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TCCC CLS MODULES EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!
In a Care Under Fire situation the CLS:
Must respond to suppression of hostile fire to minimize the risk of injury to personnel and minimize additional injury to previously injured Service members
In Tactical Field Care the CLS Service members:
Must maintain security and situational awareness while continuing to tend to casualties and prepare for evacuation
THE KEY FACTORS INFLUENCING TCCC
- Hostile fire
- Tactical considerations
- Environmental considerations
- Wounding patterns
- Equipment constraints
- Delays in reaching higher levels of care
- Level of first responder training and experience
THREE GOALS OF TCCC
- Treat the casualty.
- Prevent additional casualties.
- Complete the mission.
Three Phases of TCCC
- Care Under Fire
- Tactical Field Care
- Tactical Evacuation Care (TACEVAC)
What to do during CUF:
- Return fire and take cover. Never attempt to rescue a casualty until hostile fire is suppressed. Ensure scene safety.
- Direct casualty to remain engaged, to apply self aid and move to cover if able.
- Gain fire superiority. Move to casualty if casualty is unable to move to cover.
- Apply tourniquet "high and tight" to control life-threatening bleeding. 1 min time frame for CUF.
- Continue to maintain fire superiority and move the casualty. Continuously assess risks and make a plan before moving a casualty.
Tactical Field Care: MARCH PAWS
During life threatening (MARCH):
- Massive Bleeding (#1 Priority)
- Airway
- Respiration
- Circulation
- Hypothermia/Head Injuries
- Mechanism of Injury
- Injuries
- Symptoms
- Treatment
- Casualty Prep:
- Prep Litter
- Prep Evac Equipment
- Pack Casualty
- Secure Items
- Pre-Evac Procedures, Complete DD Form 1380.
Joint First Aid Kit (JFAK) Contents: M-Massive Hemorrhage and C-Circulation
Tourniquet - Used to control massive or severe hemorrhage (bleeding) of an extremity (arms and legs). This is the most important lifesaving item in the JFAK and should be kept easily accessible and ready for use.
Hemostatic Dressing - Contains a chemical that bonds to another chemical in blood and causes clots to form at the source of bleeding. Use of a hemostatic dressing is called for when severe bleeding is observed from a wound that is in a junctional or other area where a tourniquet cannot be used (groin, neck, underarm wounds) or when a wound is not severe enough to warrant a tourniquet. Remember, hemostatic dressings cannot be used inside the abdomen or chest (use an emergency bandage or other trauma dressing for these areas).
Emergency Bandage/Trauma Dressing - This elastic bandage can be used as a standard dressing for most wounds and can be used for wounds not bleeding enough for a tourniquet. This dressing can also be used alone or along with other forms of hemorrhage control (hemostatic dressing, etc.) to enhance effectiveness in controlling bleeding by providing pressure to the wound.
Joint First Aid Kit (JFAK) Contents: A-AIRWAY AND R-RESPIRATION
Nasopharyngeal Airway (NPA) with Lubricant - This is a nonsterile, rubber tube-shaped device that is inserted into the casualty's nostril. It acts as a wedge to keep the airway open by keeping the tongue from falling back into the space behind the mouth leading to the windpipe.
Chest Seal - This vented (preferred) self-adhering chest seal is used for treating sucking chest wound/open pneumothorax.
Catheter-over-needle Device - This 10- to 14-gauge 3¼" catheter-over-needle device is used to treat tension pneumothorax.
JFAK CONTENT OVERVIEW (P-PAIN AND A-ANALGESIA)
- Moxifloxacin 400mg tablet (Red)
- Meloxicam 15mg tablet (Yellow)
- Acetaminophen x2 650mg (White)
The Combat Wound Medication Pack (CWMP) contains drugs for mild to moderate pain (meloxicam and acetaminophen) and an antibiotic specific for penetrating wounds (moxifloxacin). The CWMP should be used only for traumatic injuries and all penetrating injuries.
JFAK - CONTENT OVERVIEW (W-WOUNDS)
Compressed Gauze/Gauze Rolls - Gauze rolls are used to stop minor bleeding, cover wounds/burns, pack wounds, act as bulky material for pressure dressings, or pad pressure points in splinting.
