PRACTICE QUESTIONS AND
ANSWERS
Which factors influence TCCC?
Hostile fire, tactical considerations, wounding patterns, environmental
considerations, level of first-responder training and experience,
equipment constraints and the potential for significant delays in
evacuation.
What are the phases of care in TCCC?
Care Under Fire/Threat, Tactical Field Care, and Tactical Evacuation
Care.
What is the most essential treatment task in CUF?
Application of a limb tourniquet to control massive bleeding.
What is every first responder's role in CUF?
Suppress hostile fire and/or establish scene safety, assist in self-aid, and
assist in moving casualties
What does MARCH PAWS stand for?
Massive bleeding, airway, respirations (breathing), circulation, and
hypothermia AND head injury, pain, antibiotics, wounds, and splints.
What type of tourniquet found in the CMC Aid Bag is used to control
massive hemorrhage in the axilla that is too proximal for effective limb
tourniquet application?
Junctional Tourniquet
When should you inspect your JFAK, CLS bag, CMC bag and other
Service-specific medical kits?
,Before, during, and after all training events and missions.
What is Care Under Fire?
Care given by the first responder at the scene of the injury while they
and the casualty are still under effective hostile fire or near the threat.
What are the signs of life threatening bleeding?
• Bright red blood is pooling on the ground
• The overlying clothes are soaked with blood
• There is a traumatic AMPUTATION of an arm or leg
• There is pulsatile (pulsing) or steady bleeding from the wound
How long does it take to bleed to death from a complete femoral artery
and vein disruption?
3 minutes or less
What are advantages and disadvantages of one-person drags?
• Advantages: only one rescuer is exposed to enemy fire.
• Disadvantages: they are difficult to perform and can cause the rescuer
to tire quickly.
What are advantages and disadvantages of two-person carries?
• Advantages: they are useful in situations where drags do not work well
and are quicker than most one-person carries.
• Disadvantages: they cause the rescuers to have a higher silhouette
than most drags, and are hard to accomplish with the added weight of
rescuer's and/or the casualty's equipment.
What is the difference between TFC and CUF?
Care rendered once the combat medic/corpsman and casualty are no
longer under direct threat from effective enemy fire. This allows for the
time and the relative safety for a more deliberate approach to casualty
assessment and treatment.
True or False: During TFC, the tactical situation could change back to
CUF again at any time?
, True
What is triage?
The deliberate sorting of casualties and allocation of limited treatment
resources according to a system of priorities designed to maximize the
number of survivors on the battlefield.
What is a CCP?
Location on the battlefield for the triage, treatment and monitoring, and
the packaging/staging of casualties for evacuation. The CCP should be
established reasonably close to the fight where casualties are likely to
occur, be near natural "lines of drift", provide relative cover and
concealment from the enemy whenever possible, and have access to
evacuation routes.
In which phase of care is most of the Tactical Trauma Assessment
performed?
Tactical Field Care
Why is it important to assess the casualty's mental status?
They may need to be disarmed and to have communications equipment
removed. Following their mental status throughout the assessment may
help responders identify changes in clinical status, leading to early
casualty reassessment.
What is a blood sweep?
A rapid visual and palpable head-to-toe check of the front and back of
the casualty for any unrecognized life-threatening bleeding.
What is the proper distance a deliberate tourniquet should be placed
from the bleeding site in TFC?
A deliberate tourniquet placed in TFC should be 2-3 inches above
(proximal) to the site of bleeding.
What are the differences between the high & tight hasty tourniquets
placed in CUF and the deliberate tourniquets placed in TC?