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EVAC CATEGORY: II - severe

BATTLE ROSTER #: 87654

TACTICAL COMBAT CASUALTY CARE (TCCC) CARD

NAME (Last, First): Scanner, Hand LAST 4: 0007 DATE (DD-MMM-YY): 01-JAN-24 TIME: 03:00 UNIT: #5678 ALLERGIES: -NA- Mechanism of Injury: (X all that apply) [ ] Artillery [x] Burn [x] Fall [ ] Grenade [ ] GSW [ ] IED [ ] Landmine [ ] MVC [ ] RPG [x] Other: Sad

Injury: (Mark injuries with an X)

Figure
Figure Text:
The image shows front and back views of a human body diagram used for injury documentation. Several areas are marked with 'X' and numbered, indicating burn injuries on both arms and fall injuries on both legs. Four text boxes provide details on the injuries, including the affected body part, injury type, and time of occurrence.

Signs & Symptoms: (Fill in the blank)

Time03:1403:29
Pulse (Rate & Location)101, wrist97, wrist
Blood Pressure120/70144/55
Respiratory Rate2319
Pulse Ox % 02 Sat90%97%
AVPU--
Pain Scale (0-10)75

DD FORM (NUM), (DATE)

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BATTLE ROSTER #: 87654 EVAC CATEGORY: II- severe

Treatments: (X all that apply, and fill in the blank) B: [x] O2 [ ] Needle-D [ ] Chest-Tube [ ] Chest-Seal Type: A: [x] Intact [ ] NPA [ ] CRIC [ ] ET-Tube [ ] SGA Type: C: [ ] Extremity-TQ [ ] Junctional-TQ [x] Pressure-Dressing [x] Hemostatic-Dressing Type:

C:

C:NameVolumeRouteTime
FluidMatcha Tea50 mLAlpha03:10
Blood ProductDouble Red1 unitArm03:20
MEDS:NameDoseRouteTime
Analgesic (e.g. Ketamine, Fentanyl, Morphine)Morphine10 mgArm03:04
Antibiotic (e.g. Moxifloxacin, Ertapenem)
Other (e.g. TXA)

FIRST RESPONDER NAME (Last, First): Second, Param LAST 4: 0002 NOTES: Patient recovering from essentially excessive Scanning of documents causing severe hand burns, after which they passed out and fell very hard. OTHER: [ ] Combat-Pill-Pack [ ] Eye-Shield ([ ] R [ ] L) [ ] Splint [ ] Hypothermia-Prevention Type:

DD FORM (NUM), (DATE)

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