TCCC TIER 3 EXAM 2026-2027 QUESTIONS AND
CORRECT ANSWERS GRADED A+
Which factors influence TCCC?
Hostile fire, tactical considerations, wounding patterns, environmental
considerations, level of first-responder training and experience, equipment
constraints and the potential for significant delays in evacuation.
What are the phases of care in TCCC?
Care Under Fire/Threat, Tactical Field Care, and Tactical Evacuation Care.
What is the most essential treatment task in CUF?
Application of a limb tourniquet to control massive bleeding.
What is every first responder's role in CUF?
Suppress hostile fire and/or establish scene safety, assist in self-aid, and assist in
moving casualties
What does MARCH PAWS stand for?
Massive bleeding, airway, respirations (breathing), circulation, and hypothermia
AND head injury, pain, antibiotics, wounds, and splints.
,What type of tourniquet found in the CMC Aid Bag is used to control massive
hemorrhage in the axilla that is too proximal for effective limb tourniquet
application?
Junctional Tourniquet
When should you inspect your JFAK, CLS bag, CMC bag and other Service-
specific medical kits?
Before, during, and after all training events and missions.
What is Care Under Fire?
care given by the first responder at the scene of the injury while they and the
casualty are still under effective hostile fire or near the threat.
What are the signs of life threatening bleeding?
• Bright red blood is pooling on the ground
• The overlying clothes are soaked with blood
• There is a traumatic AMPUTATION of an arm or leg
• There is pulsatile (pulsing) or steady bleeding from the wound
How long does it take to bleed to death from a complete femoral artery and vein
disruption?
,3 minutes or less
What are advantages and disadvantages of one-person drags?
• Advantages: only one rescuer is exposed to enemy fire.
• Disadvantages: they are difficult to perform and can cause the rescuer to tire
quickly.
What are advantages and disadvantages of two-person carries?
• Advantages: they are useful in situations where drags do not work well and are
quicker than most one-person carries.
• Disadvantages: they cause the rescuers to have a higher silhouette than most
drags, and are hard to accomplish with the added weight of rescuer's and/or the
casualty's equipment.
What is the difference between TFC and CUF?
care rendered once the combat medic/corpsman and casualty are no longer under
direct threat from effective enemy fire. This allows for the time and the relative
safety for a more deliberate approach to casualty assessment and treatment.
True or False: During TFC, the tactical situation could change back to CUF again
at any time?
True
, What is triage?
the deliberate sorting of casualties and allocation of limited treatment resources
according to a system of priorities designed to maximize the number of survivors
on the battlefield.
What is a CCP?
location on the battlefield for the triage, treatment and monitoring, and the
packaging/staging of casualties for evacuation. The CCP should be established
reasonably close to the fight where casualties are likely to occur, be near natural
"lines of drift", provide relative cover and concealment from the enemy whenever
possible, and have access to evacuation routes.
In which phase of care is most of the Tactical Trauma Assessment performed?
Tactical Field Care
Why is it important to assess the casualty's mental status?
They may need to be disarmed and to have communications equipment removed.
Following their mental status throughout the assessment may help responders
identify changes in clinical status, leading to early casualty reassessment.
What is a blood sweep?
a rapid visual and palpable head-to-toe check of the front and back of the casualty
for any unrecognized life-threatening bleeding.
CORRECT ANSWERS GRADED A+
Which factors influence TCCC?
Hostile fire, tactical considerations, wounding patterns, environmental
considerations, level of first-responder training and experience, equipment
constraints and the potential for significant delays in evacuation.
What are the phases of care in TCCC?
Care Under Fire/Threat, Tactical Field Care, and Tactical Evacuation Care.
What is the most essential treatment task in CUF?
Application of a limb tourniquet to control massive bleeding.
What is every first responder's role in CUF?
Suppress hostile fire and/or establish scene safety, assist in self-aid, and assist in
moving casualties
What does MARCH PAWS stand for?
Massive bleeding, airway, respirations (breathing), circulation, and hypothermia
AND head injury, pain, antibiotics, wounds, and splints.
,What type of tourniquet found in the CMC Aid Bag is used to control massive
hemorrhage in the axilla that is too proximal for effective limb tourniquet
application?
Junctional Tourniquet
When should you inspect your JFAK, CLS bag, CMC bag and other Service-
specific medical kits?
Before, during, and after all training events and missions.
What is Care Under Fire?
care given by the first responder at the scene of the injury while they and the
casualty are still under effective hostile fire or near the threat.
What are the signs of life threatening bleeding?
• Bright red blood is pooling on the ground
• The overlying clothes are soaked with blood
• There is a traumatic AMPUTATION of an arm or leg
• There is pulsatile (pulsing) or steady bleeding from the wound
How long does it take to bleed to death from a complete femoral artery and vein
disruption?
,3 minutes or less
What are advantages and disadvantages of one-person drags?
• Advantages: only one rescuer is exposed to enemy fire.
• Disadvantages: they are difficult to perform and can cause the rescuer to tire
quickly.
What are advantages and disadvantages of two-person carries?
• Advantages: they are useful in situations where drags do not work well and are
quicker than most one-person carries.
• Disadvantages: they cause the rescuers to have a higher silhouette than most
drags, and are hard to accomplish with the added weight of rescuer's and/or the
casualty's equipment.
What is the difference between TFC and CUF?
care rendered once the combat medic/corpsman and casualty are no longer under
direct threat from effective enemy fire. This allows for the time and the relative
safety for a more deliberate approach to casualty assessment and treatment.
True or False: During TFC, the tactical situation could change back to CUF again
at any time?
True
, What is triage?
the deliberate sorting of casualties and allocation of limited treatment resources
according to a system of priorities designed to maximize the number of survivors
on the battlefield.
What is a CCP?
location on the battlefield for the triage, treatment and monitoring, and the
packaging/staging of casualties for evacuation. The CCP should be established
reasonably close to the fight where casualties are likely to occur, be near natural
"lines of drift", provide relative cover and concealment from the enemy whenever
possible, and have access to evacuation routes.
In which phase of care is most of the Tactical Trauma Assessment performed?
Tactical Field Care
Why is it important to assess the casualty's mental status?
They may need to be disarmed and to have communications equipment removed.
Following their mental status throughout the assessment may help responders
identify changes in clinical status, leading to early casualty reassessment.
What is a blood sweep?
a rapid visual and palpable head-to-toe check of the front and back of the casualty
for any unrecognized life-threatening bleeding.
