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

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

Answer: (B)

TCCC is organized around progressing threats and the environment, so care moves from immediate life-saving actions under danger to more thorough treatment in a safer setting, then to care during evacuation. In the first phase, you provide life-saving measures while still under direct threat and in danger. The focus is on rapid hemorrhage control and preserving the casualty’s life, using actions that can be done quickly and safely even with ongoing danger. Once you can move to a safer position and the threat is reduced, you transition to the second phase. Here you perform more complete assessments and treatments—airway, breathing, circulation, wound care, monitoring, and preparations for evacuation—because you have the time and safety to apply more deliberate interventions. Finally, during evacuation, you continue stabilizing the casualty en route to higher medical care, addressing ongoing needs, monitoring vitals, and adjusting care as the casualty is transported, all while maintaining readiness for any changes in condition. This sequence—Care Under Fire, Tactical Field Care, then Tactical Evacuation Care—best reflects how care scales with risk and movement in a tactical setting.