Tactical Combat Casualty Care (TCCC) Exam Questions And Answers
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Course
TCCC
Institution
TCCC
Prior to 9/11, what was combat medical training modeled on? - ANS Emergency Medical Technician and Advanced Trauma Life Support
What often causes a junctional hemorrhage? - ANS IEDs
tension pneumothorax - ANS Air escapes from the injured lung and pressure builds up in ...
Tactical Combat Casualty Care (TCCC)
Exam Questions And Answers
Prior to 9/11, what was combat medical training modeled on? - ANS Emergency Medical
Technician and Advanced Trauma Life Support
What often causes a junctional hemorrhage? - ANS IEDs
tension pneumothorax - ANS Air escapes from the injured lung and pressure builds up in
the chest which collapses the lung and pushes on the heart. The compressed heart is then not
able to pump well.
What is the leading cause of preventable death on the battlefield? - ANS hemorrhagic
shock
What is the second leading cause of preventable death on the battlefield? - ANS tension
pneumothorax
What are the three objectives of TCCC? - ANS 1. Treat the casualty
2. Prevent additional casualties
3. Complete the mission
What does the prehospital arm of the Joint Trauma System include? - ANS 42 members
from all services in DoD and civilian sector; trauma surgeons, emergency medicine, critical care
physicians, combatant unit physicians, medical educators, combat medics, corpsmen, PJs;
100% deployed experience as of 2017
What is the "Triple Option" for battlefield analgesia? - ANS PO meds, OTFC, ketamine
How was TCCC used early in the Iraq and Afghanistan conflicts? - ANS It was not widely
used at the start of the wars, but increased in use by both Special Operations and conventional
units beginning in 2005.
Up to how many combat deaths today are potentially preventable? - ANS 24%
What are the three phases of care in TCCC? - ANS Care Under Fire (CUF), Tactical Field
Care (TFC), TACEVAC Care
,Where is the limb tourniquet placed? - ANS Over the uniform clearly proximal (2-3 inches)
to the bleeding site, but if it is not obvious, place the tourniquet "high and tight" (as proximal as
possible) on the injured limb.
During which phase should airway management be performed? - ANS Tactical Field Care
phase
What are the major concerns of CUF? - ANS suppression of enemy fire and moving
casualties to cover
If you must move a casualty under fire, what should be considered? - ANS location of
nearest cover; how best to move him/her; risk to rescuers; weight of casualty and rescuer;
distance to be covered; use suppression fire and smoke to best advantage; recover casualty's
weapons if possible
Do penetrating head and neck injuries require C-spine stabilization? - ANS No
What are the types of carries for CUF? - ANS 1. One-person drag with/without line
2. Two-person drag with/without line
3. SEAL Team Three Carry (Shoulder-Belt Carry)
4. Hawes Carry (Modified Fireman's Carry or Pack Strap Carry)
How do you stop burning in CUF? - ANS with any non-flammable fluids, by smothering, or
by rolling on the ground
What is the number one medical priority in CUF? - ANS early control of severe hemorrhage
How many deaths occurred in Vietnam secondary to hemorrhage from extremity wounds? -
ANS over 2500
What are signs of life threatening bleeding? - ANS pulsing or steady bleeding from the
wound; blood is pooling; clothes soaked with blood; bandages covering the wound are
ineffective and steadily becoming soaked with blood; traumatic amputation of arm or leg; there
was prior bleeding and patient is now in shock
If the first tourniquet fails to control the bleeding, what should be done? - ANS Place a
second tourniquet just above (proximal) the first.
Where should a tourniquet not be placed? - ANS directly over the knee, elbow, a holster,
cargo pocket that contains bulky items
How tight should the tourniquet be? - ANS It should stop the bleeding and eliminate the
distal pulse.
, True or False: You should periodically loosen the tourniquet to allow blood flow to the injured
extremity - ANS False
How long should you hold direct pressure on a hemostatic agent (e.g. combat gauze)? - ANS
3 minutes
What is the M in MARCH? - ANS Massive hemorrhage: control life-threatening bleeding
What is the A in MARCH? - ANS Airway: maintain a patent airway
What is the R in MARCH? - ANS Respiration: decompress tension pneumothorax, seal
open chest wounds, support ventilation/oxygenation
What is the C in MARCH? - ANS Circulation: IV/IO access and administer fluids to treat
shock
What is the H in MARCH? - ANS Head injury/Hypothermia: prevent/treat hypotension and
hypoxia to prevent worsening of TBI
What is MARCH? - ANS the sequence of care in TFC
What is XStat best for? - ANS deep, narrow-tract junctional wounds
What are the three hemostatic dressings recommended in the TCCC guidelines? - ANS
combat gauze, Celox gauze, ChitoGauze
Combat Gauze - ANS first choice for hemostatic dressing; a 3 in. x 4 yd. roll of sterile
gauze impregnated with kaolin, a material that causes blood to clot
Celox Gauze/ChitoGauze - ANS active ingredient is chitosan; as effective as Combat
Gauze at hemorrhage control; neither have been tested in the USAISR safety model
chitosan - ANS a mucoadhesive whose function is independent of coagulation cascade;
does not cause reactions in people allergic to shellfish; has been used in combat with
hemostatic dressings since 2004 with no safety issues reported
XSTAT 12 - ANS first expanding wound dressing FDA-cleared for life-threatening junctional
bleeding in the groin or axilla not amenable to tourniquet application; a temporary device for use
up to 4 hours
How does the XSTAT 12 work? - ANS Syringe-like applicator injects 38 compressed
minisponges into deep wounds which rapidly expand to 10-12 times their volume on contact
with blood within 20 seconds, compressing the wound to stop bleeding
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