TECC EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
DIRECT THREAT CARE (DTC) / HOT ZONE Guidelines: correct answer: Mitigate any immediate threat
Direct the injured first responder to stay engaged
Move patient to a safer position
Stop life threatening external hemorrhage
Place patient in a position to
protect airway
INDIRECT THREAT CARE (ITC) / WARM ZONE Guidelines
correct answer: Secure weapons
PMARCHP / X-ABCDE
Control bleeding
Reassess all tourniquets
Tourniquets that are determined to be both necessary and effective? correct answer: Should remain in place if the patient can be evacuated within 2 hours to definitive medical care
If existing tourniquet is necessary but ineffective? correct answer: Either tighten the existing tourniquet further, or apply a
second tourniquet, side-by-side and, if possible, proximal to the first to eliminate
the distal pulse. If a tourniquet is determined based on wound assessment to not be necessary? correct answer: Use other techniques to control bleeding and remove the tourniquet
Consider tourniquet downgrade/conversion if? correct answer: There will be a delay in evacuation
more than 2 hours.
Tourniquet downgrade: correct answer: Expose the wound fully, identify an appropriate location at least 2-3
inches above the most proximal injury (not over a joint), and apply a new
tourniquet directly to the skin. Once properly applied, the prior tourniquet can
be loosened but should be left in place.
Tourniquet conversion: correct answer: Expose the wound fully, fully pack the wound with hemostatic or
plain gauze, and properly apply a pressure dressing. Once properly applied, the
prior tourniquet can be loosened but should be left in place.
If the patient is conscious and able to follow commands? correct
answer: Position of comfort
If the patient is unconscious or conscious but unable to follow commands: correct answer: Clear airway
Apply basic chin lift or jaw thrust Consider placing a nasopharyngeal airway.
Place patient in the recovery position to maintain the open airway.
COMPLETE SOLUTIONS
DIRECT THREAT CARE (DTC) / HOT ZONE Guidelines: correct answer: Mitigate any immediate threat
Direct the injured first responder to stay engaged
Move patient to a safer position
Stop life threatening external hemorrhage
Place patient in a position to
protect airway
INDIRECT THREAT CARE (ITC) / WARM ZONE Guidelines
correct answer: Secure weapons
PMARCHP / X-ABCDE
Control bleeding
Reassess all tourniquets
Tourniquets that are determined to be both necessary and effective? correct answer: Should remain in place if the patient can be evacuated within 2 hours to definitive medical care
If existing tourniquet is necessary but ineffective? correct answer: Either tighten the existing tourniquet further, or apply a
second tourniquet, side-by-side and, if possible, proximal to the first to eliminate
the distal pulse. If a tourniquet is determined based on wound assessment to not be necessary? correct answer: Use other techniques to control bleeding and remove the tourniquet
Consider tourniquet downgrade/conversion if? correct answer: There will be a delay in evacuation
more than 2 hours.
Tourniquet downgrade: correct answer: Expose the wound fully, identify an appropriate location at least 2-3
inches above the most proximal injury (not over a joint), and apply a new
tourniquet directly to the skin. Once properly applied, the prior tourniquet can
be loosened but should be left in place.
Tourniquet conversion: correct answer: Expose the wound fully, fully pack the wound with hemostatic or
plain gauze, and properly apply a pressure dressing. Once properly applied, the
prior tourniquet can be loosened but should be left in place.
If the patient is conscious and able to follow commands? correct
answer: Position of comfort
If the patient is unconscious or conscious but unable to follow commands: correct answer: Clear airway
Apply basic chin lift or jaw thrust Consider placing a nasopharyngeal airway.
Place patient in the recovery position to maintain the open airway.
