FMF Tactical Combat Casualty Care 2 — Questions and Answers
Question 1: Which phase of TCCC allows the most thorough medical assessment because the casualty is no longer under direct fire?
- Care Under Fire
- Tactical Field Care (Correct answer)
- Tactical Evacuation Care
- Combat Lifesaver Care
Correct answer: Tactical Field Care
Tactical Field Care occurs once the unit is no longer under direct fire, allowing more thorough assessment and treatment.
Question 2: When applying a tourniquet, it should be placed how many inches above the wound?
- 1 inch
- 2-3 inches (Correct answer)
- 4-5 inches
- 6 inches or more
Correct answer: 2-3 inches
Tourniquets should be placed 2-3 inches proximal to the wound to effectively occlude arterial blood flow.
Question 3: What is the MARCH acronym used for in TCCC?
- Movement, Assessment, Rescue, Care, Helicopter
- Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia/Head (Correct answer)
- Medical, Airway, Response, Circulation, Hydration
- Monitor, Assess, Resuscitate, Communicate, Handoff
Correct answer: Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia/Head
MARCH stands for Massive hemorrhage, Airway, Respiration, Circulation, and Hypothermia/Head trauma — the TCCC treatment priority sequence.
Question 4: In TCCC, what is the preferred method to open an airway in an unconscious casualty when trauma is suspected?
- Head-tilt chin-lift
- Jaw thrust maneuver (Correct answer)
- Nasopharyngeal airway insertion only
- Oropharyngeal airway insertion
Correct answer: Jaw thrust maneuver
The jaw thrust maneuver is preferred when cervical spine injury is possible, as it opens the airway without neck extension.
Question 5: Needle decompression for tension pneumothorax should be performed at which anatomical landmark?
- 5th intercostal space, midaxillary line
- 2nd intercostal space, midclavicular line (Correct answer)
- 3rd intercostal space, anterior axillary line
- 4th intercostal space, midclavicular line
Correct answer: 2nd intercostal space, midclavicular line
The 2nd intercostal space at the midclavicular line is the standard landmark for needle decompression to relieve tension pneumothorax.
Question 6: What is the primary indicator that a tourniquet has been applied correctly?
- The casualty reports numbness in the limb
- Bleeding stops and distal pulse is absent (Correct answer)
- The tourniquet causes visible skin indentation
- The casualty loses consciousness
Correct answer: Bleeding stops and distal pulse is absent
Correct tourniquet application stops bleeding and eliminates distal pulse, confirming arterial occlusion.
Question 7: Which dressing is specifically designed for junctional wounds (groin, axilla, neck) not amenable to tourniquet use?
- Israeli bandage
- Combat gauze only
- Junctional Emergency Treatment Tool (JETT) or SAM Junctional Tourniquet (Correct answer)
- Elastic bandage wrap
Correct answer: Junctional Emergency Treatment Tool (JETT) or SAM Junctional Tourniquet
Junctional tourniquets like the JETT or SAM JT are designed to control hemorrhage in areas where limb tourniquets cannot be applied.
FMF Tactical Combat Casualty Care 2
Which phase of TCCC allows the most thorough medical assessment because the casualty is no longer under direct fire?