Final TCCC Test Questions All Solved
Correctly 2026.
TCCC - Answer Originally a Special Operations research effort • Trauma management plans
that take into account the unique challenges faced by combat medical personnel • Now used
throughout U.S. military and by most allied countries • TCCC has helped U.S. combat forces to
achieve the highest casualty survival rate in history. • Lessons learned have been applied to
civilian law enforcement and public safety through TECC.
Importance of the First Responder - Answer 90% + of all combat related trauma deaths occur
before the casualty reaches a hospital. • The fate of the injured lies in the hands of the one who
provides the first care to the casualty. • LEO on scene.
Prehospital Trauma Care: Tactical vs. Civilian - Answer • Hostile fire • Darkness •
Environmental extremes • Different wounding epidemiology • Limited equipment • Need for
tactical maneuver • Long delays to hospital • Different medical training and experience
TCC Approach - Answer Identify the causes of preventable death on the battlefield • Address
them aggressively • Combine good medicine with good tactics "The 'HOLY GRAIL' of trauma care
outcomes remains eliminating preventable deaths.
Point of Wounding Care - Answer Causes of preventable death for civilian law enforcement: -
Hemorrhage from extremity wounds (60%) - Junctional hemorrhage (where an arm or leg joins
the torso) - Non-compressible hemorrhage (such as a gunshot wound to the chest or abdomen)
- Tension pneumothorax (33%) - Airway problems (6%)
Boston Marathon Bombing - Answer 170 Injured at finish line. • 3 Died. • 13 people suffered
traumatic amputations. • 24 Lives saved because tourniquets were used effectively.
Three Objectives of Casualty Care - Answer 1. Complete the Mission. 2. Treat the Casualty. 3.
Prevent Additional Casualties
Phases of Care: Timing is Everything - Answer Casualty scenarios in a tactical environment
usually entail both a medical problem as well as the tactical problem. • We want the best
possible outcome for both the casualty and the mission. • Good medicine can sometimes be
bad tactics; bad tactics can get everyone killed or cause the mission to fail. • Doing the RIGHT
THING at the RIGHT TIME is critical
Phases of Care - Answer •TECC and TCCC divides care into 3 phases based on the tactical
situation. • During the gunfight, attention is focused primarily on eliminating the threat. • As
the threat decreases, increasing focus is applied to providing the best possible medical care for
the casualties.
, Phases of Care in Tactical Casualty Care - Answer • Direct Threat Care • Care Under Fire •
Indirect Threat Care • Tactical Field Care • Evacuation Care • Tactical Evacuation
Direct Threat Care (LE) - Answer Direct Threat Care is the care rendered by the first
responder or at the scene of the injury while he or she and the casualty are still under effective
hostile fire. Available medical equipment is limited to that carried by the individual or by the
medical provider in his or her IFAK.
Indirect Threat Care (LE / EMS) - Answer Indirect Threat Care is the care rendered by the first
responder once he / she and the casualty are no longer under effective hostile fire. It also
applies to situations in which an injury has occurred, but there has been no hostile fire.
Available medical equipment is still limited to that carried into the field by unit personnel. Time
to evacuation to a hospital may vary considerably.
Evacuation Care (EMS) - Answer Evacuation Care is the care rendered once the casualty has
been picked up by a ground vehicle or an aircraft. LEOs should develop a plan to get a casualty
to EMS which may include additional medical personnel and equipment that is pre-staged
Direct Threat Care Guidelines - Answer 1. Return fire and take cover. 2. Direct or expect
casualty to remain engaged as a combatant if appropriate. 3. Direct casualty to move to cover
and apply self-aid if able. 4. Try to keep the casualty from sustaining additional wounds. 5.
Casualties should be removed from the burning process and moved to relative safety. • Do what
is necessary to stop the burning process. 6. Stop life-threatening external hemorrhage if
tactically feasible: • Only address bleeding that can be controlled with a tourniquet • Direct
casualty to control hemorrhage by self-aid if able. • Apply the tourniquet as high as possible on
the limb, over the uniform, tighten, and move the casualty to cover.
Direct Threat Care - Answer • Prosecuting the mission and caring for the casualties may be in
direct conflict. • What's best for the casualty may NOT be what's best for the mission. • When
there is conflict-which takes precedence? If the gunfight is ongoing do not try to treat a casualty
in the Kill Zone! Suppression of the suspect's fire and moving casualties to cover are the major
concerns
Direct Threat Care - Answer Suppression of hostile gunfire will minimize the risk of both new
casualties and additional injuries to the existing casualties. • The firepower contributed by
medical personnel and the casualties themselves may be essential to tactical fire superiority. •
The best medicine in an active threat environment is Fire Superiority
Moving Casualties in DTC - Answer If a casualty is able to move to cover, they should do so to
avoid exposing others to enemy fire. • If casualty is unable to move and unresponsive, the
casualty is likely beyond help and moving them while under fire may not be worth the risk. • If a
casualty is responsive but can't move, a rescue plan should be devised if tactically feasible. •
Correctly 2026.
