HCB TCCC EXAM LATEST ACTUAL EXAM TEST BANK 250 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
HCB TCCC EXAM LATEST 2023-2024 ACTUAL EXAM
TEST BANK 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
What was the most frequent cause of preventable battlefield death in the
past? - ANSWER- Extremity hemorrhage
What is the only thing that warrants intervention during CUF? -
ANSWER- Life-threatening bleeding
What is the ONE thing, if anything, you can do for the casualty? -
ANSWER- Stop him/her from bleeding to death
Signs of life threatening bleeding - ANSWER- -pulsing or steady
bleeding from the wound
-blood is pooling on the ground
-overlying clothes are soaked with blood
-bandages or makeshift bandages used to cover the wound are
ineffective and steadily becoming soaked with blood
-traumatic amputation of an arm or leg
-prior bleeding and patient is now in shock (unconscious, confused,
pale)
What is the first choice to control life-threatening hemorrhage in CUF? -
ANSWER- Apply a tourniquet
(True/False) If you have severe extremity bleeding in CUF, forget about
direct pressure, pressure dressings, or anything else and directly to
tourniquet. - ANSWER- True
Don't use a tourniquet for wounds with what? - ANSWER- Minor
bleeding
What do you do if the first tourniquet fails to control the bleeding? -
ANSWER- Apply a second tourniquet just above (proximal to) the first
Where should you NOT put a tourniquet directly over? - ANSWERKnee or elbow, holster or cargo pocket that contains bulky items
What are common mistakes with tourniquets to avoid? - ANSWER- -not
using one when you should, or waiting too long to put it on
-not pulling all the slack out before tightening
-using a tourniquet for minimal bleeding
(True/False) If applied effectively, tourniquets should not hurt. -
ANSWER- False
What is generally not tactically feasible in CUF? - ANSWER- Use of a
hemostatic agent (e.g., Combat Gauze)
What does PMARCHP stand for? - ANSWER- Patient safety, massive
hemorrhage, airway, respiration, circulation, head injury/hypothermia,
pain management
(True/False) Casualties with an altered mental status should keep their
weapons and communications equipment. - ANSWER- False
What are possible causes of altered mental status? - ANSWER- TBI,
shock, hypoxia, pain medications
How should you place a tourniquet during TFC? - ANSWER- Directly
to the skin 2-3 inches above the bleeding site
What may cause a tourniquet to fail? - ANSWER- Repetitive
applications
Hemostatic dressing should be applied with at least ___ minutes of
direct pressure. - ANSWER- 3
What are the three hemostatic dressings recommended in the TCCC
guidelines? - ANSWER- Combat gauze, Celox gauze, ChitoGauze
What is impregnated into combat gauze that causes blood to clot? -
ANSWER- Kaolin
XSTAT 12 can be used up to ___ hours until surgical care is acquired. -
ANSWER- 4
When can you use XSTAT 12? - ANSWER- Only for patients at high
risk for immediate life-threatening bleeding for hemodynamically
significant, non-compressible junctional wounds when definitive care at
an emergency care facility cannot be achieved within minutes
XSTAT 12 should NOT be used in: - ANSWER- The thorax; pleural
cavity; mediastinum; abdomen; retroperitoneal space; sacral space;
tissues above inguinal ligament; tissues above the clavicle
Characteristics of XSTAT 12 - ANSWER- -contains approximately 38
compressed minisponges
-expand to 10-12 times their compressed volume within approximately
20 seconds
-radiopaque market is embedded into each of the minisponges
Who should remove the minisponges after achieving proximal and distal
vascular control? - ANSWER- Surgeon
DD Form 1380 - ANSWER- TCCC Casualty Card
Junctional hemorrhage refers to bleeding from wounds to the: -
ANSWER- Groin, buttocks, perineum, axillae, base of the neck,
extremities at sites too proximal for a limb tourniquet
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