TCCC REVIEW 2025/2026 – VERIFIED & UPDATED TACTICAL COMBAT
CASUALTY CARE STUDY GUIDE
Large infusion volumes of _________ may worsen coagulopathy and increase
bleeding when treating shock in a trauma casualty.
A. Crystalloids
B. Whole Blood
C. Plasma
D. Red Blood Cells - (ANSWERS)A. Crystalloids
What is a reliable indicator of shock in the Tactical Field Care (TFC) setting?
A. Decreased respiration rate
B. Dilated pupils
C. Weak radial pulse
D. Hoarseness - (ANSWERS)C. Weak radial pulse
Which of the following are found within the Joint First Aid Kit (JFAK)?
A. Ibuprofen, chest seal, chest tube
B. Nasopharyngeal airway (NPA), chest seal, endotracheal tube
C. Chest seal, NPA, tourniquet
D. Chest seal, Ibuprofen, bag valve mask - (ANSWERS)C. Chest seal, NPA,
tourniquet
What is the minimum information required to launch the evacuation asset when
calling in a 9-Line MEDEVAC request for casualty evacuation?
A. MIST report
B. Lines 1-5
C. DD Form 1380
D. Lines 6-9 - (ANSWERS)B. Lines 1-5
Casualties often suffer multiple injuries and require more equipment than they carry
in their own Joint First Aid Kit (JFAK)/first aid kits. Which of the following kits
would provide additional medical equipment to help treat casualties with multiple
, TCCC REVIEW 2025/2026 – VERIFIED & UPDATED TACTICAL COMBAT
CASUALTY CARE STUDY GUIDE
injuries?
A. Combat Lifesaver (CLS) bag
B. Hypothermia Prevention and Management Kit (HPMK)
C. Individual First Aid Kit (IFAK)
D. Buddy Aid Kit (BAK) - (ANSWERS)D. Buddy Aid Kit (BAK)
Why is it important to prepare pre-mission casualty evacuation equipment?
A. If the equipment is prepared in advance, there is no need to train or rehearse on
how to use it
B. To ensure it is in working order and that all of the equipment necessary is present
C. Preparing equipment in advance results in favorable unit evaluations
D. Properly prepared equipment takes up less space in your unit vehicles -
(ANSWERS)b. To ensure it is in working order and that all of the equipment
necessary is present
A life-threatening hemorrhage does not include:
A. Bright-red blood pooling on the ground
B. Pulsatile, steady bleeding
C. Dark-red, slow-trickling bleeding
D. Bandages or clothes soaked with blood - (ANSWERS)c. Dark-red, slow-trickling
bleeding
During the assessment of a casualty with a suspected pelvic fracture, the medic
should not
Check for pelvic instability by applying bilateral downward pressure on the pelvis
because
_________________________.
A. It would cause excess pain to the casualty
B. It is not an effective method to evaluate for pelvic instability
C. It should only be performed on unconscious casualties
, TCCC REVIEW 2025/2026 – VERIFIED & UPDATED TACTICAL COMBAT
CASUALTY CARE STUDY GUIDE
D. It causes further damage if a pelvic fracture is present - (ANSWERS)d. It causes
further damage if a pelvic fracture is present
What is the preferred route of administration for fentanyl in a conscious casualty
that is in
Moderate pain, but shows no signs of shock?
A. Intravenous
B. Transmucosal
C. Intranasal
D. Intraosseous - (ANSWERS)b. Transmucosal
The management of shock involves prevention and treatment of acidosis,
coagulopathy, and
Hypothermia. This compilation of symptoms is known as _________________.
A. Cushing's triad of head injuries
B. Lethal triad of hemorrhagic shock
C. Beck's triad of cardiac tamponade
D. Virchow's triad of hypercoagulability - (ANSWERS)b. Lethal triad of
hemorrhagic shock
We have established that Hypovolemia is usually the primary cause for altered
mental status
On the battlefield out of the various principal causes. You should also expect to see
________________ if present, exacerbate a casualties mental status combined with
the
Hypovolemia
A. Hypothermia
B. Traumatic brain injury
C. Hypoxia
D. Hypovolemic shock - (ANSWERS)a. Hypothermia
, TCCC REVIEW 2025/2026 – VERIFIED & UPDATED TACTICAL COMBAT
CASUALTY CARE STUDY GUIDE
Which form is used to document casualty data, injuries, and medical interventions?
A. DD Form 1582
B. DD Form 1480
C. DD Form 1380
D. DD Form 1630 - (ANSWERS)c. DD Form 1380
Casualties with altered mental status should be ________________.
A. Immediately disarmed
B. Allowed to keep communications equipment
C. Physically restrained at all times
D. Permitted to hold on to mission-sensitive items - (ANSWERS)a. Immediately
disarmed
Which of the following is a contraindication to the administration of intravenous
Fentanyl?
A. Hypovolemic shock
B. Hypothermia
C. Able to swallow
D. Hypertension - (ANSWERS)a. Hypovolemic shock
Casualty care documentation that is not completed in real-time at the point of injury
should
Be documented retrospectively utilizing the _____________________.
