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

In TCCC, a tourniquet is the preferred first-line treatment for life-threatening extremity hemorrhage because it rapidly stops arterial bleeding.

Question 2

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

Accepted Answer

2-3 inches above the wound

Answer

TCCC guidelines recommend placing the tourniquet 2-3 inches proximal (above) the wound to effectively occlude blood flow without being placed over the injury.

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

Combat Gauze impregnated with kaolin is the TCCC Committee-recommended hemostatic dressing for compressible wounds where a tourniquet cannot be applied.

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

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.

Question 5

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

Accepted Answer

Time of tourniquet application

Answer

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.

TCCC - Tactical Combat Casualty Care Practice Test

TCCC - Tactical Combat Casualty Care Practice Test

TCCC Hemorrhage Control & Wound Management