TCCC - Answer Originally a Special Operations research effort • Trauma management plans
that take into account the unique challenges faced by combat medical personnel • Now used
throughout U.S. military and by most allied countries • TCCC has helped U.S. combat forces to
achieve the highest casualty survival rate in history. • Lessons learned have been applied to
civilian law enforcement and public safety through TECC.
Importance of the First Responder - Answer 90% + of all combat related trauma deaths occur
before the casualty reaches a hospital. • The fate of the injured lies in the hands of the one who
provides the first care to the casualty. • LEO on scene.
Prehospital Trauma Care: Tactical vs. Civilian - Answer • Hostile fire • Darkness •
Environmental extremes • Different wounding epidemiology • Limited equipment • Need for
tactical maneuver • Long delays to hospital • Different medical training and experience
TCC Approach - Answer Identify the causes of preventable death on the battlefield • Address
them aggressively • Combine good medicine with good tactics "The 'HOLY GRAIL' of trauma care
outcomes remains eliminating preventable deaths.
Point of Wounding Care - Answer Causes of preventable death for civilian law enforcement: -
Hemorrhage from extremity wounds (60%) - Junctional hemorrhage (where an arm or leg joins
the torso) - Non-compressible hemorrhage (such as a gunshot wound to the chest or abdomen)
- Tension pneumothorax (33%) - Airway problems (6%)
Boston Marathon Bombing - Answer 170 Injured at finish line. • 3 Died. • 13 people suffered
traumatic amputations. • 24 Lives saved because tourniquets were used effectively.
Three Objectives of Casualty Care - Answer 1. Complete the Mission. 2. Treat the Casualty. 3.
Prevent Additional Casualties
Phases of Care: Timing is Everything - Answer Casualty scenarios in a tactical environment
usually entail both a medical problem as well as the tactical problem. • We want the best
possible outcome for both the casualty and the mission. • Good medicine can sometimes be
bad tactics; bad tactics can get everyone killed or cause the mission to fail. • Doing the RIGHT
THING at the RIGHT TIME is critical
Phases of Care - Answer •TECC and TCCC divides care into 3 phases based on the tactical
situation. • During the gunfight, attention is focused primarily on eliminating the threat. • As
the threat decreases, increasing focus is applied to providing the best possible medical care for
the casualties.
, Phases of Care in Tactical Casualty Care - Answer • Direct Threat Care • Care Under Fire •
Indirect Threat Care • Tactical Field Care • Evacuation Care • Tactical Evacuation
Direct Threat Care (LE) - Answer Direct Threat Care is the care rendered by the first
responder or at the scene of the injury while he or she and the casualty are still under effective
hostile fire. Available medical equipment is limited to that carried by the individual or by the
medical provider in his or her IFAK.
Indirect Threat Care (LE / EMS) - Answer Indirect Threat Care is the care rendered by the first
responder once he / she and the casualty are no longer under effective hostile fire. It also
applies to situations in which an injury has occurred, but there has been no hostile fire.
Available medical equipment is still limited to that carried into the field by unit personnel. Time
to evacuation to a hospital may vary considerably.
Evacuation Care (EMS) - Answer Evacuation Care is the care rendered once the casualty has
been picked up by a ground vehicle or an aircraft. LEOs should develop a plan to get a casualty
to EMS which may include additional medical personnel and equipment that is pre-staged
Direct Threat Care Guidelines - Answer 1. Return fire and take cover. 2. Direct or expect
casualty to remain engaged as a combatant if appropriate. 3. Direct casualty to move to cover
and apply self-aid if able. 4. Try to keep the casualty from sustaining additional wounds. 5.
Casualties should be removed from the burning process and moved to relative safety. • Do what
is necessary to stop the burning process. 6. Stop life-threatening external hemorrhage if
tactically feasible: • Only address bleeding that can be controlled with a tourniquet • Direct
casualty to control hemorrhage by self-aid if able. • Apply the tourniquet as high as possible on
the limb, over the uniform, tighten, and move the casualty to cover.
Direct Threat Care - Answer • Prosecuting the mission and caring for the casualties may be in
direct conflict. • What's best for the casualty may NOT be what's best for the mission. • When
there is conflict-which takes precedence? If the gunfight is ongoing do not try to treat a casualty
in the Kill Zone! Suppression of the suspect's fire and moving casualties to cover are the major
concerns
Direct Threat Care - Answer Suppression of hostile gunfire will minimize the risk of both new
casualties and additional injuries to the existing casualties. • The firepower contributed by
medical personnel and the casualties themselves may be essential to tactical fire superiority. •
The best medicine in an active threat environment is Fire Superiority
Moving Casualties in DTC - Answer If a casualty is able to move to cover, they should do so to
avoid exposing others to enemy fire. • If casualty is unable to move and unresponsive, the
casualty is likely beyond help and moving them while under fire may not be worth the risk. • If a
casualty is responsive but can't move, a rescue plan should be devised if tactically feasible. •
