TECC COMPLETE EXAMINATION TEST
QUESTIONS WITH VERIFIED SOLUTIONS
●● INDIRECT THREAT CARE (ITC) / WARM ZONE Guidelines
Answer: Secure weapons
PMARCHP / X-ABCDE
Control bleeding
Reassess all tourniquets
●● Tourniquets that are determined to be both necessary and effective?
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?
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?
Answer: Use other techniques to control bleeding and remove the
tourniquet
,●● Consider tourniquet downgrade/conversion if?
Answer: There will be a delay in evacuation
more than 2 hours.
●● Tourniquet downgrade:
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:
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?
Answer: Position of comfort
, ●● If the patient is unconscious or conscious but unable to follow
commands:
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.
●● If previous airway measures are unsuccessful
Answer: Supraglottic Devices
Oro/nasotracheal intubation
Surgical cricothyroidotomy (with lidocaine if conscious)
●● To cover any open and/or sucking chest wound.
Answer: Immediately apply a vented or non-vented occlusive seal to
cover the defect from
●● Tension pneumothorax presentation
Answer: Penetrating chest injury with subsequent progressive
dyspnea/respiratory distress,
hypoxia and/or hypotension, and/or increasing anxiety/agitation, often
after the
application of a chest seal.
QUESTIONS WITH VERIFIED SOLUTIONS
●● INDIRECT THREAT CARE (ITC) / WARM ZONE Guidelines
Answer: Secure weapons
PMARCHP / X-ABCDE
Control bleeding
Reassess all tourniquets
●● Tourniquets that are determined to be both necessary and effective?
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?
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?
Answer: Use other techniques to control bleeding and remove the
tourniquet
,●● Consider tourniquet downgrade/conversion if?
Answer: There will be a delay in evacuation
more than 2 hours.
●● Tourniquet downgrade:
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:
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?
Answer: Position of comfort
, ●● If the patient is unconscious or conscious but unable to follow
commands:
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.
●● If previous airway measures are unsuccessful
Answer: Supraglottic Devices
Oro/nasotracheal intubation
Surgical cricothyroidotomy (with lidocaine if conscious)
●● To cover any open and/or sucking chest wound.
Answer: Immediately apply a vented or non-vented occlusive seal to
cover the defect from
●● Tension pneumothorax presentation
Answer: Penetrating chest injury with subsequent progressive
dyspnea/respiratory distress,
hypoxia and/or hypotension, and/or increasing anxiety/agitation, often
after the
application of a chest seal.
