TACTICAL EMERGENCY CASUALTY CARE (TECC) EXAMINATION 2026 EXAMINATION ACTUAL EXAM COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED

TACTICAL EMERGENCY CASUALTY CARE
(TECC) EXAMINATION 2026 EXAMINATION
ACTUAL EXAM COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST
UPDATE THIS YEAR JUST RELEASED



The Tactical Emergency Casualty Care (TECC)
Examination evaluates a candidate’s ability to provide
lifesaving trauma care during civilian tactical and high-
threat incidents before definitive hospital treatment
becomes available. The examination emphasizes rapid
assessment, hemorrhage control, airway management,
evacuation priorities, scene safety, communication, and
coordinated emergency response in dynamic or potentially
dangerous environments.
Summarized Point-Form Exam Coverage
 Principles of civilian tactical emergency casualty care
 Direct threat, indirect threat, and evacuation care
phases
 Scene safety and threat assessment procedures
 Rapid casualty assessment under high-risk conditions

, Massive hemorrhage recognition and management
 Tourniquet application techniques and complications
 Wound packing and hemostatic dressing usage
 Airway obstruction recognition and management
 Nasopharyngeal airway insertion indications and
contraindications
 Recovery positioning and airway maintenance
 Respiratory trauma assessment and intervention
 Open pneumothorax recognition and chest seal
application
 Tension pneumothorax signs and needle
decompression principles
 Shock recognition and prevention strategies
 Trauma triage and mass-casualty incident
management
 Casualty movement and extraction techniques
 Drag carries and improvised evacuation methods
 Hypothermia prevention in trauma patients
 Communication during tactical incidents
 Coordination with law enforcement and rescue teams
 Medical equipment identification and use

, Incident command system fundamentals
 Documentation and patient handoff procedures
 Pediatric considerations in tactical trauma
 Burn injury management in hostile environments
 Blast injury recognition and priorities
 Penetrating trauma assessment
 Bloodborne pathogen precautions
 Tactical medical ethics and legal considerations
 EMS integration during active violence incidents
 Tactical situational awareness and personal protection
 Resource prioritization during multiple casualty
events
 Stress inoculation and human performance under
pressure
 Oxygenation and ventilation fundamentals
 Spinal motion restriction considerations
 Evacuation zone transitions and reassessment
 Rescue task force operational principles
 Casualty collection point procedures
 Improvised medical intervention techniques

,  Cold, hot, and warm zone operations
 Medical evacuation priorities and preparation
 Continuous casualty reassessment
 Trauma physiology basics relevant to TECC
 Civilian active assailant response integration
 Safety priorities for rescuers and patients
 Documentation accuracy during chaotic incidents


TECC Examination Practice MCQs (Questions 1–50)
1.
During an active violence incident, a responder notices
severe arterial bleeding from a casualty’s thigh while
gunfire remains ongoing nearby. What should be the
responder’s immediate priority?
A. Begin detailed neurological assessment immediately
B. Apply a tourniquet rapidly before evacuation
C. Start intravenous fluid administration immediately
D. Remove the patient’s clothing completely
Answer: B
Rationale: During direct threat care, controlling life-
threatening hemorrhage rapidly with a tourniquet is the
highest priority before extensive assessment.