TCCC Entrapment

Case Description

Set in a field environment, participants respond to a vehicle crash with two entrapped soldiers quickly requiring extrication. One soldier has a bleeding arm wound that requires a tourniquet, but they can be pulled to safety. The driver has a pinned/crushed leg and is unable to be moved, requiring a field amputation prior to extrication. After extrication, participants should perform a MARCH survey, initiate life saving interventions, and prepare for patient transport.

Learning Objectives

1. Provide tactical field care to a casualty at the point of injury.
2. Triage casualties as required.
3. Evaluate for massive hemorrhage and control all sources of bleeding.
4. Perform an initial assessment for hemorrhagic shock including evaluating mental status and palpating radial pulse, and consider immediate initiation of shock resuscitation efforts.
5. Evaluate a casualty’s airway, obtain vital signs including heart rate and pulse oximetry, and perform indicated airway interventions.
6. Evaluate respirations and breathing, and perform interventions as indicated.
7. Evaluate circulation and perform interventions as indicated.
8. Perform hypothermia prevention and place an HPMK.
9. Provide analgesia to the casualty, including PO and parenteral preparations.
10. Provide antibiotics as indicated based on traumatic injuries.
11. Evaluate wounds and place appropriate dressings for wound care.
12. Perform assessment and management despite distractions such as rain or sandstorm, and be able to perform in low light conditions.