TCCC TEST STUDY QUESTIONS PRACTICE
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ What are the three objectives of TCCC? Answer: 1. Treat the casualty
2. Prevent additional casualties 3. Complete the mission
⩥ What are the three phases of TCCC? Answer: 1. Care Under Fire
(CUF) 2. Tactical Field Care (TFC) 3. Tactical Evacuation Care
(TACEVAC)
⩥ What are the most common causes of preventable death in combat?
Answer: 1. Hemorrhage 2. Tension pneumothorax 3. Airway obstruction
⩥ What are the priorities of Care Under Fire (CUF)? Answer: Return
fire, take cover, move the casualty to cover, and control life-threatening
hemorrhage.
⩥ What is the primary method for controlling life-threatening extremity
bleeding during CUF? Answer: Tourniquets.
⩥ When is spinal immobilization generally required in combat? Answer:
Spinal immobilization is generally not required for penetrating trauma
but may be considered for blunt trauma if tactically feasible.
,⩥ What is the purpose of Tactical Field Care (TFC)? Answer: TFC is
provided once the casualty and provider are no longer under effective
hostile fire.
⩥ What does MARCH stand for in TFC assessment? Answer: Massive
hemorrhage, Airway, Respiration, Circulation, Head injury /
Hypothermia.
⩥ What are the hemorrhage control methods in TFC? Answer:
Tourniquets, hemostatic dressings, pressure dressings, junctional
tourniquets, and XSTAT.
⩥ What does airway management in TFC include? Answer: Positioning,
nasopharyngeal airways, and surgical cricothyroidotomy if required.
⩥ What are the signs and treatment of tension pneumothorax? Answer:
Signs include respiratory distress, decreased breath sounds, hypoxia, and
shock; treatment is needle decompression.
⩥ What are the indicators of shock? Answer: Altered mental status
(without TBI) and weak or absent radial pulse.
⩥ What is the role of TXA in TCCC? Answer: TXA reduces bleeding by
strengthening fibers
, and improves survival when given within 3 hours of injury to casualties
at risk of hemorrhagic shock.
⩥ What are the goals of fluid resuscitation in TCCC? Answer: Restore
perfusion without dislodging clots by maintaining SBP 80-90 mmHg or
a palpable radial pulse.
⩥ What is the antibiotic protocol for combat wounds? Answer: All open
combat wounds require early antibiotics: moxifloxacin PO or ertapenem
IV/IM if PO not possible.
⩥ What are the CPR considerations in combat? Answer: CPR is not
recommended for traumatic cardiac arrest except in special
circumstances.
⩥ What are the documentation requirements in TCCC? Answer: Care
must be documented on the TCCC Casualty Card (DD-1380) and
accompany the casualty.
⩥ What are the CUF priorities? Answer: Return fire & take cover, move
casualty to cover, stop life-threatening hemorrhage ONLY.
⩥ What is the warning for CUF? Answer: If you can only do ONE thing
— stop bleeding.
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ What are the three objectives of TCCC? Answer: 1. Treat the casualty
2. Prevent additional casualties 3. Complete the mission
⩥ What are the three phases of TCCC? Answer: 1. Care Under Fire
(CUF) 2. Tactical Field Care (TFC) 3. Tactical Evacuation Care
(TACEVAC)
⩥ What are the most common causes of preventable death in combat?
Answer: 1. Hemorrhage 2. Tension pneumothorax 3. Airway obstruction
⩥ What are the priorities of Care Under Fire (CUF)? Answer: Return
fire, take cover, move the casualty to cover, and control life-threatening
hemorrhage.
⩥ What is the primary method for controlling life-threatening extremity
bleeding during CUF? Answer: Tourniquets.
⩥ When is spinal immobilization generally required in combat? Answer:
Spinal immobilization is generally not required for penetrating trauma
but may be considered for blunt trauma if tactically feasible.
,⩥ What is the purpose of Tactical Field Care (TFC)? Answer: TFC is
provided once the casualty and provider are no longer under effective
hostile fire.
⩥ What does MARCH stand for in TFC assessment? Answer: Massive
hemorrhage, Airway, Respiration, Circulation, Head injury /
Hypothermia.
⩥ What are the hemorrhage control methods in TFC? Answer:
Tourniquets, hemostatic dressings, pressure dressings, junctional
tourniquets, and XSTAT.
⩥ What does airway management in TFC include? Answer: Positioning,
nasopharyngeal airways, and surgical cricothyroidotomy if required.
⩥ What are the signs and treatment of tension pneumothorax? Answer:
Signs include respiratory distress, decreased breath sounds, hypoxia, and
shock; treatment is needle decompression.
⩥ What are the indicators of shock? Answer: Altered mental status
(without TBI) and weak or absent radial pulse.
⩥ What is the role of TXA in TCCC? Answer: TXA reduces bleeding by
strengthening fibers
, and improves survival when given within 3 hours of injury to casualties
at risk of hemorrhagic shock.
⩥ What are the goals of fluid resuscitation in TCCC? Answer: Restore
perfusion without dislodging clots by maintaining SBP 80-90 mmHg or
a palpable radial pulse.
⩥ What is the antibiotic protocol for combat wounds? Answer: All open
combat wounds require early antibiotics: moxifloxacin PO or ertapenem
IV/IM if PO not possible.
⩥ What are the CPR considerations in combat? Answer: CPR is not
recommended for traumatic cardiac arrest except in special
circumstances.
⩥ What are the documentation requirements in TCCC? Answer: Care
must be documented on the TCCC Casualty Card (DD-1380) and
accompany the casualty.
⩥ What are the CUF priorities? Answer: Return fire & take cover, move
casualty to cover, stop life-threatening hemorrhage ONLY.
⩥ What is the warning for CUF? Answer: If you can only do ONE thing
— stop bleeding.
