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

Under fire, TCCC recommends applying the tourniquet 'high and tight' (as proximally as possible) to rapidly control hemorrhage with minimal time and exposure.

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

'High and tight' means placing the tourniquet as proximally as possible (near the groin or axilla), which controls bleeding from any wound on the limb even before a full 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

In Tactical Field Care, the medic reassesses the tourniquet and wound, repositioning to 2-3 inches above the wound if tactically feasible to reduce unnecessary ischemia time.

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

The proper tourniquet must be placed proximal to the improvised one before the improvised device is removed, ensuring continuous hemorrhage control throughout the transition.

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

The Emergency Trauma Dressing (Israeli Bandage) is recommended in TCCC because its integrated pressure applicator maintains consistent, sustained pressure over packed wounds.

TCCC - Tactical Combat Casualty Care Practice Test

TCCC - Tactical Combat Casualty Care Practice Test

TCCC Hemorrhage Control & Wound Management 3