TCCC HCB EXAM QUESTIONS WITH
COMPLETE ANSWERS
What are possible causes of an altered mental status? - Answer-• TBI
• Shock
• Hypoxia
• Pain Medications (I.E Morphine, Ketamine, etc)
What do you do if there is an UNCONSCIOUS casualty without airway obstruction? -
Answer-• Chin lift/Jaw thrust
• NPA Airway
• Place in recovery position
If you cannot get the airway clear from obstruction, you should consider doing what, and
what techniques can you use? - Answer-Cricothyroidotomy
• Bougie-Aided Open Surgical Technique - flanged and cuffed airway cannula of less
than 10mm outer dieter, 6-7 internal diameter, and 5-8 cm of intratracheal length
• Standard Open Surgical Technique - flanged and cuffed airway cannula of less than
10 mm outer diameters, 6-7mm internal diameters, and 5-8 cm of intratracheal length
What does it mean when you say surgical airway? - Answer-You're performing:
Cricothyroidotomy
What is Tension Pneumothorax? - Answer-Collection of air between the lung and chest
was due to an injury to the chest and or lung
When you have a collapsed lung, what do you perform, how, and using what? - Answer-
• NeedleD
• 14-gauge, 3.25 inch needle/catheter
• Inserted: Second intercostal space at midclavicular line
Whats an alternate site for NeedleD? - Answer-4th or 5th intercostal space at anterior
axially line (AAL).
At what point do you apply a vented occlusive dressing? - Answer-During expiration
What are signs of a collapsed lung? - Answer-• Hypoxia
• Respiratory Distress
• Hypotension
, What is a hemostatic dressing? - Answer-A dressing that will prolong/help the blood
clotting factors in your body.
What happens if the hemostatic dressing isn't working? - Answer-Take it out and put in
a new one/different type.
Limb TQ and junctional TQ should be converted to hemostatic or pressure dressings
ASAP if THREE criteria are met: - Answer-1. Casualty is not in shock
2. Possible to monitor wound closely for bleeding
3. TQ is not controlling bleeding from an amputated extremity
What is TQ repositioning? - Answer-If needed for hemorrhage control or to eliminate
distal pulses, a "high-and-tight" TQ can be moved to a position side-by-side with the
second TQ and tightened there.
Every effort should be made to covert TQ in less than ___ hours if bleeding can be
controlled. - Answer-2 hours
How does TQ conversion work? - Answer-1. Exposing the wound
2. Applying combat gauze/applying pressure
3. Releasing TQ and moving it to 2-3 inches above knee and leaving it lose in case you
need.
4. Monitor for re-bleeding
When do you NOT convert a TQ? - Answer-• Casualty is in shock
• You cannot closely monitory wound
• Extremity distal to TQ has been traumatically amputated
• TQ been on for more than 6 hours
• PT will arrive to treatment facility within 2 hours after time fo application
Only who can remove TQ? - Answer-Combat medic/corpsman/PJ, PA, physician
What is XSTAT30? - Answer-A hemostatic device for the control of severe, life-
threatening bleeding from junctional wounds in the groin or axilla not amenable to
tourniquet application in adults/adolescence.
XSTAT30 characteristics? - Answer-• Composed of 92 mini (approx) sponges
• Expand 10-12 times, in ~ 20 seconds
• Radiopaque marker embedded in each to be detectable in an x-ray
3 CoTCCC-recommended junctional TQ? - Answer-1. Combat Ready Clamp (CRoC)
2. Junctional Emergency Treatment Tool (JETT)
3. SAM Junctional Tourniquet (SJT)
What size gauge is used for IV access? - Answer-18-gauge/saline lock
COMPLETE ANSWERS
What are possible causes of an altered mental status? - Answer-• TBI
• Shock
• Hypoxia
• Pain Medications (I.E Morphine, Ketamine, etc)
What do you do if there is an UNCONSCIOUS casualty without airway obstruction? -
Answer-• Chin lift/Jaw thrust
• NPA Airway
• Place in recovery position
If you cannot get the airway clear from obstruction, you should consider doing what, and
what techniques can you use? - Answer-Cricothyroidotomy
• Bougie-Aided Open Surgical Technique - flanged and cuffed airway cannula of less
than 10mm outer dieter, 6-7 internal diameter, and 5-8 cm of intratracheal length
• Standard Open Surgical Technique - flanged and cuffed airway cannula of less than
10 mm outer diameters, 6-7mm internal diameters, and 5-8 cm of intratracheal length
What does it mean when you say surgical airway? - Answer-You're performing:
Cricothyroidotomy
What is Tension Pneumothorax? - Answer-Collection of air between the lung and chest
was due to an injury to the chest and or lung
When you have a collapsed lung, what do you perform, how, and using what? - Answer-
• NeedleD
• 14-gauge, 3.25 inch needle/catheter
• Inserted: Second intercostal space at midclavicular line
Whats an alternate site for NeedleD? - Answer-4th or 5th intercostal space at anterior
axially line (AAL).
At what point do you apply a vented occlusive dressing? - Answer-During expiration
What are signs of a collapsed lung? - Answer-• Hypoxia
• Respiratory Distress
• Hypotension
, What is a hemostatic dressing? - Answer-A dressing that will prolong/help the blood
clotting factors in your body.
What happens if the hemostatic dressing isn't working? - Answer-Take it out and put in
a new one/different type.
Limb TQ and junctional TQ should be converted to hemostatic or pressure dressings
ASAP if THREE criteria are met: - Answer-1. Casualty is not in shock
2. Possible to monitor wound closely for bleeding
3. TQ is not controlling bleeding from an amputated extremity
What is TQ repositioning? - Answer-If needed for hemorrhage control or to eliminate
distal pulses, a "high-and-tight" TQ can be moved to a position side-by-side with the
second TQ and tightened there.
Every effort should be made to covert TQ in less than ___ hours if bleeding can be
controlled. - Answer-2 hours
How does TQ conversion work? - Answer-1. Exposing the wound
2. Applying combat gauze/applying pressure
3. Releasing TQ and moving it to 2-3 inches above knee and leaving it lose in case you
need.
4. Monitor for re-bleeding
When do you NOT convert a TQ? - Answer-• Casualty is in shock
• You cannot closely monitory wound
• Extremity distal to TQ has been traumatically amputated
• TQ been on for more than 6 hours
• PT will arrive to treatment facility within 2 hours after time fo application
Only who can remove TQ? - Answer-Combat medic/corpsman/PJ, PA, physician
What is XSTAT30? - Answer-A hemostatic device for the control of severe, life-
threatening bleeding from junctional wounds in the groin or axilla not amenable to
tourniquet application in adults/adolescence.
XSTAT30 characteristics? - Answer-• Composed of 92 mini (approx) sponges
• Expand 10-12 times, in ~ 20 seconds
• Radiopaque marker embedded in each to be detectable in an x-ray
3 CoTCCC-recommended junctional TQ? - Answer-1. Combat Ready Clamp (CRoC)
2. Junctional Emergency Treatment Tool (JETT)
3. SAM Junctional Tourniquet (SJT)
What size gauge is used for IV access? - Answer-18-gauge/saline lock
