TCCC EXAM PREP 2025/2026 – STUDY GUIDE WITH MARCH STEPS, TRAUMA
CARE SCENARIOS ACTUAL QUESTIONS AND CORRECT ANSWERS| 100%
CORRECT| GRADED A+| ASSURED 100% PASS
Leading causes of preventable death in combat trauma - ✔ANSWER Massive Hemorrhage
(Extremity, Junctional), Tension Pneumothorax, Airway Trauma/Obstruction
When applying a deliberate tourniquet in Tactical Field Care (TFC) where should it be applied -
✔ANSWER Directly to the skin 2-3 inches above the bleeding site
What is the most important intervention in TCCC - ✔ANSWER Early control of significant
external hemorrhage
What is the predominant cause of preventable death in combat fatalities - ✔ANSWER
Hemorrhage
Within what time limit should the bleeding be stopped with a tourniquet - ✔ANSWER 1
minute
Hasty vs Deliberate Tourniquet - ✔ANSWER Hasty - Applied "high and tight" over the
clothing
Deliberate - Applied directly on the skin 2-3 inches above the bleeding site
A tourniquet applied "high and tight" in Care Under Fire (CUF) should be reassessed in what
phase of TCCC - ✔ANSWER Tactical Field Care (TFC)
What is Direct Pressure and when should it be used - ✔ANSWER Pressure applied directly
over the bleeding site can be used temporarily until a tourniquet or dressing is in place
, What is indirect pressure and when should it be used - ✔ANSWER Pressure applied to a
vessel proximal to the bleeding site temporarily until a tourniquet or pressure bandage can be
applied
As a last resort, an improvised tourniquet may be applied as long as it has what three
characteristics - ✔ANSWER 1. At least 2 inches wide
2. Sturdy Windlass
3. Fastening devices to prevent loosening
After packing a wound with a hemostatic dressing how long must direct pressure be maintained
- ✔ANSWER 3 minutes
When packing a wound with gauze, how far out of the would should the gauze extend -
✔ANSWER 1-2 inches
TCCC phases of care - ✔ANSWER Care Under Fire (CUF)
Tactical Field Care (TFC)
Tactical Evacuation Care (TACEVAC)
Can the principles of TCCC be applied to non combat settings? - ✔ANSWER Yes. Motor
Vehicle Accidents, Active Shooter, Workplace Accident.
Roles and Responsibilities: All Service Members (ASM) - ✔ANSWER Identify and control
bleeding, Assess casualty using MARCH, Seek help as directed
Roles and Responsibilities: Combat LifeSaver (CLS) - ✔ANSWER Suppress hostile enemy fire,
perform assessment and treat using MARCH PAWS, assist the Combat Medic Corpsman (CMC)
as directed
, Roles and Responsibilites: Combat Medic Corpsman (CMC) - ✔ANSWER Suppress hostile
enemy fire, assume primary role in performing casualty assessment using MARCH PAWS,
Manage emergency response using all available responders, Reassess casualties and
communicate with TACEVAC medical personnel.
Key Factors influencing TCCC - ✔ANSWER Hostile fire
Tactical considerations
Wound patterns
Environmental considerations
First responder training and experience
Equipment contstraints
Evacuation delays
Importance of TCCC training - ✔ANSWER Lowest rate of preventable death in history
Three Objectives of TCCC - ✔ANSWER Treat the Casualty
Prevent additional casualties
Complete the Mission
Ways to stay up to date with TCCC - ✔ANSWER Quarterly reviewed TCCC Guidelines
Using training content from deployedmedicine.com
What is the most essential treatment task in Care Under Fire (CUF) - ✔ANSWER Applying a
limb tourniquet to control massive bleeding
What is every responder's role in Care Under Fire (CUF) - ✔ANSWER suppress hostile
fire/establish scene safety, assist in self aid, assist in moving casualties, if feasible.
