TCCC TEST STUDY QUESTIONS TEST PAPER
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ Who makes the changes in TCCC? Answer: Committee on Tactical
Combat Casualty Care (CoTCCC)
- 42 members in DoD/civilian sector
⩥ What is the 2nd leading cause of preventable death on the battlefield
after hemorrhage? Answer: tension pneumothorax
⩥ What is a junctional hemorrhage? Answer: type of wounds are often
caused by IEDS and may result in junctional hemorrhage
⩥ What is tension pneumothorax? Answer: - air escapes from injured
lung - pressure builds up in the chest
- air pressure collapses lung & pushes on heart
⩥ What are the 3 phases in TCCC? Answer: Care Under Fire
Tactical Field Care
TACEVAC Care
,⩥ What are some guidelines in Care Under Fire? Answer: - return fire &
take cover
- direct pt to move to cover/remain engaged as a combatant
- pt should be extricated from burning vehicles/buildings, moved to
safety & stop the burning process
- stop life-threatening external hemorrhage (tourniquet)
- airway management is generally best deferred until the Tactical Field
Care phase
⩥ What is the best medicine on the battlefield? (CUF) Answer: Fire
Superiority
⩥ What do you do if the firefight is ongoing? (CUF) Answer: Don't try
to treat your casualty in the Kill Zone!
⩥ If a casualty is able to move to cover when engaged in a firefight...
(CUF) Answer: he should do so to avoid exposing others to enemy fire
⩥ If casualty is unable to move & unresponsive when engaged in a
firefight... (CUF) Answer: the casualty is likely beyond help & moving
him while under fire may not be worth the risk
⩥ If a casualty is responsive but can't move when engaged in a
firefight... (CUF) Answer: a rescue plan should be devised if tactically
feasible
,⩥ What should you consider when you must move a casualty under fire?
(CUF) Answer: location of nearest cover
how best to move him to the cover
the risk to the rescuers
weight of the casualty/rescuer
distance to be covered
use suppression fire & smoke to best advantage
recover casualty's weapons if possible
⩥ What kind of injuries would you consider c-spine stabilization? (CUF)
Answer: neck or spine injuries due to falls, fast-roping injuries, or motor
vehicle accidents
apply only if the danger of hostile fire does not constitute a greater threat
⩥ When is c-spine stabilization not required? (CUF) Answer:
penetrating head & neck injuries
- gunshot wounds (GSW), shrapnel
- penetrating trauma, the spinal cord is either already compromised or is
in relatively less danger than would be the case with blunt trauma
⩥ What are the types of carries for Care Under Fire? Answer: - One-
person drag with/without a line
, - Two-person drag with/without a line
- SEAL Team Three Carry ("shoulder-belt carry")
- Hawes Carry ("Modified Fireman's Carry" or "Pack Strap Carry")
⩥ What are the burn preventions in Care Under Fire? Answer: - remove
the casualty from burning vehicles or structures ASAP & move to cover
- stop burning with any non-flammable fluids readily accessible, by
smothering, or by rolling on the ground ("stop, drop, roll")
⩥ What is the number one medical priority in Care Under Fire? Answer:
- early control of severe hemorrhage
- extremity hemorrhage was the most frequent cause of preventable
battlefield deaths
- over 2,500 deaths occurred in Vietnam secondary to hemorrhage from
extremity wounds
- injury to a major vessel can quickly lead to shock and death
- only life-threatening bleeding warrants intervention during CUF
⩥ If you can only do ONE thing for the casualty, what would it be?
(CUF) Answer: stop your casualty from bleeding to death
⩥ What are signs of life-threatening bleeding? (CUF) Answer: - when
there is a pulsing or steady bleeding from the wound
- blood is pooling on the ground
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
⩥ Who makes the changes in TCCC? Answer: Committee on Tactical
Combat Casualty Care (CoTCCC)
- 42 members in DoD/civilian sector
⩥ What is the 2nd leading cause of preventable death on the battlefield
after hemorrhage? Answer: tension pneumothorax
⩥ What is a junctional hemorrhage? Answer: type of wounds are often
caused by IEDS and may result in junctional hemorrhage
⩥ What is tension pneumothorax? Answer: - air escapes from injured
lung - pressure builds up in the chest
- air pressure collapses lung & pushes on heart
⩥ What are the 3 phases in TCCC? Answer: Care Under Fire
Tactical Field Care
TACEVAC Care
,⩥ What are some guidelines in Care Under Fire? Answer: - return fire &
take cover
- direct pt to move to cover/remain engaged as a combatant
- pt should be extricated from burning vehicles/buildings, moved to
safety & stop the burning process
- stop life-threatening external hemorrhage (tourniquet)
- airway management is generally best deferred until the Tactical Field
Care phase
⩥ What is the best medicine on the battlefield? (CUF) Answer: Fire
Superiority
⩥ What do you do if the firefight is ongoing? (CUF) Answer: Don't try
to treat your casualty in the Kill Zone!
⩥ If a casualty is able to move to cover when engaged in a firefight...
(CUF) Answer: he should do so to avoid exposing others to enemy fire
⩥ If casualty is unable to move & unresponsive when engaged in a
firefight... (CUF) Answer: the casualty is likely beyond help & moving
him while under fire may not be worth the risk
⩥ If a casualty is responsive but can't move when engaged in a
firefight... (CUF) Answer: a rescue plan should be devised if tactically
feasible
,⩥ What should you consider when you must move a casualty under fire?
(CUF) Answer: location of nearest cover
how best to move him to the cover
the risk to the rescuers
weight of the casualty/rescuer
distance to be covered
use suppression fire & smoke to best advantage
recover casualty's weapons if possible
⩥ What kind of injuries would you consider c-spine stabilization? (CUF)
Answer: neck or spine injuries due to falls, fast-roping injuries, or motor
vehicle accidents
apply only if the danger of hostile fire does not constitute a greater threat
⩥ When is c-spine stabilization not required? (CUF) Answer:
penetrating head & neck injuries
- gunshot wounds (GSW), shrapnel
- penetrating trauma, the spinal cord is either already compromised or is
in relatively less danger than would be the case with blunt trauma
⩥ What are the types of carries for Care Under Fire? Answer: - One-
person drag with/without a line
, - Two-person drag with/without a line
- SEAL Team Three Carry ("shoulder-belt carry")
- Hawes Carry ("Modified Fireman's Carry" or "Pack Strap Carry")
⩥ What are the burn preventions in Care Under Fire? Answer: - remove
the casualty from burning vehicles or structures ASAP & move to cover
- stop burning with any non-flammable fluids readily accessible, by
smothering, or by rolling on the ground ("stop, drop, roll")
⩥ What is the number one medical priority in Care Under Fire? Answer:
- early control of severe hemorrhage
- extremity hemorrhage was the most frequent cause of preventable
battlefield deaths
- over 2,500 deaths occurred in Vietnam secondary to hemorrhage from
extremity wounds
- injury to a major vessel can quickly lead to shock and death
- only life-threatening bleeding warrants intervention during CUF
⩥ If you can only do ONE thing for the casualty, what would it be?
(CUF) Answer: stop your casualty from bleeding to death
⩥ What are signs of life-threatening bleeding? (CUF) Answer: - when
there is a pulsing or steady bleeding from the wound
- blood is pooling on the ground
