TC 4-02.1 First Aid

A link to TC 4-02.1 can be found here.

1) What is TCCC?

A: Tactical Combat Casualty Care

2) What are the steps in TCCC?

A: 1. Care under fire 2. Tactical field care 3. Combat casualty evacuation care

3) What is a CCP?

A: Casualty collection point

4) What is a CASEVAC?

A: Casualty Evacuation in Non-Medical Vehicle or Aircraft

5) When would you not render first aid to a casualty?

A: If doing so would put your life in danger or the casualty shows no signs of life

6) In combat, what is the biggest threat to a casualty’s life?

A: bleeding

7) How do you determine a casualty’s level of consciousness?

A: A – Alert, V – Responds to voice, P – Responds to pain, U – unconscious

8) What is CPR?

A: Cardiopulmonary Resuscitation – used to restore heartbeat

9) What is a FMC?

A: Field Medical Card

10) When would you not loosen clothing?

A: chemical environment or clothing is stuck to the wound

11) What are the four types of burns?

A: C-Chemical, E-Electric, L-Laser, T-Thermal

*HINT* Remember the acronym CELT

12) What are the three categories of heat injury?

A: Heat cramps, heat exhaustion, heatstroke

13) What are the two methods for opening the airway?

A: Head tilt/chin lift method and Jaw thrust

14) When would you not use the head tilt/chin lift method?

A: Suspected neck or spinal injury

15) What is self aid?

A: Emergency treatment applied to one’s self

16) What is the object of first aid?

A: To control bleeding, overcome shock, relieve pain, prevent infection

*HINT* Remember the acronym TORP

17) What publication covers first aid?

A: TC 4-02.1

18) What is first aid?

A: Care rendered to a casualty prior to the arrival of medical personnel

19) What is the unique feature of type “O” blood?

A: Universal donor

20) How high above an injury should you apply a tourniquet?

A: 2-4 inches

21) Should a casualty eat or drink?

A: No

22) What are the two types of fractures?

A: Open (compound), Closed (simple)

23) What is the basic principle when splinting fractures?

A: Splint it as it lies

24) What are the three types of bleeding?

A: Arterial, Venous, Capillary

*HINT* Remember AVC

25) Name 4 common points for checking pulse.

A: side of neck (carotid), ankle (dorsalis pedis), wrist (radial), groin (femoral)

26) What is the treatment for shock?

A: PELCRN – 1. Position the casualty on their back 2. elevate the legs 3. loosen clothing at neck or waist 4. climatize 5. reassure 6. notify medical personnel

27) What are the eight steps for evaluating a casualty?

A: Responsiveness, Breathing, Pulse, Bleeding, Shock, Fractures, Burns, Head injury

28) Describe the 9 Line Medevac.

Line 1. Location of the pick-up site.

Line 2. Radio frequency, call sign, and suffix.

Line 3. Number of patients by precedence:
A – Urgent
B – Urgent Surgical
C – Priority
D – Routine
E – Convenience

Line 4. Special equipment required:
A – None
B – Hoist
C – Extraction equipment
D – Ventilator

Line 5. Number of patients:
A – Litter
B – Ambulatory

Line 6. Security at pick-up site:
N – No enemy troops in area
P – Possible enemy troops in area (approach with caution)
E – Enemy troops in area (approach with caution)
X – Enemy troops in area (armed escort required)
* In peacetime – number and types of wounds, injuries, and illnesses

Line 7. Method of marking pick-up site:
A – Panels
B – Pyrotechnic signal
C – Smoke signal
D – None
E – Other

Line 8. Patient nationality and status:
A – US Military
B – US Civilian
C – Non-US Military
D – Non-US Civilian

Line 9. NBC Contamination:
N – Nuclear
B – Biological
C – Chemical
* In peacetime – terrain description of pick-up site

29) Which lines must be given before the helicopter can get in the air?

A: Lines 1-5

30) What is the difference between patient classifications in the MEDEVAC?

A: Urgent – 2 hours, Urgent Surgical – 2 hours, Requires surgical intervention, Priority – 4 hours, Routine – 24 hours, Convenience – matter of convenience than medical necessity

31) What does the acronym COLD stand for?

A: Keep it Clean, Avoid Overdressing, wear clothing Loose, and Keep clothing Dry

32) What is the best medicine on the battlefield?

A: fire superiority

33) What is a DD Form 1380 and what is it used for?

A: Tactical Combat Casualty Care (TCCC) Card, to record injuries and treatments performed on a patient as they move through the roles of medical care

***Additional Considerations***

Be prepared to describe how to apply techniques to control bleeding: tourniquet, hemostatic dressing (QuikClot), and pressure dressing (ETB/Israeli Bandage). View a demonstration here.

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