TECC LATEST 2026 EXAM QUESTIONS AND SOLUTIONS
RATED A+
✔✔Cold Zone - Operational Principles: - ✔✔1. Reassess the patient
2. Utilize a triage system/criteria
3. Utilize available additional resources t
4. Avoid developing hypothermia.
5. Communication
6. Maintain situational awareness
✔✔Cold Zone - Skills - ✔✔1. Same as Indirect Threat / Warm Zone Care.
2. Apply triage prioritization
3. Simple spinal immobilization as needed.
4. Monitoring equipment
5. Implement damage control resuscitation.
6. Apply multimodal pain control principles.
7. Effective communication between non-medical, pre-hospital and hospital medical
assets
✔✔TXA - ✔✔Significant blood loss, not >3 later
1gm in 10ml (1ml p m)
✔✔Calcium - ✔✔If shock present
1gm CaCl 13.65meq/ml
3gm CaGu 4.65meq/ml
✔✔Mild pain Reduction - ✔✔Celecoxib
Acetaminophen
splinting
✔✔Moderate to Sever Pain - ✔✔Ketamine up to 1mg/kg (25-50mg initial IV,IM,IN q 15
to control pain
Narcotics
Benzodiazapam
✔✔Transfusion - ✔✔Plasma RBC 1:1 ratio or whole blood through a warmer
✔✔ICP - ✔✔Hypertonic Saline 3% - 3-5cc/kg IV bolus
Mannitol 20% - 1g/kg IV bolus.
Hyperventilation: PaCO2 30-35 mmHg.
Consider seizure prophylaxis/treatment
✔✔ DIRECT THREAT CARE (DTC) / HOT ZONE Guidelines: - ✔✔Mitigate any
immediate threat
Direct the injured first responder to stay engaged
, Move patient to a safer position
Stop life threatening external hemorrhage
Place patient in a position to
protect airway
✔✔INDIRECT THREAT CARE (ITC) / WARM ZONE Guidelines - ✔✔Secure weapons
PMARCHP / X-ABCDE
Control bleeding
Reassess all tourniquets
✔✔Tourniquets that are determined to be both necessary and effective? - ✔✔Should
remain in place if the patient can be evacuated within 2 hours to definitive medical care
✔✔If existing tourniquet is necessary but ineffective? - ✔✔Either tighten the existing
tourniquet further, or apply a second tourniquet, side-by-side and, if possible, proximal
to the first to eliminate
the distal pulse.
✔✔If a tourniquet is determined based on wound assessment to not be necessary? -
✔✔Use other techniques to control bleeding and remove the tourniquet
✔✔Consider tourniquet downgrade/conversion if? - ✔✔There will be a delay in
evacuation
more than 2 hours.
✔✔Tourniquet downgrade: - ✔✔Expose the wound fully, identify an appropriate location
at least 2-3
inches above the most proximal injury (not over a joint), and apply a new
tourniquet directly to the skin. Once properly applied, the prior tourniquet can
be loosened but should be left in place.
✔✔Tourniquet conversion: - ✔✔Expose the wound fully, fully pack the wound with
hemostatic or
plain gauze, and properly apply a pressure dressing. Once properly applied, the
prior tourniquet can be loosened but should be left in place.
✔✔If the patient is conscious and able to follow commands? - ✔✔Position of comfort
✔✔If the patient is unconscious or conscious but unable to follow commands: -
✔✔Clear airway
Apply basic chin lift or jaw thrust
Consider placing a nasopharyngeal airway.
Place patient in the recovery position to maintain the open airway.
✔✔If previous airway measures are unsuccessful - ✔✔Supraglottic Devices
RATED A+
✔✔Cold Zone - Operational Principles: - ✔✔1. Reassess the patient
2. Utilize a triage system/criteria
3. Utilize available additional resources t
4. Avoid developing hypothermia.
5. Communication
6. Maintain situational awareness
✔✔Cold Zone - Skills - ✔✔1. Same as Indirect Threat / Warm Zone Care.
2. Apply triage prioritization
3. Simple spinal immobilization as needed.
4. Monitoring equipment
5. Implement damage control resuscitation.
6. Apply multimodal pain control principles.
7. Effective communication between non-medical, pre-hospital and hospital medical
assets
✔✔TXA - ✔✔Significant blood loss, not >3 later
1gm in 10ml (1ml p m)
✔✔Calcium - ✔✔If shock present
1gm CaCl 13.65meq/ml
3gm CaGu 4.65meq/ml
✔✔Mild pain Reduction - ✔✔Celecoxib
Acetaminophen
splinting
✔✔Moderate to Sever Pain - ✔✔Ketamine up to 1mg/kg (25-50mg initial IV,IM,IN q 15
to control pain
Narcotics
Benzodiazapam
✔✔Transfusion - ✔✔Plasma RBC 1:1 ratio or whole blood through a warmer
✔✔ICP - ✔✔Hypertonic Saline 3% - 3-5cc/kg IV bolus
Mannitol 20% - 1g/kg IV bolus.
Hyperventilation: PaCO2 30-35 mmHg.
Consider seizure prophylaxis/treatment
✔✔ DIRECT THREAT CARE (DTC) / HOT ZONE Guidelines: - ✔✔Mitigate any
immediate threat
Direct the injured first responder to stay engaged
, Move patient to a safer position
Stop life threatening external hemorrhage
Place patient in a position to
protect airway
✔✔INDIRECT THREAT CARE (ITC) / WARM ZONE Guidelines - ✔✔Secure weapons
PMARCHP / X-ABCDE
Control bleeding
Reassess all tourniquets
✔✔Tourniquets that are determined to be both necessary and effective? - ✔✔Should
remain in place if the patient can be evacuated within 2 hours to definitive medical care
✔✔If existing tourniquet is necessary but ineffective? - ✔✔Either tighten the existing
tourniquet further, or apply a second tourniquet, side-by-side and, if possible, proximal
to the first to eliminate
the distal pulse.
✔✔If a tourniquet is determined based on wound assessment to not be necessary? -
✔✔Use other techniques to control bleeding and remove the tourniquet
✔✔Consider tourniquet downgrade/conversion if? - ✔✔There will be a delay in
evacuation
more than 2 hours.
✔✔Tourniquet downgrade: - ✔✔Expose the wound fully, identify an appropriate location
at least 2-3
inches above the most proximal injury (not over a joint), and apply a new
tourniquet directly to the skin. Once properly applied, the prior tourniquet can
be loosened but should be left in place.
✔✔Tourniquet conversion: - ✔✔Expose the wound fully, fully pack the wound with
hemostatic or
plain gauze, and properly apply a pressure dressing. Once properly applied, the
prior tourniquet can be loosened but should be left in place.
✔✔If the patient is conscious and able to follow commands? - ✔✔Position of comfort
✔✔If the patient is unconscious or conscious but unable to follow commands: -
✔✔Clear airway
Apply basic chin lift or jaw thrust
Consider placing a nasopharyngeal airway.
Place patient in the recovery position to maintain the open airway.
✔✔If previous airway measures are unsuccessful - ✔✔Supraglottic Devices
