Hemorrhage Control & Wound Management Flashcards
7 cards from real TCCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Hemorrhage Control & Wound Management flashcards as text
What is the preferred first-line method for controlling life-threatening extremity hemorrhage in TCCC?
Answer: Tourniquet application
In TCCC, a tourniquet is the preferred first-line treatment for life-threatening extremity hemorrhage because it rapidly stops arterial bleeding.
Where should a tourniquet be placed on a bleeding extremity per TCCC guidelines?
Answer: 2-3 inches above the wound
TCCC guidelines recommend placing the tourniquet 2-3 inches proximal (above) the wound to effectively occlude blood flow without being placed over the injury.
Which hemostatic agent is the TCCC standard of care for compressible wounds not amenable to tourniquet application?
Answer: Combat Gauze (kaolin-impregnated)
Combat Gauze impregnated with kaolin is the TCCC Committee-recommended hemostatic dressing for compressible wounds where a tourniquet cannot be applied.
How long should sustained direct pressure be applied after packing a wound with hemostatic gauze per TCCC protocol?
Answer: 3 minutes
TCCC guidelines recommend applying firm direct pressure for 3 minutes after packing with hemostatic gauze to allow the agent to activate and form a stable clot.
What critical information must be documented immediately upon tourniquet application in TCCC?
Answer: Time of tourniquet application
The time of tourniquet application must be marked on the tourniquet or the patient's forehead so receiving medical personnel can track total ischemia time.
Which wound location is NOT appropriate for tourniquet application in TCCC?
Answer: Penetrating abdominal wound with external hemorrhage
Abdominal wounds cannot be controlled with a tourniquet due to anatomical constraints; wound packing or junctional hemorrhage control techniques are required instead.
After approximately how many hours does tourniquet application become a significant risk factor for limb viability?
Answer: 2 hours
While tourniquets may remain in place longer when necessary, ischemia-related muscle and nerve injury risk increases significantly after 2 hours, making reassessment and documentation critical.