Study Guide HCB TCCC Test
Questions with All Accurate Answers
2025-2026 Updated.
TCCC is used by who? - Answer Army, Navy, Air Force, Marine Corps, and Coast Guard
Who is the only one who can make changes to the TCCC standard? - Answer The Committee
on Tactical Combat Casualty Care
What does H stand for in P-MARCH-P? - Answer Head injury/ Hypothermia (not just head
trauma)
What is the only intervention to be placed on the "X"? - Answer A tourniquet
How often do you reassess interventions in relation to moving a PT? - Answer Immediately
after you have completed moving them
How is Tranexamic Acid (TXA) administered? - Answer 1 gram fused with 100 milliliters of
normal saline over 10 minutes (with a maximum of two doses to safely administer to the PT)
How is Hetastarch (Hextend) administered? - Answer 500 milliliters bolus (max dose 1000
mL)
What is the main function of medications like Hextend and RIngers Lactate? - Answer
Increases blood volume (not oxygen levels)
How is Fentanyl (actiq) administered? - Answer 400-800 micrograms in the form of a lozenge
to be placed between the cheek and gum and taped to the PT's finger (max: 1600 mcg/d)
How is Ketamine (ketalar) administered? - Answer 50 mg (IM or IN) q30 minutes
or
20 mg (slow IV or IO) q20 minutes
(max: 100 mg)
How is Moxifloxacin (Avelox) administered? - Answer a 400 mg tablet or via IV
, Indications that the PT has lost 2000 cc's of blood (decompensated) - Answer Mental status:
confused/ lethargic
Radial Pulse: weak
HR: 120+
SBP: decreased
RR: >35
Will the PT die?: maybe
If the PT has an absent radial pulse what does that indicate and how should it be treated? -
Answer The PT has a TBI and you should treat for shock
What does high ambiente light affect negatively? - Answer The oxygen saturation reading
If the PT has burns covering the face, but is still breathing, what steps are taken to protect the
airway? - Answer Sit them up if that makes breathing easier and monitor the respirations
aggressively
True or false: It is okay to remove hemostatic dressings (i.e. combat gauze) and replace them if
they become blood soaked and are no longer seeming to adequately function? - Answer
True
What are the two acceptable locations for needle decompression? - Answer 2nd intercostal
space at the midclavicular line
4th or 5th intercostal space at the ANTERIOR axillary line
How big is the needle/catheter used for a needle decompression? - Answer 14 gauge, 3.25"
needle/catheter
What fluid resuscitation is best and worst when treating for shock? - Answer Hextend is best,
Crystalloids (NS) is worst
How is intracranial pressure reduced in the case of a TBI? - Answer 250 mL of Hypertonic
Saline (3-5%), elevate the head 30 degrees, and hyperventilate
What SPO2 should be maintained for a PT with a potential TBI? - Answer Above 90%
How is a penetrating eye injury treated? - Answer A eye shield and administer a rapid field
test for visual acuity
Questions with All Accurate Answers
2025-2026 Updated.
TCCC is used by who? - Answer Army, Navy, Air Force, Marine Corps, and Coast Guard
Who is the only one who can make changes to the TCCC standard? - Answer The Committee
on Tactical Combat Casualty Care
What does H stand for in P-MARCH-P? - Answer Head injury/ Hypothermia (not just head
trauma)
What is the only intervention to be placed on the "X"? - Answer A tourniquet
How often do you reassess interventions in relation to moving a PT? - Answer Immediately
after you have completed moving them
How is Tranexamic Acid (TXA) administered? - Answer 1 gram fused with 100 milliliters of
normal saline over 10 minutes (with a maximum of two doses to safely administer to the PT)
How is Hetastarch (Hextend) administered? - Answer 500 milliliters bolus (max dose 1000
mL)
What is the main function of medications like Hextend and RIngers Lactate? - Answer
Increases blood volume (not oxygen levels)
How is Fentanyl (actiq) administered? - Answer 400-800 micrograms in the form of a lozenge
to be placed between the cheek and gum and taped to the PT's finger (max: 1600 mcg/d)
How is Ketamine (ketalar) administered? - Answer 50 mg (IM or IN) q30 minutes
or
20 mg (slow IV or IO) q20 minutes
(max: 100 mg)
How is Moxifloxacin (Avelox) administered? - Answer a 400 mg tablet or via IV
, Indications that the PT has lost 2000 cc's of blood (decompensated) - Answer Mental status:
confused/ lethargic
Radial Pulse: weak
HR: 120+
SBP: decreased
RR: >35
Will the PT die?: maybe
If the PT has an absent radial pulse what does that indicate and how should it be treated? -
Answer The PT has a TBI and you should treat for shock
What does high ambiente light affect negatively? - Answer The oxygen saturation reading
If the PT has burns covering the face, but is still breathing, what steps are taken to protect the
airway? - Answer Sit them up if that makes breathing easier and monitor the respirations
aggressively
True or false: It is okay to remove hemostatic dressings (i.e. combat gauze) and replace them if
they become blood soaked and are no longer seeming to adequately function? - Answer
True
What are the two acceptable locations for needle decompression? - Answer 2nd intercostal
space at the midclavicular line
4th or 5th intercostal space at the ANTERIOR axillary line
How big is the needle/catheter used for a needle decompression? - Answer 14 gauge, 3.25"
needle/catheter
What fluid resuscitation is best and worst when treating for shock? - Answer Hextend is best,
Crystalloids (NS) is worst
How is intracranial pressure reduced in the case of a TBI? - Answer 250 mL of Hypertonic
Saline (3-5%), elevate the head 30 degrees, and hyperventilate
What SPO2 should be maintained for a PT with a potential TBI? - Answer Above 90%
How is a penetrating eye injury treated? - Answer A eye shield and administer a rapid field
test for visual acuity
