CMC-TCCC 2025/ 2026 – Combat Medical Care Tactical
Combat Casualty Care Study Guide with Updated
Protocols, MARCH Algorithm, and Real-World
Scenarios||Latest Exam!!!
Leading causes of preventable death in combat trauma -
Answer-Massive Hemorrhage (Extremity, Junctional),
Tension Pneumothorax, Airway Trauma/Obstruction
TCCC phases of care - Answer-Care Under Fire (CUF)
Tactical Field Care (TFC)
Tactical Evacuation Care (TACEVAC)
Can the principles of TCCC be applied to non combat
settings? - Answer-Yes. Motor Vehicle Accidents, Active
Shooter, Workplace Accident.
Roles and Responsibilities: All Service Members (ASM) -
Answer-Identify and control bleeding, Assess casualty
using MARCH, Seek help as directed
Roles and Responsibilities: Combat LifeSaver (CLS) -
Answer-Suppress hostile enemy fire, perform assessment
,2|Page
and treat using MARCH PAWS, assist the Combat Medic
Corpsman (CMC) as directed
Roles and Responsibilites: Combat Medic Corpsman
(CMC) - Answer-Suppress hostile enemy fire, assume
primary role in performing casualty assessment using
MARCH PAWS, Manage emergency response using all
available responders, Reassess casualties and
communicate with TACEVAC medical personnel.
Key Factors influencing TCCC - Answer-Hostile fire
Tactical considerations
Wound patterns
Environmental considerations
First responder training and experience
Equipment contstraints
Evacuation delays
Importance of TCCC training - Answer-Lowest rate of
preventable death in history
Three Objectives of TCCC - Answer-Treat the Casualty
,3|Page
Prevent additional casualties
Complete the Mission
Ways to stay up to date with TCCC - Answer-Quarterly
reviewed TCCC Guidelines
Using training content from deployedmedicine.com
What is the most essential treatment task in Care Under
Fire (CUF) - Answer-Applying a limb tourniquet to control
massive bleeding
What is every responder's role in Care Under Fire (CUF) -
Answer-suppress hostile fire/establish scene safety, assist
in self aid, assist in moving casualties, if feasible.
What does MARCH PAWS stand for - Answer-M-Massive
Bleeding
A-Airway
R-Respirations
C-Circulation
H-Hypothermia and Head Injury
P-Pain
, 4|Page
A-Antibiotics
W-Wounds
S-Splints
Joint First Aid Kit (JFAK) contents should be capable of
treating what parts of MARCHPAWS - Answer-M-Massive
Bleeding
A-Airway
R-Respirations
P-Pain
A-Antibiotics
W-Wounds
Combat LifeSaver (CLS) bag contents should be capable
of treating what part of MARCHPAWS - Answer-M-
Massive Bleeding
A-Airway
R-Respirations
C-Circulation
H-Hypothermia and Head Injury
P-Pain