HCB TCCC Exam 2026/2027 | Tactical Combat Casualty Care Practice Questions, Answers & Certification Study Guide

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HCB TCCC EXAM


What does PMARCHP stand for? - CORRECT ANSWERS Patient safety, massive hemorrhage,
airway, respiration, circulation, head injury/hypothermia, pain management


(True/False) Casualties with an altered mental status should keep their weapons and
communications equipment. - CORRECT ANSWERS False


What are possible causes of altered mental status? - CORRECT ANSWERS TBI, shock,
hypoxia, pain medications


How should you place a tourniquet during TFC? - CORRECT ANSWERS Directly to the skin 2-
3 inches above the bleeding site


What may cause a tourniquet to fail? - CORRECT ANSWERS Repetitive applications


Hemostatic dressing should be applied with at least ___ minutes of direct pressure. -
CORRECT ANSWERS 3


What are the three hemostatic dressings recommended in the TCCC guidelines? - CORRECT
ANSWERS Combat gauze, Celox gauze, ChitoGauze


What is impregnated into combat gauze that causes blood to clot? - CORRECT ANSWERS
Kaolin


XSTAT 12 can be used up to ___ hours until surgical care is acquired. - CORRECT ANSWERS 4


When can you use XSTAT 12? - CORRECT ANSWERS Only for patients at high risk for
immediate life-threatening bleeding for hemodynamically significant, non-compressible




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junctional wounds when definitive care at an emergency care facility cannot be achieved
within minutes


XSTAT 12 should NOT be used in: - CORRECT ANSWERS The thorax; pleural cavity;
mediastinum; abdomen; retroperitoneal space; sacral space; tissues above inguinal
ligament; tissues above the clavicle


Characteristics of XSTAT 12 - CORRECT ANSWERS -contains approximately 38 compressed
minisponges
-expand to 10-12 times their compressed volume within approximately 20 seconds
-radiopaque market is embedded into each of the minisponges


Who should remove the minisponges after achieving proximal and distal vascular control? -
CORRECT ANSWERS Surgeon


DD Form 1380 - CORRECT ANSWERS TCCC Casualty Card


Junctional hemorrhage refers to bleeding from wounds to the: - CORRECT ANSWERS Groin,
buttocks, perineum, axillae, base of the neck, extremities at sites too proximal for a limb
tourniquet


Three CoTCCC-recommended junctional tourniquets - CORRECT ANSWERS -Combat Ready
Clamp (CroC)
-Junctional Emergency Treatment Tool (JETT)
-SAM Junctional Tourniquet (SJT)


What is the recovery position used for? - CORRECT ANSWERS To protect against vomiting
and aspiration


What is the preferred cricothyroidotomy technique? - CORRECT ANSWERS Cric-Key


What is the least desired cricothyroidotomy technique? - CORRECT ANSWERS Standard
open surgical




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Combat medical training historically was modeled on what civilian courses? - CORRECT
ANSWERS Emergency Medical Technician, Advanced Trauma Life Support


What two groups are needed to optimize battlefield trauma care strategies? - CORRECT
ANSWERS Trauma docs and combat medical personnel


How is military prehospital trauma care different from civilian trauma care? - CORRECT
ANSWERS -hostile fire
-darkness
-environmental extremes
-different wounding epidemiology
-limited equipment
-need for tactical maneuver
-long delays to hospital care
-different medic training and experience


What type of wounds are often caused by IEDs? - CORRECT ANSWERS Junctional
hemorrhage


What is the SECOND LEADING cause of preventable death on the battlefield? - CORRECT
ANSWERS Tension pneumothorax


What is the FIRST LEADING cause of preventable death on the battlefield? - CORRECT
ANSWERS Hemorrhage


What are the three objectives of TCCC? - CORRECT ANSWERS -treat the casualty
-prevent additional casualties
-complete the mission


The prehospital arm of the Joint Trauma System include: - CORRECT ANSWERS -42 members
from all services in the DoD and civilian sector




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