QCM : Battlefield Tactical Casualty Care Fundamentals — 10 questions

Questions et réponses du QCM

1. What is the main purpose of TCCC in battlefield prehospital care?

To focus only on treating injuries after the firefight ends
To prioritize advanced hospital procedures before field treatment
To balance life-saving treatment with the need to keep the mission going
To replace combat tasks with the fastest possible evacuation

To balance life-saving treatment with the need to keep the mission going

Explication

TCCC is designed to balance medical care with mission accomplishment under combat conditions. It is not a purely civilian-style approach that ignores the tactical situation.

2. Which set of goals best describes TCCC?

Restore full function, avoid all movement, and wait for surgical support
Stabilize every injury, evacuate immediately, and document all care in hospital format
Treat the wounded, prevent additional casualties, and support completion of the combat task
Provide airway care, chest care, and medication before all other actions

Treat the wounded, prevent additional casualties, and support completion of the combat task

Explication

The three TCCC goals are to treat the wounded, prevent more casualties, and support completion of the combat task. The other options describe either non-tactical priorities or incomplete pieces of care.

3. What is the defining situation for the Care Under Fire phase?

The unit is in a secure aid station with no threat present
The casualty is being assessed after complete cessation of combat
The casualty has already been loaded into transport for evacuation
The medic and casualty are under active enemy fire or in direct line of sight

The medic and casualty are under active enemy fire or in direct line of sight

Explication

Care Under Fire applies when there is active enemy fire or direct exposure to the enemy. That is why care is limited and movement to cover is the priority.

4. What is the only medical intervention performed during Care Under Fire?

Running a complete circulation assessment and shock check
Performing a full airway exam and placing an airway adjunct
Applying a tourniquet for life-threatening extremity bleeding
Starting analgesics and fixing fractures

Applying a tourniquet for life-threatening extremity bleeding

Explication

During CUF, only one lifesaving intervention is done: controlling severe extremity bleeding with a tourniquet. Airway checks and broader care are not performed in this phase.

5. Which sequence correctly gives the MARCH algorithm used in Tactical Field Care?

Respiration, Airway, Massive hemorrhage, Circulation, Hypothermia/Head
Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia/Head
Circulation, Airway, Respiration, Hypothermia, Massive hemorrhage
Airway, Massive hemorrhage, Circulation, Respiration, Head injury

Massive hemorrhage, Airway, Respiration, Circulation, Hypothermia/Head

Explication

MARCH is the ordered Tactical Field Care algorithm: Massive hemorrhage, Airway, Respiration, Circulation, and Hypothermia/Head. The sequence matters because it organizes treatment priorities.

6. What is the main focus of the Hypothermia/Head step in MARCH?

Assessing chest wounds and performing needle decompression
Applying a pressure dressing and packing wounds
Clearing the airway and inserting a nasopharyngeal airway
Preventing cold injury and checking for head trauma

Preventing cold injury and checking for head trauma

Explication

The H step addresses hypothermia prevention and head trauma inspection. Airway, chest, and bleeding interventions belong to earlier MARCH steps.

7. When does Tactical Evacuation Care begin?

As soon as enemy fire begins and before cover is reached
Only after arrival at the hospital
Once the casualty is loaded into transport for movement to the hospital
When the casualty can no longer be moved by the unit

Once the casualty is loaded into transport for movement to the hospital

Explication

Tactical Evacuation Care starts at the point of loading into a vehicle or helicopter for transport. It is the phase of monitored care during movement.

8. Which action is part of Tactical Evacuation Care?

Replacing monitoring with only wound packing
Limiting all reassessment until arrival at the hospital
Completing Form 1380 during transport
Avoiding analgesics to prevent masking symptoms

Completing Form 1380 during transport

Explication

TACEVAC includes documentation with Form 1380, along with monitoring, analgesia as indicated, and fracture fixation. Ongoing reassessment is a core feature, not something to delay.

9. What should the medic report to the commander during casualty management?

The exact hospital bed assignment for the casualty
Only the total number of bandages used
Whether the enemy has been fully neutralized
The casualty’s status and whether they can keep fighting or need evacuation

The casualty’s status and whether they can keep fighting or need evacuation

Explication

The medic’s duty is to report the casualty’s condition and whether they can continue fighting or require evacuation. This supports coordinated decision-making by the unit.

10. How should medical resources be prioritized when treating a casualty in the field?

Use the casualty’s IFAK first for immediate lifesaving needs
Use the medic’s kit first and save the IFAK for later
Wait for evacuation before using any field supplies
Reserve all supplies until a mass-casualty event occurs

Use the casualty’s IFAK first for immediate lifesaving needs

Explication

The casualty’s individual first aid kit is used first for immediate lifesaving needs. The medic’s own kit is preserved for critical cases or mass-casualty situations.

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TCCC — definition?

Battlefield standard for prehospital care.

Care Under Fire — focus?

Return fire, seek cover, tourniquet only.

Tourniquet placement — method?

High and Tight over clothing.

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