A. DD Form 1380
B. TCCC After Action Report
C. Patient's medical record at the Role 3 facility
D. After Action Review debriefing method - (ANSWERS)b. TCCC After Action
Report
CASUALTY CARE STUDY GUIDE
Large infusion volumes of _________ may worsen coagulopathy and increase
bleeding when treating shock in a trauma casualty.
A. Crystalloids
B. Whole Blood
C. Plasma
D. Red Blood Cells - (ANSWERS)A. Crystalloids
What is a reliable indicator of shock in the Tactical Field Care (TFC) setting?
A. Decreased respiration rate
B. Dilated pupils
C. Weak radial pulse
D. Hoarseness - (ANSWERS)C. Weak radial pulse
Which of the following are found within the Joint First Aid Kit (JFAK)?
A. Ibuprofen, chest seal, chest tube
B. Nasopharyngeal airway (NPA), chest seal, endotracheal tube
C. Chest seal, NPA, tourniquet
D. Chest seal, Ibuprofen, bag valve mask - (ANSWERS)C. Chest seal, NPA,
tourniquet
What is the minimum information required to launch the evacuation asset when
calling in a 9-Line MEDEVAC request for casualty evacuation?
A. MIST report
B. Lines 1-5
C. DD Form 1380
D. Lines 6-9 - (ANSWERS)B. Lines 1-5
Casualties often suffer multiple injuries and require more equipment than they carry
in their own Joint First Aid Kit (JFAK)/first aid kits. Which of the following kits
would provide additional medical equipment to help treat casualties with multiple
, TCCC REVIEW 2025/2026 – VERIFIED & UPDATED TACTICAL COMBAT
CASUALTY CARE STUDY GUIDE
injuries?
A. Combat Lifesaver (CLS) bag
B. Hypothermia Prevention and Management Kit (HPMK)
C. Individual First Aid Kit (IFAK)
D. Buddy Aid Kit (BAK) - (ANSWERS)D. Buddy Aid Kit (BAK)
Why is it important to prepare pre-mission casualty evacuation equipment?
A. If the equipment is prepared in advance, there is no need to train or rehearse on
how to use it
B. To ensure it is in working order and that all of the equipment necessary is present
C. Preparing equipment in advance results in favorable unit evaluations
D. Properly prepared equipment takes up less space in your unit vehicles -
(ANSWERS)b. To ensure it is in working order and that all of the equipment
necessary is present
A life-threatening hemorrhage does not include:
A. Bright-red blood pooling on the ground
B. Pulsatile, steady bleeding
C. Dark-red, slow-trickling bleeding
D. Bandages or clothes soaked with blood - (ANSWERS)c. Dark-red, slow-trickling
bleeding
During the assessment of a casualty with a suspected pelvic fracture, the medic
should not
Check for pelvic instability by applying bilateral downward pressure on the pelvis
because
_________________________.
A. It would cause excess pain to the casualty
B. It is not an effective method to evaluate for pelvic instability
C. It should only be performed on unconscious casualties
, TCCC REVIEW 2025/2026 – VERIFIED & UPDATED TACTICAL COMBAT
CASUALTY CARE STUDY GUIDE
D. It causes further damage if a pelvic fracture is present - (ANSWERS)d. It causes
further damage if a pelvic fracture is present
What is the preferred route of administration for fentanyl in a conscious casualty
that is in
Moderate pain, but shows no signs of shock?
A. Intravenous
B. Transmucosal
C. Intranasal
D. Intraosseous - (ANSWERS)b. Transmucosal
The management of shock involves prevention and treatment of acidosis,
coagulopathy, and
Hypothermia. This compilation of symptoms is known as _________________.
A. Cushing's triad of head injuries
B. Lethal triad of hemorrhagic shock
C. Beck's triad of cardiac tamponade
D. Virchow's triad of hypercoagulability - (ANSWERS)b. Lethal triad of
hemorrhagic shock
We have established that Hypovolemia is usually the primary cause for altered
mental status
On the battlefield out of the various principal causes. You should also expect to see
________________ if present, exacerbate a casualties mental status combined with
the
Hypovolemia
A. Hypothermia
B. Traumatic brain injury
C. Hypoxia
D. Hypovolemic shock - (ANSWERS)a. Hypothermia
, TCCC REVIEW 2025/2026 – VERIFIED & UPDATED TACTICAL COMBAT
CASUALTY CARE STUDY GUIDE
Which form is used to document casualty data, injuries, and medical interventions?
A. DD Form 1582
B. DD Form 1480
C. DD Form 1380
D. DD Form 1630 - (ANSWERS)c. DD Form 1380
Casualties with altered mental status should be ________________.
A. Immediately disarmed
B. Allowed to keep communications equipment
C. Physically restrained at all times
D. Permitted to hold on to mission-sensitive items - (ANSWERS)a. Immediately
disarmed
Which of the following is a contraindication to the administration of intravenous
Fentanyl?
A. Hypovolemic shock
B. Hypothermia
C. Able to swallow
D. Hypertension - (ANSWERS)a. Hypovolemic shock
Casualty care documentation that is not completed in real-time at the point of injury
should
Be documented retrospectively utilizing the _____________________.
A. DD Form 1380
B. TCCC After Action Report
C. Patient's medical record at the Role 3 facility
D. After Action Review debriefing method - (ANSWERS)b. TCCC After Action
Report
