TCCC Hemorrhage Control & Wound Management

Question 1

What is the preferred first-line method for controlling life-threatening extremity hemorrhage in TCCC?

Accepted Answer

Tourniquet application

Answer

Wound elevation and direct pressure

Answer

Pressure dressing with hemostatic gauze over the wound

Answer

Manual compression of the proximal artery

Question 2

Where should a tourniquet be placed on a bleeding extremity per TCCC guidelines?

Accepted Answer

2-3 inches above the wound

Answer

Directly over the wound site

Answer

1 inch below the wound

Answer

At the nearest joint proximal to the wound

Question 3

Which hemostatic agent is the TCCC standard of care for compressible wounds not amenable to tourniquet application?

Accepted Answer

Combat Gauze (kaolin-impregnated)

Answer

Vaseline-impregnated gauze

Answer

Saline-moistened gauze

Answer

Chitosan-based gauze only

Question 4

How long should sustained direct pressure be applied after packing a wound with hemostatic gauze per TCCC protocol?

Accepted Answer

3 minutes

Answer

30 seconds

Answer

1 minute

Answer

10 minutes

Question 5

What critical information must be documented immediately upon tourniquet application in TCCC?

Accepted Answer

Time of tourniquet application

Answer

Patient's blood type and allergy status

Answer

Type of tourniquet and lot number

Answer

Name of the medic who applied it

Question 6

Which wound location is NOT appropriate for tourniquet application in TCCC?

Accepted Answer

Penetrating abdominal wound with external hemorrhage

Answer

Above-knee traumatic amputation

Answer

Gunshot wound to the mid-thigh with arterial bleeding

Answer

Deep laceration of the forearm with pulsatile bleeding

Question 7

After approximately how many hours does tourniquet application become a significant risk factor for limb viability?

Accepted Answer

2 hours

Answer

30 minutes

Answer

1 hour

Answer

6 hours