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Learn how to provide trauma care on the battlefield with TCCC courses from NAEMT, endorsed by the U.S. Department of Defense and the American College of Surgeons. Choose from three levels of TCCC courses for different military personnel and civilians.
- TCCC Combat Lifesaver
NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS. PO...
- TCCC-Combat Medic Corpsman
TCCC Combat Medic/Corpsman (TCCC CMC) is a 63-hour course...
- TCCC All Service Members
NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS. PO...
- Guidelines and Curriculum
Home / Education / Tactical Combat Casualty Care / TCCC-MP...
- Prehospital Trauma Life Support
NAEMT's Prehospital Trauma Life Support (PHTLS) is...
- TCCC Combat Lifesaver
26 de fev. de 2020 · Learn how to apply TCCC, a set of best practices for medical treatment in combat, from the point of injury to evacuation. This handbook is for Soldiers and medical personnel who operate in hostile environments.
- DIGITAL VERSION AVAILABLE
- FOLLOW CALL ON SOCIAL MEDIA
- Foreword
- Center For Army Lessons Learned
- Tactical Field Care
- Nasopharyngeal Airway (NPA)
- King Laryngeal Tube (LT) Insertion
- Penetrating Chest Wounds
- Tactical Field Care Basic Management Plan
- Chapter 2 Tactical Combat Casualty Care Phases of Care
- Chapter 3 Tactical Combat Casualty Care Medical Equipment
- Tactical Combat Casualty Care-All Combatants Training
- Tactical Combat Casualty Care-All Combatants Guidelines
- Care Under Fire Basic Management Plan
- Tactical Field Care Basic Management Plan
- Tactical Evacuation Care Basic Management Plan
- Tactical Combat Casualty Care-Medical Provider Training
- Care Under Fire Basic Management Plan
- Tactical Field Care Basic Management Plan
- Triage
- Mass Casualty
- Mass Casualty Planning
- Evacuation Priority
- Appendix F Prolonged Field Care
- Special Operations Command
- Prolonged Field Care Capabilities
- Tourniquet Conversion
- Medical Transition Guidelines in a Tactical Environment
- Appendix I Medical Planning Functions
- SUBMIT INFORMATION OR REQUEST PUBLICATIONS
- REQUEST COPIES OF CALL PUBLICATIONS
- FOLLOW CALL ON SOCIAL MEDIA
- Additional Publications and Resources
- Combined Arms Doctrine Directorate (CADD)
- Foreign Military Studies Ofice (FMSO)
- Military Review (MR)
- Capability Development Integration Directorate (CDID)
- Joint Center for International Security Force Assistance (JCISFA)
A digital version of this CALL publication is available to view or download from the CALL website: http://call.army.mil Reproduction of this publication is welcomed and highly encouraged.
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Tactical Combat Casualty Care (TCCC) has saved hundreds of lives during our nation’s conflicts in Iraq and Afghanistan. Nearly 90 percent of combat fatalities occur before a casualty reaches a medical treatment facility. Therefore, the prehospital phase of care is needed to focus on reducing the number of combat deaths. However, few military physic...
CALL Director CALL Analyst Contributing Authors COL Michael F. Pappal CPT Ryan St. Jean MAJ Walter Engle Jonathan C. Fruendt, M.D. The Secretary of the Army has determined that the publication of this periodical is necessary in the transaction of the public business as required by law of the Department. Unless otherwise stated, whenever the masculi...
Tactical field care is the backbone of TCCC. It is the how-to for utilizing MARCH and PAWS to treat combat casualties. The following information details how to properly execute tasks commonly associated with tactical field care basic management. The tasks are organized in the appropriate order based on MARCH and PAWS.
Place the casualty supine with the head in a neutral position. Caution: Do not use the NPA if there is clear fluid (cerebrospinal fluid) coming from the ears or nose. This may indicate a skull fracture. Lubricate the tube with a water-based lubricant. Caution: Do not use a petroleum-based or non-water-based lubricant. These substances can cause dam...
Necessary equipment: King LT, water-based lubricant, and a syringe. Prepare the casualty: • Place the casualty’s head in the “snifing” position. • Preoxygenate the casualty, if equipment is available. Prepare the King LT: • Choose the appropriately sized tube. • Test cuff inflation by injecting the proper volume of air into the cuff. Deflate the cu...
Necessary equipment: Prefabricated chest seal or any airtight material (plastic wrap). Expose the wound(s): • Cut or unfasten the clothing that covers the wound and expose the casualty’s torso from the umbilicus to the Adam’s apple circumferentially. • Wipe blood/sweat from skin surrounding the wound to increase the occlusive seal’s effectiveness. ...
