Tactical Combat Casualty Care Flashcards
7 cards from real FMF practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Tactical Combat Casualty Care flashcards as text
A casualty has a nasopharyngeal airway (NPA) inserted. At what point should you NOT insert an NPA?
Answer: When there is suspected basilar skull fracture with CSF from nose/ears
Suspected basilar skull fracture with CSF leakage is a contraindication to NPA insertion due to risk of intracranial placement.
During Tactical Evacuation Care (TACEVAC), which additional intervention becomes available compared to earlier TCCC phases?
Answer: Advanced airway management and blood product resuscitation
TACEVAC typically involves more advanced providers and equipment, enabling interventions like surgical airways, RSI, and blood product administration.
What is the recommended technique for wound packing to achieve hemostasis with Combat Gauze?
Answer: Pack tightly with direct pressure for at least 3 minutes
Hemostatic gauze must be packed tightly into the wound with firm direct pressure maintained for a minimum of 3 minutes to activate clotting.
A marine has a penetrating abdominal wound with eviscerated bowel. The correct TCCC field management is to:
Answer: Cover with a moist sterile dressing and do not reinsert
Eviscerated organs should be covered with a moist sterile dressing and never forced back into the abdomen — surgical repair is required.
Which sign is the most reliable field indicator of tension pneumothorax when a stethoscope is unavailable?
Answer: Increasing respiratory distress with penetrating chest trauma and declining mental status
Progressive respiratory distress combined with penetrating chest trauma and declining mental status is the most reliable field indicator of tension pneumothorax.
A TCCC provider converts a tourniquet to a pressure dressing after 6 hours in the field. What is the primary concern with this action?
Answer: Reperfusion injury and renewed hemorrhage may occur after prolonged tourniquet time
After prolonged tourniquet application, conversion risks reperfusion injury, renewed hemorrhage, and systemic effects from ischemic metabolites.
In TCCC, what is the 'platinum ten minutes' concept?
Answer: The critical window to control hemorrhage before irreversible shock occurs
The 'platinum ten minutes' describes the critical window during which hemorrhage control must be achieved to prevent irreversible shock and death.