TCCC CLS TRAIN THE TRAINER ONLINE II
ASSESSMENT SCRIPT 2026 VERIFIED
ANSWERS COMPREHENSIVE REVIEW
◉ How long do you hold direct pressure in the use of a hemostatic
agent? (CUF)
Answer: 3 minutes
◉ Airway (CUF)
Answer: - no immediate management of airway is anticipated in CUF
- don't take time to est. an airway while under fire
- defer airway management until you have moved the casualty to
cover
- combat deaths from compromised airways are relatively infrequent
- if the casualty has no airway in CUF, changes for survival are
minimal
◉ What does MARCH stand for?
Answer: M - massive hemorrhage
A - airway
R - respiration
C - circulation
,H - head injury/hypothermia
◉ What does "M" in MARCH stand for?
Answer: massive hemorrhage; control life-threatening bleeding
◉ What does "A" in MARCH stand for?
Answer: airway; establish & maintain a patent airway
◉ What does "R" in MARCH stand for?
Answer: respiration; decompress suspected tension pneumothorax,
seal open chest wounds, and support ventilation/oxygenation as
required
◉ What does "C" in MARCH stand for?
Answer: circulation; establish IV/IO access and administer fluids as
required to treat shock
◉ What does "H" in MARCH stand for?
Answer: head injury/hypothermia; prevent/treat hypotension &
hypoxia to prevent worsening of TBI and prevent/treat hypothermia
◉ What are the TFC guidelines?
,Answer: - est. a security perimeter in accordance with unit tactical
standing operating procedures and/or battle drills
- maintain tactical situational awareness
- triage casualties as required
◉ How do you manage casualties with an Altered Mental Status?
(TFC #1)
Answer: - combatants with an altered mental status may use their
weapons/radios inappropriately
- secure long gun, pistols, knives, grenades, explosives, & all
communications gear
- possible causes of altered mental status are TBI, shock, hypoxia &
pain meds
- say to the casualty: "Let ___ hold your weapon for you while I check
you out."
◉ Where do you apply the tourniquet on a massive hemorrhage
during the TFC phase?
Answer: apply directly to the skin 2-3 inches above the bleeding site
◉ What are 3 alternative hemostatic adjuncts? (TFC #1)
Answer: - Celox Gauze
- Chito Gauze
- XStat (best for deep, narrow-tract junctional wounds)
, ◉ When should hemostatic dressings be applied? (TFC #1)
Answer: applied with at least 3 minutes of direct pressure (optional
for XStat)
◉ What are the pros in using direct pressure without a hemostatic
dressing? (TFC #1)
Answer: - can be used as a temporary measure
- works most of the time for external bleeding
- can stop carotid & femoral bleeding
- hard to use direct pressure alone to maintain control of big
bleeders while moving casualty
- don't let up on the pressure to check the wound because bleeding
control requires very firm pressure
◉ What are the 3 hemostatic dressings? (TFC #1)
Answer: - combat gauze
- celox gauze
- ChitoGauze
◉ What is recommended by CoTCCC as a first choice for a
hemostatic dressing? (TFC #1)
Answer: combat gauze
ASSESSMENT SCRIPT 2026 VERIFIED
ANSWERS COMPREHENSIVE REVIEW
◉ How long do you hold direct pressure in the use of a hemostatic
agent? (CUF)
Answer: 3 minutes
◉ Airway (CUF)
Answer: - no immediate management of airway is anticipated in CUF
- don't take time to est. an airway while under fire
- defer airway management until you have moved the casualty to
cover
- combat deaths from compromised airways are relatively infrequent
- if the casualty has no airway in CUF, changes for survival are
minimal
◉ What does MARCH stand for?
Answer: M - massive hemorrhage
A - airway
R - respiration
C - circulation
,H - head injury/hypothermia
◉ What does "M" in MARCH stand for?
Answer: massive hemorrhage; control life-threatening bleeding
◉ What does "A" in MARCH stand for?
Answer: airway; establish & maintain a patent airway
◉ What does "R" in MARCH stand for?
Answer: respiration; decompress suspected tension pneumothorax,
seal open chest wounds, and support ventilation/oxygenation as
required
◉ What does "C" in MARCH stand for?
Answer: circulation; establish IV/IO access and administer fluids as
required to treat shock
◉ What does "H" in MARCH stand for?
Answer: head injury/hypothermia; prevent/treat hypotension &
hypoxia to prevent worsening of TBI and prevent/treat hypothermia
◉ What are the TFC guidelines?
,Answer: - est. a security perimeter in accordance with unit tactical
standing operating procedures and/or battle drills
- maintain tactical situational awareness
- triage casualties as required
◉ How do you manage casualties with an Altered Mental Status?
(TFC #1)
Answer: - combatants with an altered mental status may use their
weapons/radios inappropriately
- secure long gun, pistols, knives, grenades, explosives, & all
communications gear
- possible causes of altered mental status are TBI, shock, hypoxia &
pain meds
- say to the casualty: "Let ___ hold your weapon for you while I check
you out."
◉ Where do you apply the tourniquet on a massive hemorrhage
during the TFC phase?
Answer: apply directly to the skin 2-3 inches above the bleeding site
◉ What are 3 alternative hemostatic adjuncts? (TFC #1)
Answer: - Celox Gauze
- Chito Gauze
- XStat (best for deep, narrow-tract junctional wounds)
, ◉ When should hemostatic dressings be applied? (TFC #1)
Answer: applied with at least 3 minutes of direct pressure (optional
for XStat)
◉ What are the pros in using direct pressure without a hemostatic
dressing? (TFC #1)
Answer: - can be used as a temporary measure
- works most of the time for external bleeding
- can stop carotid & femoral bleeding
- hard to use direct pressure alone to maintain control of big
bleeders while moving casualty
- don't let up on the pressure to check the wound because bleeding
control requires very firm pressure
◉ What are the 3 hemostatic dressings? (TFC #1)
Answer: - combat gauze
- celox gauze
- ChitoGauze
◉ What is recommended by CoTCCC as a first choice for a
hemostatic dressing? (TFC #1)
Answer: combat gauze
