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.
