TCCC Hemorrhage Control & Wound Management 3

Question 1

In the Care Under Fire phase, what is the primary tourniquet placement principle for extremity hemorrhage?

Accepted Answer

Apply tourniquet 'high and tight' on the limb to rapidly control bleeding

Answer

Apply the tourniquet precisely 2-3 inches above the identified wound

Answer

Perform a complete wound assessment before tourniquet application

Answer

Pack the wound first, then apply a tourniquet if packing fails

Question 2

What does the term 'high and tight' tourniquet placement mean in TCCC Care Under Fire?

Accepted Answer

Place the tourniquet as high (proximal) on the limb as possible, near the groin or axilla

Answer

Apply the tourniquet near the wound with maximum windlass tension

Answer

Apply two tourniquets close together on the extremity

Answer

Use the highest tension setting before wound assessment

Question 3

When transitioning from Care Under Fire to Tactical Field Care, what should be done regarding a 'high and tight' tourniquet?

Accepted Answer

Reassess the wound and consider repositioning the tourniquet 2-3 inches above the injury if appropriate

Answer

Leave all tourniquets in their original positions without reassessment

Answer

Remove the tourniquet and convert to wound packing immediately upon reaching cover

Answer

Remove the tourniquet after 30 minutes regardless of wound status

Question 4

An improvised tourniquet (cravat) has controlled bleeding in the field. When a proper CAT tourniquet becomes available, what is the correct TCCC action?

Accepted Answer

Apply the proper tourniquet proximal to the improvised one, then remove the improvised

Answer

Remove the improvised tourniquet first, then apply the proper tourniquet

Answer

Apply the proper tourniquet over the improvised one for additional pressure

Answer

Leave the improvised tourniquet in place and supplement with wound packing only

Question 5

Which bandage type is recommended in TCCC for securing wound packing and maintaining pressure after hemorrhage is controlled?

Accepted Answer

Emergency Trauma Dressing (ETD / Israeli Bandage)

Answer

Standard 4×4 gauze squares secured with medical tape

Answer

Elastic (ACE) bandage wrapped circumferentially

Answer

Occlusive dressing sealed on all four sides

Question 6

A tourniquet is in place and reassessment reveals the wound location is uncertain. What should the TCCC provider do?

Accepted Answer

Leave the tourniquet in place and defer definitive reassessment to the next level of care

Answer

Remove the tourniquet immediately since it may be unnecessary

Answer

Tighten the tourniquet further to ensure maximum occlusion

Answer

Apply a second tourniquet distal to the first for additional coverage

Question 7

Which action is NOT consistent with proper TCCC wound care after hemorrhage control has been achieved?

Accepted Answer

Removing and repacking hemostatic gauze every 15 minutes to check for rebleeding

Answer

Covering the controlled wound with a sterile dressing

Answer

Recording the time of any tourniquet applied on the tourniquet or patient's forehead

Answer

Monitoring the wound for signs of rebleeding during tactical evacuation