TCCC CLS TRAIN THE TRAINER ONLINE II
CERTIFICATION TEST PAPER 2026 COMPLETE
SOLUTIONS GRADED A PLUS
◉ Who makes the changes in TCCC?
Answer: Committee on Tactical Combat Casualty Care (CoTCCC)
- 42 members in DoD/civilian sector
◉ What is the 2nd leading cause of preventable death on the
battlefield after hemorrhage?
Answer: tension pneumothorax
◉ What is a junctional hemorrhage?
Answer: type of wounds are often caused by IEDS and may result in
junctional hemorrhage
◉ What is tension pneumothorax?
Answer: - air escapes from injured lung - pressure builds up in the
chest
- air pressure collapses lung & pushes on heart
◉ What are the 3 phases in TCCC?
,Answer: Care Under Fire
Tactical Field Care
TACEVAC Care
◉ What are some guidelines in Care Under Fire?
Answer: - return fire & take cover
- direct pt to move to cover/remain engaged as a combatant
- pt should be extricated from burning vehicles/buildings, moved to
safety & stop the burning process
- stop life-threatening external hemorrhage (tourniquet)
- airway management is generally best deferred until the Tactical
Field Care phase
◉ What is the best medicine on the battlefield? (CUF)
Answer: Fire Superiority
◉ What do you do if the firefight is ongoing? (CUF)
Answer: Don't try to treat your casualty in the Kill Zone!
◉ If a casualty is able to move to cover when engaged in a firefight...
(CUF)
Answer: he should do so to avoid exposing others to enemy fire
,◉ If casualty is unable to move & unresponsive when engaged in a
firefight... (CUF)
Answer: the casualty is likely beyond help & moving him while
under fire may not be worth the risk
◉ If a casualty is responsive but can't move when engaged in a
firefight... (CUF)
Answer: a rescue plan should be devised if tactically feasible
◉ What should you consider when you must move a casualty under
fire? (CUF)
Answer: location of nearest cover
how best to move him to the cover
the risk to the rescuers
weight of the casualty/rescuer
distance to be covered
use suppression fire & smoke to best advantage
recover casualty's weapons if possible
◉ What kind of injuries would you consider c-spine stabilization?
(CUF)
, Answer: neck or spine injuries due to falls, fast-roping injuries, or
motor vehicle accidents
apply only if the danger of hostile fire does not constitute a greater
threat
◉ When is c-spine stabilization not required? (CUF)
Answer: penetrating head & neck injuries
- gunshot wounds (GSW), shrapnel
- penetrating trauma, the spinal cord is either already compromised
or is in relatively less danger than would be the case with blunt
trauma
◉ What are the types of carries for Care Under Fire?
Answer: - One-person drag with/without a line
- Two-person drag with/without a line
- SEAL Team Three Carry ("shoulder-belt carry")
- Hawes Carry ("Modified Fireman's Carry" or "Pack Strap Carry")
◉ What are the burn preventions in Care Under Fire?
Answer: - remove the casualty from burning vehicles or structures
ASAP & move to cover
CERTIFICATION TEST PAPER 2026 COMPLETE
SOLUTIONS GRADED A PLUS
◉ Who makes the changes in TCCC?
Answer: Committee on Tactical Combat Casualty Care (CoTCCC)
- 42 members in DoD/civilian sector
◉ What is the 2nd leading cause of preventable death on the
battlefield after hemorrhage?
Answer: tension pneumothorax
◉ What is a junctional hemorrhage?
Answer: type of wounds are often caused by IEDS and may result in
junctional hemorrhage
◉ What is tension pneumothorax?
Answer: - air escapes from injured lung - pressure builds up in the
chest
- air pressure collapses lung & pushes on heart
◉ What are the 3 phases in TCCC?
,Answer: Care Under Fire
Tactical Field Care
TACEVAC Care
◉ What are some guidelines in Care Under Fire?
Answer: - return fire & take cover
- direct pt to move to cover/remain engaged as a combatant
- pt should be extricated from burning vehicles/buildings, moved to
safety & stop the burning process
- stop life-threatening external hemorrhage (tourniquet)
- airway management is generally best deferred until the Tactical
Field Care phase
◉ What is the best medicine on the battlefield? (CUF)
Answer: Fire Superiority
◉ What do you do if the firefight is ongoing? (CUF)
Answer: Don't try to treat your casualty in the Kill Zone!
◉ If a casualty is able to move to cover when engaged in a firefight...
(CUF)
Answer: he should do so to avoid exposing others to enemy fire
,◉ If casualty is unable to move & unresponsive when engaged in a
firefight... (CUF)
Answer: the casualty is likely beyond help & moving him while
under fire may not be worth the risk
◉ If a casualty is responsive but can't move when engaged in a
firefight... (CUF)
Answer: a rescue plan should be devised if tactically feasible
◉ What should you consider when you must move a casualty under
fire? (CUF)
Answer: location of nearest cover
how best to move him to the cover
the risk to the rescuers
weight of the casualty/rescuer
distance to be covered
use suppression fire & smoke to best advantage
recover casualty's weapons if possible
◉ What kind of injuries would you consider c-spine stabilization?
(CUF)
, Answer: neck or spine injuries due to falls, fast-roping injuries, or
motor vehicle accidents
apply only if the danger of hostile fire does not constitute a greater
threat
◉ When is c-spine stabilization not required? (CUF)
Answer: penetrating head & neck injuries
- gunshot wounds (GSW), shrapnel
- penetrating trauma, the spinal cord is either already compromised
or is in relatively less danger than would be the case with blunt
trauma
◉ What are the types of carries for Care Under Fire?
Answer: - One-person drag with/without a line
- Two-person drag with/without a line
- SEAL Team Three Carry ("shoulder-belt carry")
- Hawes Carry ("Modified Fireman's Carry" or "Pack Strap Carry")
◉ What are the burn preventions in Care Under Fire?
Answer: - remove the casualty from burning vehicles or structures
ASAP & move to cover
