TCCC Hemorrhage Control & Wound Management 2

Question 1

If a single tourniquet fails to control hemorrhage from an extremity wound, what is the correct TCCC action?

Accepted Answer

Apply a second tourniquet immediately proximal to the first

Answer

Remove and reapply the tourniquet at a lower position on the limb

Answer

Convert immediately to wound packing with hemostatic gauze only

Answer

Apply maximum manual pressure over the existing tourniquet and wait

Question 2

A casualty has severe hemorrhage from a wound in the inguinal (groin) area. Which device is most appropriate per TCCC guidelines?

Accepted Answer

Junctional Emergency Treatment Tool (JETT) or Combat Ready Clamp (CRoC)

Answer

Standard limb tourniquet applied around the waist

Answer

Pressure dressing with wound packing alone

Answer

Improvised circumferential compression bandage

Question 3

Which combination of findings confirms that a limb tourniquet has been applied with sufficient tightness?

Accepted Answer

Bleeding has completely stopped and distal pulse is absent

Answer

Patient reports significant pain and limb turns pale

Answer

The tourniquet windlass is fully tightened and secured

Answer

Skin distal to the tourniquet becomes cyanotic

Question 4

When is wound packing preferred over tourniquet application in TCCC?

Accepted Answer

For wounds in junctional areas or the torso where a tourniquet cannot be placed

Answer

When the patient is in Class III hemorrhagic shock

Answer

Whenever a tourniquet is not immediately available in the kit

Answer

For all soft tissue injuries regardless of location

Question 5

What is the correct wound-packing technique in TCCC?

Accepted Answer

Pack gauze tightly into the wound cavity and apply direct pressure for 3 minutes

Answer

Loosely fill the wound cavity to avoid patient discomfort and tissue damage

Answer

Layer gauze over the wound surface without inserting into the cavity

Answer

Apply a wet dressing to promote wound drainage and prevent drying

Question 6

Which statement about tourniquet use is most consistent with current TCCC evidence from recent conflicts?

Accepted Answer

Early tourniquet application in appropriate wounds significantly reduces mortality with low rates of tourniquet-related limb loss

Answer

Tourniquet use frequently results in permanent limb loss and should be used only as a last resort

Answer

Tourniquets should only be applied after direct pressure has failed for at least 2 minutes

Answer

Tourniquets cause more complications than benefits when applied before reaching definitive medical care

Question 7

What does the 'M' in the TCCC MARCH assessment acronym represent?

Accepted Answer

Massive hemorrhage

Answer

Movement and extraction

Answer

Medical history

Answer

Mental status evaluation