin-resistant enterococci (VRE) and MRSA