TCCC Quiz Bank 2022/2023 with complete solution
What are the 3 objectives of TCCC?
- treat the casualty
- prevent additional casualties
- complete the mission
Who makes the changes in TCCC?
Committee on Tactical Combat Casualty Care (CoTCCC)
- 42 members in DoD/civilian sector
What is the...
TCCC Quiz Bank 2022/2023 with complete solution
What are the 3 objectives of TCCC?
- treat the casualty
- prevent additional casualties
- complete the mission
Who makes the changes in TCCC?
Committee on Tactical Combat Casualty Care (CoTCCC)
- 42 members in DoD/civilian sector
What is the 2nd leading cause of preventable death on the battlefield after
hemorrhage?
tension pneumothorax
What is a junctional hemorrhage?
type of wounds are often caused by IEDS and may result in junctional hemorrhage
What is tension pneumothorax?
- air escapes from injured lung - pressure builds up in the chest
- air pressure collapses lung & pushes on heart
What are the 3 phases in TCCC?
Care Under Fire
Tactical Field Care
TACEVAC Care
What are some guidelines in Care Under Fire?
- return fire & take cover
- direct pt to move to cover/remain engaged as a combatant
- pt should be extricated from burning vehicles/buildings, moved to safety & stop the
burning process
- stop life-threatening external hemorrhage (tourniquet)
- airway management is generally best deferred until the Tactical Field Care phase
What is the best medicine on the battlefield? (CUF)
Fire Superiority
What do you do if the firefight is ongoing? (CUF)
Don't try to treat your casualty in the Kill Zone!
If a casualty is able to move to cover when engaged in a firefight... (CUF)
he should do so to avoid exposing others to enemy fire
If casualty is unable to move & unresponsive when engaged in a firefight... (CUF)
the casualty is likely beyond help & moving him while under fire may not be worth the
risk
If a casualty is responsive but can't move when engaged in a firefight... (CUF)
a rescue plan should be devised if tactically feasible
What should you consider when you must move a casualty under fire? (CUF)
location of nearest cover
how best to move him to the cover
the risk to the rescuers
weight of the casualty/rescuer
distance to be covered
,use suppression fire & smoke to best advantage
recover casualty's weapons if possible
What kind of injuries would you consider c-spine stabilization? (CUF)
neck or spine injuries due to falls, fast-roping injuries, or motor vehicle accidents
apply only if the danger of hostile fire does not constitute a greater threat
When is c-spine stabilization not required? (CUF)
penetrating head & neck injuries
- gunshot wounds (GSW), shrapnel
- penetrating trauma, the spinal cord is either already compromised or is in relatively
less danger than would be the case with blunt trauma
What are the types of carries for Care Under Fire?
- One-person drag with/without a line
- Two-person drag with/without a line
- SEAL Team Three Carry ("shoulder-belt carry")
- Hawes Carry ("Modified Fireman's Carry" or "Pack Strap Carry")
What are the burn preventions in Care Under Fire?
- remove the casualty from burning vehicles or structures ASAP & move to cover
- stop burning with any non-flammable fluids readily accessible, by smothering, or by
rolling on the ground ("stop, drop, roll")
What is the number one medical priority in Care Under Fire?
- early control of severe hemorrhage
- extremity hemorrhage was the most frequent cause of preventable battlefield deaths
- over 2,500 deaths occurred in Vietnam secondary to hemorrhage from extremity
wounds
- injury to a major vessel can quickly lead to shock and death
- only life-threatening bleeding warrants intervention during CUF
If you can only do ONE thing for the casualty, what would it be? (CUF)
stop your casualty from bleeding to death
What are signs of life-threatening bleeding? (CUF)
- when there is a pulsing or steady bleeding from the wound
- blood is pooling on the ground
- the overlying clothes are soaked with blood
- bandages/makeshift bandages used to cover the wound are ineffective & steadily
becoming soaked with blood
- there is a traumatic amputation of arm/leg
- there was prior bleeding & the PT is in shock (unconscious, confused, pale)
What is the first choice to control life-threatening hemorrhage in Care Under Fire?
where a tourniquet can be applied
When do you not use tourniquets? (CUF)
when there is minor bleeding
Where do you place the tourniquet if you are not sure exactly where the major
bleeding site is on the extremity? (CUF)
"high and tight" (as proximal as possible) on the arm or leg
What do you do if the first tourniquet fails to control the bleeding? (CUF)
apply a second tourniquet just above (proximal) to the first
, Where do you not put on a tourniquet? (CUF)
- directly over the knee or elbow
- over a holster or a cargo pocket that contains bulky items
What are some tourniquet mistakes to avoid? (CUF)
- not using one when you should, waiting too long to put it on
- using a tourniquet for minimal bleeding
- putting it on too proximally if the bleeding site is clearly visible
- not taking it off when indicated during TFC
- not making it tight enough (should stop bleeding & eliminate distal pulse)
- periodically loosening the tourniquet to allow blood flow to the injured extremity
What do you do after ANY tourniquet application? (CUF)
monitor the casualty to ensure that the tourniquet remains tight & that bleeding remains
controlled
Where can you NOT apply a limb tourniquet? (CUF)
- neck
- axilla (armpit)
- groin
How long do you hold direct pressure in the use of a hemostatic agent? (CUF)
3 minutes
Airway (CUF)
- no immediate management of airway is anticipated in CUF
- don't take time to est. an airway while under fire
- defer airway management until you have moved the casualty to cover
- combat deaths from compromised airways are relatively infrequent
- if the casualty has no airway in CUF, changes for survival are minimal
What does MARCH stand for?
M - massive hemorrhage
A - airway
R - respiration
C - circulation
H - head injury/hypothermia
What does "M" in MARCH stand for?
massive hemorrhage; control life-threatening bleeding
What does "A" in MARCH stand for?
airway; establish & maintain a patent airway
What does "R" in MARCH stand for?
respiration; decompress suspected tension pneumothorax, seal open chest wounds,
and support ventilation/oxygenation as required
What does "C" in MARCH stand for?
circulation; establish IV/IO access and administer fluids as required to treat shock
What does "H" in MARCH stand for?
head injury/hypothermia; prevent/treat hypotension & hypoxia to prevent worsening of
TBI and prevent/treat hypothermia
What are the TFC guidelines?
- est. a security perimeter in accordance with unit tactical standing operating procedures
and/or battle drills
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