2025/2026 review|Graded A+
1. 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.
2. What steps are taken in Care Under Fire (CUF) before engaging with a casualty
- ANSWER
Return fire and take cover.
Direct the casualty to remain engaged as a combatant if appropriate.
Direct the casualty to move to cover and apply self-aid if able.
Try to keep the casualty from sustaining additional wounds.
Stop life-threatening extremity hemorrhage with a tourniquet if tactically feasible.
Move the casualty to cover, if the casualty is unable to move.
3. Role of fire superiority - ANSWER Return fire and take cover
4. Gain fire superiority
5. Four major areas for action in Care Under Fire (CUF) - ANSWER 1. Scene
Safety
6. 2. Casualty Movement
7. 3. Stop Life Threatening External Hemorrhage
8. 4. Proper Communication
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,9. What is the only medical intervention that may be performed in Care Under
Fire (CUF) - ANSWER A CoTCCC recommended limb tourniquet placed
"high and tight"
10.What is the most frequent cause of preventable death on the battlefield -
ANSWER Extremity Hemorrhage
11.Visual signs of a life threatening bleed - ANSWER 1. There is a traumatic
amputation of an arm or leg
12.2. There is pulsing or steady bleeding from the wound
13.3. Blood is pooling on the ground
14.4. Overlying clothes are soaked with blood
15.What is the number one medical priority in Care Under Fire (CUF) - ANSWER
Control of life-threatening external hemorrhage
16.How fast should a Tourniquet be applied - ANSWER 1 mintute or less
17.How fast can a patient with damage to a major blood vessel bleed to death -
ANSWER 3 Minutes
18.Advantages of One Person Drag/Carry - ANSWER One rescuer is exposed to
enemy/hostile fire
19.Disadvantages of One Person Drag/Carry - ANSWER They are difficult to
perform and can cause the rescuer to tire quickly
20.Advantages of Two Person Drag/Carry - ANSWER They are useful in
situations where drags do not work well and are quicker than most one-person
carries.
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,21.Disadvantages of Two Person Drag/Carry - ANSWER They cause the rescuers
to have a higher silhouette than most drags, and are hard to accomplish with the
added weight of rescuer's and/or the casualty's equipment
22.What are the three principles of casualty removal/extraction - ANSWER 1.
Safety - avoid more casualties and maintain situational awareness. If a threat
reemerges you are back in Care Under Fire (CUF)
23.2. MARCH - TCCC principles still apply. If the situation permits lifesaving
measures may be implemented prior to extraction
24.3. Training - Unit specific training on vehicles and equipment help maintain
proficiency
25.Who should the rescuer be communicating with at all times if feasible -
ANSWER Patient, other first responders and tactical leadership
26.Evacuation Categories - ANSWER Urgent - Evacuation within 2 hours
27.Priority - Evacuation within 4 hours
28.Routine - Evacuation within 24 hours
29.Triage Categories - ANSWER Immediate - Immediate lifesaving intervention
required
30.Delayed - Likely to need surgery but general condition permits delay
31.Minimal - Condition does not require immediate lifesaving intervention.
"walking wounded"
32.Expectant - Extensive wounds with an unlkikely chance of survival
33.What is a Casualty Collection Point (CCP) - ANSWER The Casualty Collection
Point (CCP) is a location on the battlefield for the triage, treatment and
monitoring, and the packaging/staging of casualties for evacuation
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, 34.What are the principal causes of altered mental status in TCCC - ANSWER
Traumatic Brain Injury (TBI), Hypoxemia (low blood oxygen level) and
Hypovolemia due to massive blood loss
35.Method of assessing altered mental status - ANSWER AVPU
36.Alert - Casualty is alert
37.Verbal - Responds to verbal commands
38.Pain - casualty responds to painful stimulation
39.Unresponsive - Casualty is unresponsive
40.Key Factors influencing TCCC - ANSWER Hostile fire
Tactical considerations
Wound patterns
Environmental considerations
First responder training and experience
Equipment contstraints
Evacuation delays
41.Importance of TCCC training - ANSWER Lowest rate of preventable death in
history
42.Three Objectives of TCCC - ANSWER Treat the Casualty
43.Prevent additional casualties
44.Complete the Mission
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