Introduction to Tactical Combat Casualty Care (TCCC) for Medical Personnel: Care Under Fire, Tactical Field Care, Evacuation Care, Scenarios – With Skill … Guide For Introduction (English Edition)

TCCC - The New Standard of Care for Managing Trauma on
the Battlefield:
• Used by Army, Navy, Air Force, Marine
Corps, Coast Guard
• Used by most coalition partner nations
• Used by NATO
• Used by other countries around the world

Objectives:
• EXPLAIN the differences between military
and civilian pre-hospital trauma care
• DESCRIBE the key factors influencing
combat casualty care
• UNDERSTAND how TCCC developed
• DESCRIBE the phases of care in TCCC

Importance of the First Responder:
• Almost 90% of all combat deaths occur
before the casualty reaches a Medical
Treatment Facility (MTF)*
• The fate of the injured often lies in the hands
of the one who provides the first care to the
casualty.
• Corpsman, medic, or pararescueman (PJ)
• Combat Lifesaver or non-medical combatant

Prehospital Trauma Care:
Military vs. Civilian
• Hostile fire
• Darkness
• Environmental extremes
• Different wounding
epidemiology
• Limited equipment
• Need for tactical maneuver
• Long delays to hospital care
• Different medic training and experience

Prior Medical Training:
• Combat medical training historically was
modeled on civilian courses
–Emergency Medical Technician
–Advanced Trauma Life Support
• Trained to standard of care in non-tactical
(civilian) settings
• Tactical factors not considered

Different Trauma Requires Different Care Strategies:
• It is intuitive that combat and civilian trauma are
different, BUT…
• It is difficult to devise and implement needed changes.
• No one group of medical professionals has all of the
necessary skills and experience.
• Trauma docs and combat medical personnel have
different skill sets. Both are needed to optimize
battlefield trauma care strategies.
• Tourniquets are one striking example of how battlefield
trauma care has sometimes been slow to change.