, What does MARCH PAWS stand for - ✔ANSWER M-Massive Bleeding
A-Airway
R-Respirations
C-Circulation
H-Hypothermia and Head Injury
P-Pain
A-Antibiotics
W-Wounds
S-Splints
Joint First Aid Kit (JFAK) contents should be capable of treating what parts of MARCHPAWS -
✔ANSWER M-Massive Bleeding
A-Airway
R-Respirations
P-Pain
A-Antibiotics
W-Wounds
Combat LifeSaver (CLS) bag contents should be capable of treating what part of MARCHPAWS -
✔ANSWER M-Massive Bleeding
A-Airway
R-Respirations
C-Circulation
H-Hypothermia and Head Injury
P-Pain
A-Antibiotics
W-Wounds
S-Splints
CARE SCENARIOS ACTUAL QUESTIONS AND CORRECT ANSWERS| 100%
CORRECT| GRADED A+| ASSURED 100% PASS
Leading causes of preventable death in combat trauma - ✔ANSWER Massive Hemorrhage
(Extremity, Junctional), Tension Pneumothorax, Airway Trauma/Obstruction
When applying a deliberate tourniquet in Tactical Field Care (TFC) where should it be applied -
✔ANSWER Directly to the skin 2-3 inches above the bleeding site
What is the most important intervention in TCCC - ✔ANSWER Early control of significant
external hemorrhage
What is the predominant cause of preventable death in combat fatalities - ✔ANSWER
Hemorrhage
Within what time limit should the bleeding be stopped with a tourniquet - ✔ANSWER 1
minute
Hasty vs Deliberate Tourniquet - ✔ANSWER Hasty - Applied "high and tight" over the
clothing
Deliberate - Applied directly on the skin 2-3 inches above the bleeding site
A tourniquet applied "high and tight" in Care Under Fire (CUF) should be reassessed in what
phase of TCCC - ✔ANSWER Tactical Field Care (TFC)
What is Direct Pressure and when should it be used - ✔ANSWER Pressure applied directly
over the bleeding site can be used temporarily until a tourniquet or dressing is in place
, What is indirect pressure and when should it be used - ✔ANSWER Pressure applied to a
vessel proximal to the bleeding site temporarily until a tourniquet or pressure bandage can be
applied
As a last resort, an improvised tourniquet may be applied as long as it has what three
characteristics - ✔ANSWER 1. At least 2 inches wide
2. Sturdy Windlass
3. Fastening devices to prevent loosening
After packing a wound with a hemostatic dressing how long must direct pressure be maintained
- ✔ANSWER 3 minutes
When packing a wound with gauze, how far out of the would should the gauze extend -
✔ANSWER 1-2 inches
TCCC phases of care - ✔ANSWER Care Under Fire (CUF)
Tactical Field Care (TFC)
Tactical Evacuation Care (TACEVAC)
Can the principles of TCCC be applied to non combat settings? - ✔ANSWER Yes. Motor
Vehicle Accidents, Active Shooter, Workplace Accident.
Roles and Responsibilities: All Service Members (ASM) - ✔ANSWER Identify and control
bleeding, Assess casualty using MARCH, Seek help as directed
Roles and Responsibilities: Combat LifeSaver (CLS) - ✔ANSWER Suppress hostile enemy fire,
perform assessment and treat using MARCH PAWS, assist the Combat Medic Corpsman (CMC)
as directed
, Roles and Responsibilites: Combat Medic Corpsman (CMC) - ✔ANSWER Suppress hostile
enemy fire, assume primary role in performing casualty assessment using MARCH PAWS,
Manage emergency response using all available responders, Reassess casualties and
communicate with TACEVAC medical personnel.
Key Factors influencing TCCC - ✔ANSWER Hostile fire
Tactical considerations
Wound patterns
Environmental considerations
First responder training and experience
Equipment contstraints
Evacuation delays
Importance of TCCC training - ✔ANSWER Lowest rate of preventable death in history
Three Objectives of TCCC - ✔ANSWER Treat the Casualty
Prevent additional casualties
Complete the Mission
Ways to stay up to date with TCCC - ✔ANSWER Quarterly reviewed TCCC Guidelines
Using training content from deployedmedicine.com
What is the most essential treatment task in Care Under Fire (CUF) - ✔ANSWER Applying a
limb tourniquet to control massive bleeding
What is every responder's role in Care Under Fire (CUF) - ✔ANSWER suppress hostile
fire/establish scene safety, assist in self aid, assist in moving casualties, if feasible.
, What does MARCH PAWS stand for - ✔ANSWER M-Massive Bleeding
A-Airway
R-Respirations
C-Circulation
H-Hypothermia and Head Injury
P-Pain
A-Antibiotics
W-Wounds
S-Splints
Joint First Aid Kit (JFAK) contents should be capable of treating what parts of MARCHPAWS -
✔ANSWER M-Massive Bleeding
A-Airway
R-Respirations
P-Pain
A-Antibiotics
W-Wounds
Combat LifeSaver (CLS) bag contents should be capable of treating what part of MARCHPAWS -
✔ANSWER M-Massive Bleeding
A-Airway
R-Respirations
C-Circulation
H-Hypothermia and Head Injury
P-Pain
A-Antibiotics
W-Wounds
S-Splints
