tactical emergency casualty care questions with
accurate answers
active threat MCI Ans✓✓✓ shifting from "triage and treat" to
"treat and evacuate"
C-TECC Pyramid Ans✓✓✓
Direct threat care Ans✓✓✓ -mitigate the threat
-remove victims from the threat
-treat massive bleeding (apply tourniquet or direct pressure)
-place victim in recovery position
direct threat care Ans✓✓✓ Direct Threat Care is applied when the
situation is unstable and/or there is an ongoing direct threat of bodily
harm to the patient or responders.
direct threat examples Ans✓✓✓ -Gunfire directed at you or the patient
-Uncontrolled freeway traffic in the hot zone
-Fire
-Structural instability
-IDLH
Evacuation Care Ans✓✓✓ -Assess need for advanced airway
management
, -Provide fluid resuscitation
-Prevent Hypothermia
-Provide analgesic care
-Prepare casualty for movement
Evacuation Care Ans✓✓✓ -reassess tourniquets and pressure bandages
-Provide rapid and secure casualty evacuation
-do not delay evacuation for non life threatening
-Consider c spine, not necessary for penetrating trauma if neurologically
intact.
Goals of TECC Ans✓✓✓ -To establish a framework that balances the
risk:benefit ratio for civilian medical response
-to provide guidance for point of wounding care
-To minimize provider risk while maximizing patient benefit
Indirect threat care circulation Ans✓✓✓ -Assess and treat for
Hemorrhagic shock ◦ Altered mental status
◦ Weak or absent peripheral pulses
-IV access Fluid
◦ Only for the profoundly hypotensive at POI. All others can wait. ◦
Only enough fluid to regain radial pulse and mentation
-CPR in Traumatic Arrest
◦ Judgment call. Not dead until they have bilateral NDCs
accurate answers
active threat MCI Ans✓✓✓ shifting from "triage and treat" to
"treat and evacuate"
C-TECC Pyramid Ans✓✓✓
Direct threat care Ans✓✓✓ -mitigate the threat
-remove victims from the threat
-treat massive bleeding (apply tourniquet or direct pressure)
-place victim in recovery position
direct threat care Ans✓✓✓ Direct Threat Care is applied when the
situation is unstable and/or there is an ongoing direct threat of bodily
harm to the patient or responders.
direct threat examples Ans✓✓✓ -Gunfire directed at you or the patient
-Uncontrolled freeway traffic in the hot zone
-Fire
-Structural instability
-IDLH
Evacuation Care Ans✓✓✓ -Assess need for advanced airway
management
, -Provide fluid resuscitation
-Prevent Hypothermia
-Provide analgesic care
-Prepare casualty for movement
Evacuation Care Ans✓✓✓ -reassess tourniquets and pressure bandages
-Provide rapid and secure casualty evacuation
-do not delay evacuation for non life threatening
-Consider c spine, not necessary for penetrating trauma if neurologically
intact.
Goals of TECC Ans✓✓✓ -To establish a framework that balances the
risk:benefit ratio for civilian medical response
-to provide guidance for point of wounding care
-To minimize provider risk while maximizing patient benefit
Indirect threat care circulation Ans✓✓✓ -Assess and treat for
Hemorrhagic shock ◦ Altered mental status
◦ Weak or absent peripheral pulses
-IV access Fluid
◦ Only for the profoundly hypotensive at POI. All others can wait. ◦
Only enough fluid to regain radial pulse and mentation
-CPR in Traumatic Arrest
◦ Judgment call. Not dead until they have bilateral NDCs