Includes well over 1,100 total pages and slides!
PRINCIPLES OF TCCC
β’ fundamentally different than civilian medicine
β Unique wounds
β Tactical conditions
β’ βGood medicine may be bad tacticsβ
β’ Three primary goals:
1) Treat the casualty
2) Prevent additional casualties
3) Complete the mission
PHASES OF TCCC
β’ TCCC is divided into three distinct care phases:
1) Care Under Fire
2) Tactical Field Care
3) Tactical Evacuation Care
β’ Care rendered at the scene while Corpsman and
casualty are still under effective fire
β Point of injury
β On the βXβ
β’ Risk of additional casualties is extremely high
β’ The best medicine is fire superiority
β’ Self Aid/Buddy Aid
β Is the casualty conscious?
β Can the casualty return fire?
β Can the casualty treat themselves?
β Can the casualty move to you?
β’ Tourniquets for life-threatening extremity
hemorrhage are the ONLY intervention used during this phase
β’ Corpsman and casualties are no longer under effective enemy fire
β’ Time to reassess interventions and fully assess the casualty
β’ M β Massive hemorrhage assessment
β’ A β Airway assessment
β’ R β Respiratory trauma assessment
β’ C β Circulation assessment
β’ H β Head trauma assessment & Hypothermia prevention/management
β’ Casualties are being transported to a higher echelon of care
β’ Encompasses both medical evacuation (MEDEVAC) and casualty evacuation (CASEVAC)
β’ MEDEVAC
β Dedicated medical platforms
β Crewed by medical personnel
β’ CASEVAC
β Armed assets with no Red Cross markings
β Point of injury to first MTF