FMF - Fleet Marine Force Tactical Combat Casualty Care Questions and Answers

Question 1

During the Care Under Fire (CUF) phase of TCCC, what is the primary medical priority if tactically feasible?

Accepted Answer

Applying a hasty tourniquet to control massive extremity hemorrhage.

Answer

Establishing a definitive airway with a nasopharyngeal airway (NPA).

Answer

Performing needle decompression for a suspected tension pneumothorax.

Answer

Initiating an IV for fluid resuscitation.

Question 2

A Marine in your platoon is injured and you have moved them to a covered position, out of the direct line of enemy fire. You are now in the Tactical Field Care (TFC) phase. According to the MARCH algorithm, what is the first assessment and intervention you should perform?

Accepted Answer

Massive Hemorrhage: Perform a blood sweep and control any life-threatening bleeding.

Answer

Airway: Check for obstructions and apply an NPA if needed.

Answer

Respirations: Assess for chest wounds and perform a needle decompression if necessary.

Answer

Circulation: Check for shock and establish IV/IO access.

Question 3

Which of the following distinguishes Tactical Evacuation Care (TACEVAC) from the first two phases of TCCC (Care Under Fire and Tactical Field Care)?

Accepted Answer

Additional medical personnel and more advanced equipment may become available.

Answer

It is the only phase where tourniquets are used.

Answer

It is the first time a casualty assessment is performed.

Answer

The primary goal is to return fire and gain fire superiority.

Question 4

You are applying a deliberate tourniquet during the Tactical Field Care phase. Which of the following is the correct procedure?

Accepted Answer

Apply the tourniquet directly to the skin, 2-3 inches above the wound, and tighten until the distal pulse is absent.

Answer

Place the tourniquet directly over a joint to maximize pressure.

Answer

Apply the tourniquet loosely over the uniform, 5-6 inches below the wound.

Answer

Remove the tourniquet after 30 minutes to allow for reperfusion regardless of bleeding.

Question 5

Which phase of TCCC involves rendering care while still under effective hostile fire, where medical equipment is limited to what is carried by the individual and the medic?

Accepted Answer

Care Under Fire (CUF)

Answer

Tactical Field Care (TFC)

Answer

Tactical Evacuation Care (TACEVAC)

Answer

Combat Life Saver (CLS)

Question 6

A casualty has an altered mental status after an explosion but no obvious external injuries. In the Tactical Field Care phase, after addressing the MARCH algorithm, what is a critical first step for the safety of the team?

Accepted Answer

Disarm the casualty and secure their communications equipment.

Answer

Administer a high dose of ketamine for pain.

Answer

Immediately begin fluid resuscitation with Hextend.

Answer

Leave the casualty's weapon with them for self-defense.