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USMC CIS test no. 1 TCCC/MLF/DRILL (Combat Instructor Course) Exam Review 2024
3 Phases of TCCC (tactical combat casualty care) - Care under fire (patient/provider safety/security).
Tactical field care (PMARCHP).
Tactical evacuation care (TACEVAC).
Casualty Collection Point (CCP) - A site that has been pre-designated for the collection, triage, austere medical treatment and stabilization for the evacuation of casualties.
Heat Cramps - Cramping caused by the imbalance of chemicals called electrolytes in the body as a result of excess sweating.
Heat Exhaustion - Caused by loss of body fluids (dehydration) sweating without adequate fluid replacement.
Heat Stroke - Caused by a failure in the bodies cooling mechanism that includes a decrease in the bodies ability to cool itself. It is a medical emergency that may result in death if care is delayed. A service member suffering from heatstroke has been exposed to high temperatures, such as direct sunlight, or dressed in protective over-garments, which caused the body's temperature to rise.
Three types of Heat injuries - heat cramps, heat exhaustion, heat stroke
Types of cold injuries - -Contact freeze: when cold material comes into contact with unprotected skin. Do not touch metal, alcohol, gasoline, anti-freeze, ice or snow with the hands.
-Frostnip: a precursor to frostbite and reduces visible signs of skin blanching and numbness in localized tissue. Typically seen on face, nose, and ears.
-Chilblains: Small skin lesions that are itchy, tender, and appear as red or purple bumps that occur on the exterior layer of skin.
-Non-freezing (immersion foot): results from damaged peripheral tissue caused by prolonged (hours- days) wet-cold exposure.
-Freezing cold injuries (frostbite): follows frostnip, ranges from mild to severe tissue destruction and possibly the loss of tissue. Frostbite occurs when tissue freezes, with extremities being the most vulnerable.
-Hypothermia: the condition in which the core body temperature is below 95 degrees. Hypothermia in trauma patients is a major concern. Symptoms include shivering, confusion, slurred speech, altered gate, and clumsiness. Usually found in non-ambulatory states either sitting or lying.
Factors that lead to cold weather injuries - Contact with the ground.
Immobile for long periods.
Standing in water.
Exposed to cold for long periods of time.
Deprived of adequate diet or rest.
Improper personal hygiene.
Physical fatigue.
Excessive use of drugs/alcohol.
Individual with past cold injury.
Master Lesson File (MLF) components - Learning analysis worksheet (LAW), learning objectives worksheets (LOWS), concept cards, lesson plan, student outline, supplemental student material, media, instructor preparation guide (IPG), operational risk assessment worksheet (ORAW).
Advantages of Guided Discussion - Groups have more resources than individuals, group memebers are motivated by presence of others, group members feel a stronger esprit de corps and stronger commitment, participation leads to increased understanding, members acquire or improve communication skills useful in other situations, members teach each other for discussing their experiences.
Concept Cards - Identifies all learning objectives, instructional methods and media, and the resources required to conduct the entire lesson, exam, or event.
Lesson Plan - The lesson is written in such detail that an alternate instructor, with minimal preparation time, could effectively deliver the lesson.
Contact Freeze - when cold material comes into contact with unprotected skin. Do not touch metal, alcohol, gasoline, anti-freeze, ice or snow with the hands.
Frostnip - a precursor to frostbite and reduces visible signs of skin blanching and numbness in localized tissue. Typically seen on face, nose, and ears.
Chilblains - Small skin lesions that are itchy, tender, and appear as red or purple bumps that occur on the exterior layer of skin.
Non-freezing (immersions foot/trench foot) - results from damaged peripheral tissue caused by prolonged (hours-days) wet-cold exposure.
Freezing cold injuries (frostbite) - follows frostnip, ranges from mild to severe tissue destruction and possibly the loss of tissue. Frostbite occurs when tissue freezes, with extremities being the most vulnerable.
Hypothermia - the condition in which the core body temperature is below 95 degrees. Hypothermia in trauma patients is a major concern. Symptoms include shivering, confusion, slurred speech, altered gate, and clumsiness. Usually found in non-ambulatory states either sitting or lying.
