HCB TCCC EXAM/ PRACTICE EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS – LATEST UPDATE 2026
What are the three objectives of TCCC? –
1. Treat casualty
2. Prevent additional casualties
3. Complete mission
How are the changes in TCCC made? - ANSWER - The Committee on Tactical Combat Casualty Care
(CoTCCC)
What is care under fire? - ANSWER - Care rendered by the first responder or combatant at the scene of
the injury while they're STILL UNDER effective hostile fire.
Combat medical training historically was modeled on what civilian courses? - ANSWER - Emergency
Medical Technician, Advanced Trauma Life Support
What two groups are needed to optimize battlefield trauma care strategies? - ANSWER - Trauma docs
and combat medical personnel
What type of wounds are often caused by IEDs? - ANSWER - Junctional hemorrhage
What is the SECOND LEADING cause of preventable death on the battlefield? - ANSWER - Tension
pneumothorax
What is the FIRST LEADING cause of preventable death on the battlefield? - ANSWER - Hemorrhage
pg. 1
,What are the three objectives of TCCC? - ANSWER - -treat the casualty
-prevent additional casualties
-complete the mission
The prehospital arm of the Joint Trauma System include: - ANSWER - -42 members from all services in
the DoD and civilian sector
-trauma surgeons, emergency medicine, critical care physicians, combatant unit physicians; medical
educators; combat medics, corpsmen, and PJs
-100% deployed experience as of 2017
-meet and update TCCC as needed
What was utilized before TCCC? - ANSWER - Military Medicine Supplement, 1996
What are indications for IV access? - ANSWER - Fluid resuscitation for hemorrhagic shock or significant
risk of shock
• GSW to torso
When do you use TXA? - ANSWER - Casualty is anticipated to need significant blood transfusion
(i.e" presents with hemorrhagic shock, one or more major amputations, penetrating torso trauma, or
evidence of severe bleeding)
How does TXA work? - ANSWER - Prolongs body clotting factors
TXA: Dosage - ANSWER - • 1g in 100cc NS or LR (ASAP but not later than 3 hours after injury) over a 10
minute period.
• Second infusion of 1g after Hextend or other treatment
500 cc Blood Loss - ANSWER - Mental State: Alert
pg. 2
, Radial Pulse: Full
HR: Normal/slightly increased
SBP: Normal
RR: Normal
% death? No
Increased use of TCCC by Special Operations and conventional units began in what year? - ANSWER -
2005
Up to ___% of combat deaths are potentially preventable. - ANSWER - 24
Three phases of care in TCCC - ANSWER - -Care Under Fire
-Tactical Field Care
-TACEVAC Care
In 2017, everyone deploys with at least ___ tourniquets. - ANSWER - 2
What is the placement of a tourniquet over the uniform? - ANSWER - High and tight
(True/False) Airway management is generally best deferred until the Tactical Field Care phase. - ANSWER
- True
What are the major concerns for Care Under Fire? - ANSWER - Suppression of enemy fire, moving
casualties to cover
What is the best medicine on the battlefield? - ANSWER - Fire superiority
Where should you NOT treat the patient if the firefight is ongoing? - ANSWER - Kill zone (The "X")
Casualty Movement Rescue Plan - ANSWER - -location of nearest cover
pg. 3
CORRECT VERIFIED ANSWERS – LATEST UPDATE 2026
What are the three objectives of TCCC? –
1. Treat casualty
2. Prevent additional casualties
3. Complete mission
How are the changes in TCCC made? - ANSWER - The Committee on Tactical Combat Casualty Care
(CoTCCC)
What is care under fire? - ANSWER - Care rendered by the first responder or combatant at the scene of
the injury while they're STILL UNDER effective hostile fire.
Combat medical training historically was modeled on what civilian courses? - ANSWER - Emergency
Medical Technician, Advanced Trauma Life Support
What two groups are needed to optimize battlefield trauma care strategies? - ANSWER - Trauma docs
and combat medical personnel
What type of wounds are often caused by IEDs? - ANSWER - Junctional hemorrhage
What is the SECOND LEADING cause of preventable death on the battlefield? - ANSWER - Tension
pneumothorax
What is the FIRST LEADING cause of preventable death on the battlefield? - ANSWER - Hemorrhage
pg. 1
,What are the three objectives of TCCC? - ANSWER - -treat the casualty
-prevent additional casualties
-complete the mission
The prehospital arm of the Joint Trauma System include: - ANSWER - -42 members from all services in
the DoD and civilian sector
-trauma surgeons, emergency medicine, critical care physicians, combatant unit physicians; medical
educators; combat medics, corpsmen, and PJs
-100% deployed experience as of 2017
-meet and update TCCC as needed
What was utilized before TCCC? - ANSWER - Military Medicine Supplement, 1996
What are indications for IV access? - ANSWER - Fluid resuscitation for hemorrhagic shock or significant
risk of shock
• GSW to torso
When do you use TXA? - ANSWER - Casualty is anticipated to need significant blood transfusion
(i.e" presents with hemorrhagic shock, one or more major amputations, penetrating torso trauma, or
evidence of severe bleeding)
How does TXA work? - ANSWER - Prolongs body clotting factors
TXA: Dosage - ANSWER - • 1g in 100cc NS or LR (ASAP but not later than 3 hours after injury) over a 10
minute period.
• Second infusion of 1g after Hextend or other treatment
500 cc Blood Loss - ANSWER - Mental State: Alert
pg. 2
, Radial Pulse: Full
HR: Normal/slightly increased
SBP: Normal
RR: Normal
% death? No
Increased use of TCCC by Special Operations and conventional units began in what year? - ANSWER -
2005
Up to ___% of combat deaths are potentially preventable. - ANSWER - 24
Three phases of care in TCCC - ANSWER - -Care Under Fire
-Tactical Field Care
-TACEVAC Care
In 2017, everyone deploys with at least ___ tourniquets. - ANSWER - 2
What is the placement of a tourniquet over the uniform? - ANSWER - High and tight
(True/False) Airway management is generally best deferred until the Tactical Field Care phase. - ANSWER
- True
What are the major concerns for Care Under Fire? - ANSWER - Suppression of enemy fire, moving
casualties to cover
What is the best medicine on the battlefield? - ANSWER - Fire superiority
Where should you NOT treat the patient if the firefight is ongoing? - ANSWER - Kill zone (The "X")
Casualty Movement Rescue Plan - ANSWER - -location of nearest cover
pg. 3
