Module 1 Principles Of TCCC

Question 1

What does TCCC stand for?

Answer 1

Tactical Combat Casualty Care.

Question 2

What are the 3 phases of TCCC?

Answer 2

Care Under Fire (CUF)
Tactical Field Care (TFC)
Tactical Evacuation Care (TACEVAC)

Question 3

What is the #1 preventable cause of death in combat?

Answer 3

Extremity hemorrhage (massive bleeding).

Question 4

What does MARCH stand for?

Answer 4

M: Massive bleeding
A: Airway
R: Respiration
C: Circulation
H: Hypothermia/Head injury

Question 5

What does PAWS stand for?

Answer 5

P: Pain
A: Antibiotics
W: Wounds
S: Splinting

Question 6

What are the 6 basic TFC steps?

Answer 6

1. Establish security perimeter
   
   2. Triage casualties
   3. Follow MARCH PAWS
   4. Communicate
   5. Document care
   6. Prepare for evacuation

Question 7

What must be removed from a casualty with altered mental status?

Answer 7

Weapons and comms gear.

Question 8

What should you use first to treat a casualty?

Answer 8

Their Joint First Aid Kit (JFAK).

Question 9

What must always be maintained during TCCC?

Answer 9

Tactical situational awareness.

Question 10

What can cause TFC to revert to CUF?

Answer 10

Loss of scene security.

Question 11

What is the priority in Care Under Fire?

Answer 11

Control massive bleeding with a tourniquet.

Question 12

What is the primary role of a CMC in TFC?

Answer 12

Casualty assessment and management.

Question 13

What is the role of the CLS in TFC?

Answer 13

Provide enhanced first aid and support the CMC.

Question 14

What is the primary treatment during CUF?

Answer 14

Apply limb tourniquet.

Question 15

What’s the first responder’s role in CUF?

Answer 15

Suppress fire, ensure scene safety, assist in self-aid or movement.

Question 16

What are the 3 objectives of TCCC?

Answer 16

Treat the casualty
Prevent additional casualties
Complete the mission

Question 17

What are the phases of evacuation care?

Answer 17

Staging/loading
Securing
Reassessing/re-evaluating

Question 18

What information must be communicated during TACEVAC?

Answer 18

Casualty stability, injuries, treatments.

Question 19

What should be used to document care?

Answer 19

DD1380

TCCC Casualty Card.

Question 20

What is the guideline source for TCCC?

Answer 20

Committee on Tactical Combat Casualty Care (CoTCCC).

Question 21

Where can the latest TCCC updates be found?

Answer 21

www.deployedmedicine.com

Question 22

How often are TCCC guidelines updated?

Answer 22

Quarterly.

Question 23

What medical training complements TCCC?

Answer 23

Prehospital Trauma Life Support (PHTLS) Military Edition.

Question 24

What is RCA?

Answer 24

Rapid Casualty Assessment.

Question 25

What is emphasized during team-based TCCC training?

Answer 25

Efficiency and coordination under pressure.

Question 26

What’s the benefit of training all service members in TCCC?

Answer 26

Lowest rate of preventable deaths.

Question 27

What is the biggest advancement in battlefield care from Iraq and Afghanistan?

Answer 27

Tourniquet use.

Question 28

What are the key factors influencing TCCC?

Answer 28

Hostile fire Tactical considerations Wounding patterns Environmental conditions Responder training Equipment constraints Evacuation delays

Question 29

Why is hypothermia a concern even in hot environments?

Answer 29

Blood loss and shock impair temperature regulation.

Question 30

What drives need for TCCC updates?

Answer 30

Ongoing combat experience and research.

Question 31

What are examples of noncombat scenarios where TCCC applies?

Answer 31

Motor vehicle crash, active shooter, workplace injury.

Question 32

What’s the CLS’s role in CUF?

Answer 32

Assist with hostile fire suppression, self-aid, casualty movement.

Question 33

What is the CMC’s role in TACEVAC?

Answer 33

Reassess, communicate with medics, and direct casualty loading.

Question 34

Which kit must be used before using unit supplies?

Answer 34

Casualty’s JFAK.

Question 35

What are examples of TCCC interventions?

Answer 35

Tourniquet Hemostatic dressing Needle decompression Airway support Hypothermia prevention

Question 36

Why is documentation important in TCCC?

Answer 36

Tracks care and supports handoff in evacuation.

Question 37

What is the consequence of poor scene awareness?

Answer 37

Reverting back to CUF and increased casualty risk.

Question 38

What kind of delays can affect TCCC?

Answer 38

Evacuation delays to higher care.

Question 39

Who reviews and approves TCCC updates?

Answer 39

Director of the Joint Trauma System (JTS).

Question 40

What civilian care principle was modified for battlefield care?

Answer 40

Crystalloid resuscitation and airway intubation.

Question 41

What study showed 8 of 12 preventable deaths?

Answer 41

Holcomb study on early TCCC application.

Question 42

Why did TCCC shift to using tourniquets early?

Answer 42

To stop extremity bleeding and save lives.

Question 43

What are the five ASM lifesaving skills?

Answer 43

RCA Tourniquet application Hemostatic dressing Pressure bandages Basic airway maneuvers

Question 44

What is emphasized in austere settings?

Answer 44

Self-aid, buddy aid, minimal resources.

Question 45

What kind of injuries does an active shooter cause?

Answer 45

Same ballistic wounds as combat.

Question 46

Why must service-wide TCCC be standard?

Answer 46

Consistency and combat readiness.

Question 47

What is the significance of Deployed Medicine?

Answer 47

Official source for current TCCC doctrine.

Question 48

Why is CLS support critical in TFC?

Answer 48

They extend the medic’s ability to manage multiple casualties.

Question 49

What type of setting was TCCC built for?

Answer 49

Austere environments without nearby advanced care.

Question 50

What is the first intervention in the MARCH sequence?

Answer 50

Control massive bleeding (using a tourniquet)