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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)
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 show the injuries. TQ: R Arm, Type: Burn, Time: 02:34; TQ: L Arm, Type: Burn, Time: 02:34; TQ: R Leg, Type: Fall, Time: 02:46; TQ: L Leg, Type: Fall, Time: 02:46. The diagram shows anatomical details like muscles and joints to help precisely document injury locations. The front view shows injuries marked as numbers 4,5 on both arms and 9 on both legs, while the back view shows corresponding markings in the same locations.
Signs & Symptoms: (Fill in the blank)
| Time | 03:14 | 03:29 | ||
|---|---|---|---|---|
| Pulse (Rate & Location) | 101, wrist | 97, wrist | ||
| Blood Pressure | 120/70 | 144/55 | ||
| Respiratory Rate | 23 | 19 | ||
| Pulse Ox % 02 Sat | 90% | 97% | ||
| AVPU | - | - | ||
| Pain Scale (0-10) | 7 | 5 |
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: | Name | Volume | Route | Time |
|---|---|---|---|---|
| Fluid | Matcha Tea | 50 mL | Alpha | 03:10 |
| Blood Product | Double Red | 1 unit | Arm | 03:20 |
| MEDS: | Name | Dose | Route | Time |
|---|---|---|---|---|
| Analgesic (e.g. Ketamine, Fentanyl, Morphine) | Morphine | 10 mg | Arm | 03:04 |
| 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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