TCCC (part 3) questions with correct answers

TCCC (part 3) questions with correct
answers

Three Objectives of Tactical Combat Casualty Care (TCCC) - ANSWER: ➡ - Treat the casualty
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- Prevent additional casualties
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- Complete the mission
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Tactical Combat Casualty Care (TCCC) Guidelines 1996 - ANSWER: ➡ - Tourniquets
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- Aggressive needle thoracostomy
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- Nasopharyngeal airways
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- Surgical airways for maxillofacial trauma
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- Tactically appropriate fluid resuscitation
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- Battlefield antibiotics
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- Improved battlefield analgesia
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- Combine good tactics and good medicine
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- Scenario-based training
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- Combat medic input to guidelines
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The threat - ANSWER: ➡ During the gunfight, attention is focused primarily on eliminating
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what?
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3 Phases of Care in TCCC - ANSWER: ➡ - Care Under Fire
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- Tactical Field Care
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- Tactical Evacuation Care
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Care Under Fire - ANSWER: ➡ Is the care rendered by the first responder or combatant at the
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scene of the injury while they are still under effective hostile fire.
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,- Available medical equipment is limited to that carried by the individual or by the medical
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provider in his or her aid bag
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Tactical Field Care - ANSWER: ➡ Is the care render by the first responder or combatant once he
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and the casualty are no longer under effective hostile fire.
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- It also applies to situations in which an injury has occurred, but there has been no hostile fire.
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Tactical Evacuation Care - ANSWER: ➡ Is the care rendered once the casualty has been picked
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up by an aircraft, ground vehicle or boat.
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P-MARCH-P - ANSWER: ➡ - Is a combat medicine algorithm g g gg g g g g g g




- It is used to effectively treat battlefield casualties to prevent missing vital medical
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interventions
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- It can be tailored to any environment and casualty
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- It is considered the "Framework for ALL TCCC interventions"
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Massive Hemorrhage (step 1 in care under fire) - ANSWER: ➡ - Is the only step done on the "X"
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(point of injury)
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- Stop Massive bleeding
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- Tourniquets
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- Perform blood sweeps after PT has been moved off the "X" (Big pipes, little pipes down to the
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joints).
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Airway Management - ANSWER: ➡ - Check level of consciousness (LOC)
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- Check carotid (Dead check)
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- If patient is unresponsive, look, listen, feel (LLF)
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- Check for lacerations, obstructions broken bones, blood, and swelling (LOBBS)
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- Clear obstructions. NEVER BLIND SWEEP
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- Open airway with head tilt chin lift or jaw thrust
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, - If still not breathing, readjust a second time and LLF.
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g - Breathing? = nasopharyngeal airway
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- IF STILL not breathing, consider cricothyrotomy
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Types of Carries for Care Under Fire - ANSWER: ➡ - One-person drag with/without line
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- Two-person drag with/without line
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- SEAL Team Three Carry: One/Two person
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- Hawes Carry
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Early control of severe hemorrhage is CRITICAL - ANSWER: ➡ What is the number one
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medical priority in Care Under Fire?
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- There is pulsatile or steady bleeding from the wound
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- Blood is pooling on the ground
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- The overlying clothes are soaked with blood
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- Bandages or makeshift bandages used to cover the wound are ineffective and steadily
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becoming soaked with blood.
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- There is a traumatic amputation of a limb
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- There was prior bleeding, and the patient is now in shock (unconscious, confused, pale) -
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ANSWER: ➡ When is Bleeding Life Threatening?
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Casualties with such an injury can bleed in as little as 3 minutes - ANSWER: ➡ How long does it
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take to bleed to death from a complete femoral artery and vein disruption?
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The MARCH algorithm - ANSWER: ➡ Is a guide to the sequence of treatment priorities in
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caring for combat casualties
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Massive hemorrhage - ANSWER: ➡ Control life-threatening bleeding
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