- AFTER
ALL training events and missions.
Pre-combat inspections (PCIs) or readiness checks are critical for every piece of equipment a Service member carries and/or uses.
- Check to be sure all equipment is in the kit
- Check seals and wrappers, REPLACE items with broken or unsealed wrappers
- Check expiration dates, REPLACE if expired or the expiration date DOES NOT exceed your expected deployment timeframe.
- BEWARE OF EQUIPMENT THAT IS NOT COTCCC APPROVED!
- DO NOT DEPLOY WITH MISSING, PREVIOUSLY USED FOR TRAINING, OR EXPIRED
EQUIPMENT
What are the priorities during CUF?
CUF is the first of three phases of TCCC. It is the lifesaving care provided while still under active enemy fire or threat. Actions are prioritized to suppress enemy fire, gain fire superiority to prevent further harm or additional casualties, identify and control life-threatening bleeding, and move the casualty to cover.
Steps to take during CUF:
Do not become a casualty! Assess the situation and the risk. Suppress enemy fire and gain fire superiority first. Communicate with and direct the casualty to return fire, move
to cover, apply self-aid, and develop a plan before moving to care for a casualty under fire.
What is the best medicine on the battlefield?
Remember to return fire and take cover. The best medicine on the battlefield is fire superiority!
What are the principles of fire superiority?
Order of actions will be dictated by the situation:
- Return fire AND take cover
- Direct casualty to remain engaged
- Direct casualty to apply self-aid and move to cover
- DO NOT approach casualty while casualty is inside of a KILL ZONE
- Suppress hostile fire to gain fire superiority
- Place a tourniquet on life-threatening bleeding and get the casualty OUT of the KILL ZONE if they are unable to move
If casualty is unable to move:
If casualty is unable to move to cover, when tactically feasible, go to them when fire has been SUPPRESSED and fire superiority has been GAINED and AID THEM IN
- 2-3 inches above the wound during TFC
- Do not document the tourniquet time during CUF; document during TFC
One-Person Drag/Carry
- SUPPORT CARRY should be used for a conscious casualty only
- NECK DRAG also limits the casualty and rescuer from exposure to enemy fire
- KIT OR ARM DRAG Some body armor is equipped with a drag handle; therefore, no additional equipment is required
- CRADLE-DROP DRAG is effective in moving a casualty up or down the stairs, steps, or short distances
Two-Person Drag/Carry
- The TWO-MAN SUPPORTING CARRY can be used in transporting both conscious and unconscious casualties
- KIT OR ARM DRAG can cause Injury to either the rescuer or casualty during training drills; keep safety in mind
- FORE AND AFT CARRY Exposes two rescuers to hostile fire instead of one
Line 1 of the 9 Line MEDEVAC
- Location of the pick-up site - Encrypt grid coordinates. When using DRYAD Numeral Cipher, the same SET line will be used to encrypt grid zone letters and coordinates. To preclude misunderstanding, a statement is made that grid zone letters are included in the message (unless unit SOP specifies its use at all times)
Line 2 of 9 Line MEDEVAC
- Radio frequency, call sign, and suffix - Encrypt the frequency of the radio at the pickup site, not a relay frequency. The call sign (and suffix if used) of person to be contacted at the pickup site may be transmitted in the clear.
Line 3 of the 9 Line MEDEVAC
- Number of patients by precedence - Report only applicable info & encrypt brevity codes. A = Urgent, B = Urgent-Surg, C = Priority, D = Routine, E = Convenience. (If 2 or more categories reported in same request, insert the word "break" btwn. each category.)
Line 4 of the 9 Line MEDEVAC
- Special equipment required - Encrypt applicable brevity codes. A = None, B = Hoist, C = Extraction equipment, D = Ventilator
Line 5 of the 9 Line MEDEVAC
- Number of patients by type - Report only applicable information and encrypt brevity code. If requesting MEDEVAC for both types, insert the word "break " between the litter entry and ambulatory entry: L + # of Pnt -Litter; A + # of Pnt - Ambul (sitting)
Line 6 of the 9 Line MEDEVAC
