TACTICAL EMERGENCY CASUALTY CARE (TECC)
EXAM PREP 2026 UPDATED | Real Practice
Questions, Verified Answers & Detailed
Rationales | INSTANT PDF DOWNLOAD
TACTICAL EMERGENCY CASUALTY CARE (TECC) EXAM PREP 2026
• This material contains 200 verified practice questions with detailed EXPERT
RATIONALE designed to help you master every core concept tested in the TECC
certification exam — study actively by attempting each question before revealing
the answer.
• Features bold-highlighted correct answers, full EXPERT RATIONALE, and
comprehensive topic coverage including hemorrhage control, airway management,
shock treatment, and tactical care phases to maximize your exam readiness.
1. What is the primary goal of Tactical Emergency Casualty Care (TECC)?
A. To provide hospital-level care in the field
B. To stabilize patients for long-term treatment
C. To reduce preventable deaths in civilian tactical emergencies
D. To replace standard EMS protocols
E. To train civilians in basic first aid
C. To reduce preventable deaths in civilian tactical emergencies
EXPERT RATIONALE: TECC is a set of evidence-based guidelines developed to reduce
preventable morbidity and mortality in civilian high-threat environments. It adapts
military TCCC principles to civilian tactical settings.
2. TECC guidelines are divided into how many phases of care?
A. Two
B. Five
,C. Four
D. Six
E. Three
E. Three
EXPERT RATIONALE: TECC is organized into three phases: Direct Threat Care (DTC),
Indirect Threat Care (ITC), and Evacuation Care (EVAC). Each phase guides care based on
the level of threat present.
3. Which phase of TECC care occurs while the threat is still active?
A. Evacuation Care
B. Indirect Threat Care
C. Integrated Threat Care
D. Direct Threat Care
E. Transition Care
D. Direct Threat Care
EXPERT RATIONALE: Direct Threat Care (DTC) occurs while the threat is still active. The
focus is on life-saving interventions that can be performed quickly under fire, such as
tourniquet application for life-threatening extremity hemorrhage.
4. During Direct Threat Care, what is the FIRST priority?
A. Airway management
B. Needle decompression
C. Hemorrhage control
D. Moving the casualty to safety
E. Establishing IV access
, D. Moving the casualty to safety
EXPERT RATIONALE: During DTC, the first priority is to move the casualty and rescuer
out of the threat zone. Care is minimal — only life-saving interventions like tourniquet
application are performed while gaining cover.
5. What is the leading cause of preventable death in tactical emergencies?
A. Airway obstruction
B. Tension pneumothorax
C. Traumatic brain injury
D. Uncontrolled extremity hemorrhage
E. Hypothermia
D. Uncontrolled extremity hemorrhage
EXPERT RATIONALE: Uncontrolled extremity hemorrhage is the number one cause of
preventable death in tactical emergencies. Rapid tourniquet application is the primary
intervention to address this threat.
6. Which tourniquet is most commonly recommended in TECC guidelines?
A. Improvised cloth tourniquet
B. SAM XT tourniquet
C. Combat Application Tourniquet (CAT)
D. Elastic bandage tourniquet
E. Ratchet tourniquet
C. Combat Application Tourniquet (CAT)
EXPERT RATIONALE: The Combat Application Tourniquet (CAT) is widely recommended
and used in TECC due to its proven effectiveness, ease of one-handed application, and
reliability in controlling life-threatening extremity bleeding.
, 7. A tourniquet should be placed how many inches above the wound?
A. 1 inch
B. 4 inches
C. 6 inches
D. 2–3 inches
E. 5 inches
D. 2–3 inches
EXPERT RATIONALE: Tourniquets should be applied 2–3 inches (approximately 5–7 cm)
proximal to the wound to ensure effective arterial compression while avoiding joint
placement.
8. What should be recorded after tourniquet application?
A. Patient's blood pressure
B. Type of wound
C. Time of application
D. Tourniquet brand
E. Patient's name only
C. Time of application
EXPERT RATIONALE: The time of tourniquet application must be documented on the
tourniquet or the patient's forehead. This is critical for determining duration of
application and guiding subsequent medical decisions.
9. What is the maximum recommended time a tourniquet should remain in
place before conversion is considered?
