Which are the three phases of Tactical Combat Casualty Care (TCCC)?

• A. Care Under Fire; Tactical Field Care; Tactical Evacuation Care
• B. Care Under Fire; Tactical Evacuation Care; Medical Evacuation
• C. Care Under Fire; Tactical Field Care; Tactical Evacuation Care
• D. Tactical Field Care; Tactical Evacuation Care; Care Under Fire

Answer: (C)

The sequence of battlefield medical care is organized into three phases: Care Under Fire, Tactical Field Care, and Tactical Evacuation Care. The idea is to address life-threatening threats first while under danger, then provide more thorough care once in a safer position, and finally manage care during movement to higher levels of medical facility.

In Care Under Fire, the priority is rapid hemorrhage control and self/wingman safety. Apply rapid bleeding control measures (like tourniquets or pressure dressings) as you maintain cover and suppress the threat.

Once you’ve reached a safer area, Tactical Field Care allows for a fuller on-scene assessment and treatment. You manage airway, breathing, and circulation with more comprehensive interventions, continue hemorrhage control, treat for shock, immobilize injuries, start IV or IO access, administer analgesia as appropriate, and plan for evacuation.

During Tactical Evacuation Care, care continues during transport to higher facilities. You stabilize as you move, monitor vitals, continue essential medications and interventions, prepare for handoff to advanced medical teams, and ensure proper documentation and communication for the next level of care.

Other arrangements don’t reflect the standard three-phase sequence, which is why this set is the correct trio.