FMF Tactical Combat Casualty Care 3

Question 1

A casualty has a sucking chest wound. After applying a vented chest seal, his condition worsens with absent breath sounds and tracheal deviation. What should you do?

Accepted Answer

Remove the chest seal and perform needle decompression

Answer

Worsening after chest seal application with signs of tension pneumothorax requires removal of the seal and needle decompression.

Question 2

Hypothermia prevention in TCCC is critical because hypothermia worsens the 'lethal triad.' What are the three components of the lethal triad?

Accepted Answer

Hypothermia, acidosis, coagulopathy

Answer

The lethal triad of hypothermia, acidosis, and coagulopathy creates a cycle that severely impairs the body's ability to clot and survive.

Question 3

In TCCC, when is intravenous (IV) access typically established?

Accepted Answer

During Tactical Field Care when needed for fluid resuscitation or medication

Answer

IV access is established during Tactical Field Care when the tactical situation permits and resuscitation or medication administration is needed.

Question 4

What volume of Hextend (6% Hetastarch) is the recommended initial bolus for a hypotensive trauma casualty in TCCC?

Accepted Answer

500 mL

Answer

500 mL of Hextend is the recommended initial bolus, which can be repeated once if the casualty remains hypotensive.

Question 5

A marine sustains a blast injury with suspected eye damage. Which TCCC action is appropriate?

Accepted Answer

Cover both eyes with rigid eye shields and do not apply pressure

Answer

Suspected open globe injuries require rigid shields over both eyes to prevent further damage, with no pressure applied.

(FMF) Fleet Marine Force Practice Test

(FMF) Fleet Marine Force Practice Test

FMF Tactical Combat Casualty Care 3