EXAM PREP 2026 UPDATED | Real Practice
Questions, Verified Answers & Detailed
Rationales | INSTANT PDF DOWNLOAD
TACTICAL EMERGENCY CASUALTY CARE (TECC) EXAM PREP 2026
• This material contains 200 verified practice questions with detailed EXPERT
RATIONALE designed to help you master every core concept tested in the TECC
certification exam — study actively by attempting each question before revealing
the answer.
• Features bold-highlighted correct answers, full EXPERT RATIONALE, and
comprehensive topic coverage including hemorrhage control, airway management,
shock treatment, and tactical care phases to maximize your exam readiness.
1. What is the primary goal of Tactical Emergency Casualty Care (TECC)?
A. To provide hospital-level care in the field
B. To stabilize patients for long-term treatment
C. To reduce preventable deaths in civilian tactical emergencies
D. To replace standard EMS protocols
E. To train civilians in basic first aid
C. To reduce preventable deaths in civilian tactical emergencies
EXPERT RATIONALE: TECC is a set of evidence-based guidelines developed to reduce
preventable morbidity and mortality in civilian high-threat environments. It adapts
military TCCC principles to civilian tactical settings.
2. TECC guidelines are divided into how many phases of care?
A. Two
B. Five
,C. Four
D. Six
E. Three
E. Three
EXPERT RATIONALE: TECC is organized into three phases: Direct Threat Care (DTC),
Indirect Threat Care (ITC), and Evacuation Care (EVAC). Each phase guides care based on
the level of threat present.
3. Which phase of TECC care occurs while the threat is still active?
A. Evacuation Care
B. Indirect Threat Care
C. Integrated Threat Care
D. Direct Threat Care
E. Transition Care
D. Direct Threat Care
EXPERT RATIONALE: Direct Threat Care (DTC) occurs while the threat is still active. The
focus is on life-saving interventions that can be performed quickly under fire, such as
tourniquet application for life-threatening extremity hemorrhage.
4. During Direct Threat Care, what is the FIRST priority?
A. Airway management
B. Needle decompression
C. Hemorrhage control
D. Moving the casualty to safety
E. Establishing IV access
, D. Moving the casualty to safety
EXPERT RATIONALE: During DTC, the first priority is to move the casualty and rescuer
out of the threat zone. Care is minimal — only life-saving interventions like tourniquet
application are performed while gaining cover.
5. What is the leading cause of preventable death in tactical emergencies?
A. Airway obstruction
B. Tension pneumothorax
C. Traumatic brain injury
D. Uncontrolled extremity hemorrhage
E. Hypothermia
D. Uncontrolled extremity hemorrhage
EXPERT RATIONALE: Uncontrolled extremity hemorrhage is the number one cause of
preventable death in tactical emergencies. Rapid tourniquet application is the primary
intervention to address this threat.
6. Which tourniquet is most commonly recommended in TECC guidelines?
A. Improvised cloth tourniquet
B. SAM XT tourniquet
C. Combat Application Tourniquet (CAT)
D. Elastic bandage tourniquet
E. Ratchet tourniquet
C. Combat Application Tourniquet (CAT)
EXPERT RATIONALE: The Combat Application Tourniquet (CAT) is widely recommended
and used in TECC due to its proven effectiveness, ease of one-handed application, and
reliability in controlling life-threatening extremity bleeding.
, 7. A tourniquet should be placed how many inches above the wound?
A. 1 inch
B. 4 inches
C. 6 inches
D. 2–3 inches
E. 5 inches
D. 2–3 inches
EXPERT RATIONALE: Tourniquets should be applied 2–3 inches (approximately 5–7 cm)
proximal to the wound to ensure effective arterial compression while avoiding joint
placement.
8. What should be recorded after tourniquet application?
A. Patient's blood pressure
B. Type of wound
C. Time of application
D. Tourniquet brand
E. Patient's name only
C. Time of application
EXPERT RATIONALE: The time of tourniquet application must be documented on the
tourniquet or the patient's forehead. This is critical for determining duration of
application and guiding subsequent medical decisions.
9. What is the maximum recommended time a tourniquet should remain in
place before conversion is considered?
