EFMB 2022: Part 2

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

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

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

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

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

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

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

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

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

MIST stands for:

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

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

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

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

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

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 ___

Sedation should be optimized as a priority over pain control.

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

Monitoring _is an important capability for all intubated pts. A rising _could indicate clogged tube or poor ventilation

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

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

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

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

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

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

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

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

During debridement, truncal wounds should be extended _________.

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

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

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

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

Each unit of deglycerolized RBCs is equal to a fresh unit of RBCs since they are frozen w/in 6 days of collection.

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

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

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

The triad of severe cyanide toxicity consists of all of the following EXCEPT:

Over the first 24-48 post burn, ___ is lost into the burned and unburned tissues, causing hypovolemic shock (>20% burn)

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

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

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

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

The risk of transmission for HIV is very high after blast injury and warrants immediate action regardless of region.

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

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

What substances are highly water soluble irritants?

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

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

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

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

The current recommendation of irrigation volume for moderate wounds is:

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

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

Deglycerolized RBCs are derived from __ of whole blood collected in Citrate/Phosphate/Dextrose/Adenine bags

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

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

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

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

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

__transport is required when the pt has a critical illness/injury that impairs a vital organ system.

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

Assurance of __ & debridement is essential to reduce the load of contamination prior to dressing application

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

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

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

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

Blast injuries related to___, present a unique bloodborne pathogen risk if an impaled body part is introduced into pt.

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

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

Propelled explosive devices impaled in a casualty usually consist of:

Which chemical irritant smells like rotten eggs?

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

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

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

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

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

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

The current recommendation of irrigation volume for small wounds is:

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

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

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

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

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

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

Sunburns are an example of ______________ degree burns.

During debridement, extremity wounds should be extended _________.

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

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

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

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.

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

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

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

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

A pt sustained injuries from a suicide bomber: an HBV and HIV test should be obtained _____ and 6 months post exposure.

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

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

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

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

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