NOTE: Casualties with an altered mental status should be disarmed immediately. • Massive hemorrhage: ○○○ Assess for an unrecognized hemorrhage and control all sources of bleeding. ○○○ Use one or more CoTCCC-recommended limb tourniquets, if necessary. ○○○ Use a CoTCCC-approved hemostatic dressing for compressible hemorrhage not amenable to limb tour...
Understanding phases of care is important for proper application of Tactical Combat Casualty Care (TCCC) principles. Properly balancing winning the fight, accomplishing the mission, and treating casualties is essential for success tactically as well as medically. This chapter discusses the proper tactics and medicine for each phase of care.
Tactical Combat Casualty Care-All Combatants (TCCC-AC) must be familiar with the Improved First Aid Kit (IFAK)/Joint First Aid Kit (JFAK) as well as other kits commonly seen in the force today. This chapter discusses the equipment in Generation I and II IFAKs and other commonly used rescue equipment: the Warrior Aid and Litter Kit (WALK), Skedco, a...
The purpose of this chapter is to discuss training outcomes, provide resources, and aid in the execution of Tactical Combat Casualty Care-All Combatants (TCCC-AC). TCCC-AC is the TCCC course for non-medical personnel. The National Association of Emergency Medical Technicians (NAEMT) TCCC-AC training guidelines are standard for first responder train...
Guidelines established by the CoTCCC are posted on the NAEMT website at http://www.naemt.org/education/TCCC/tccc-ac. These recommendations are intended to be guidelines only and are not a substitute for clinical judgment.
• Return fire and take cover. • Direct or expect the casualty to remain engaged as a combatant, if appropriate. • Direct the casualty to move to cover and apply self-aid, if able. • Try to keep the casualty from sustaining additional wounds. • Massive hemorrhage: Stop any life-threatening external hemorrhage, if tactically feasible: ○○○ Direct the ...
NOTE: Casualties with an altered mental status should be disarmed immediately. • Massive hemorrhage: ○○○ Assess for an unrecognized hemorrhage and control all sources of bleeding. ○○○ Use one or more CoTCCC-recommended limb tourniquets, if necessary. ○○○ Use a CoTCCC-approved hemostatic dressing for compressible hemorrhage not amenable to limb tour...
NOTE: In addition to reassessing the principles of tactical field care (TFC), perform manual carries as needed (Warrior Aid and Litter Kit [WALK] or Sked).
The purpose of this chapter is to discuss training outcomes, provide resources, and aid in the execution of Tactical Combat Casualty Care-Medical Provider (TCCC-MP). The National Association of Emergency Medical Technicians (NAEMT) TCCC-MP guidelines and training are the standard for enlisted and oficer TCCC medical personnel training as stated by ...
• Return fire and take cover. • Direct or expect the casualty to remain engaged as a combatant, if appropriate. • Direct the casualty to move to cover and apply self-aid, if able. • Keep the casualty from sustaining additional wounds. • Massive hemorrhage: ○○○ Stop a life-threatening external hemorrhage, if tactically feasible. ○○○ Direct the casua...
NOTE: Casualties with an altered mental status should be disarmed immediately. • Massive hemorrhage: ○○○ Assess the casualty for an unrecognized hemorrhage and control all sources of the bleeding. ○○○ Use one or more CoTCCC-recommended limb tourniquets, if necessary. ○○○ Use a CoTCCC-approved hemostatic dressing for a compressible hemorrhage not am...
Triage will be performed at all levels. Traditional categories of triage are immediate, delayed, minimal, and expectant. To easily remember the order of the categories, use the acronym IDME. No significant treatment should occur in the triage area. Casualties should be rapidly sent to the appropriate treatment area for care. Immediate. This group r...
A mass casualty (MASCAL) event overwhelms any immediately available medical capabilities to include personnel, supplies, and/or equipment. Effective MASCAL response is founded on the principle of triage, the system of sorting and prioritizing casualties based on the tactical situation, mission, and available resources.
Supplies. Class VIII medical supplies include equipment, drugs, oxygen, dressings, sutures, sterilization capability, blood, etc. Immediate liaison with the logistics system in the MTF and the theater of operation is essential to ensure available and timely resupply. Class VIII boxes should be placed near planned casualty collection points. Personn...
Priority is established by the treatment element or the senior military medical person. Soldiers are evacuated based on their medical condition, assigned evacuation precedence, and availability of medical evacuation platforms. Priority I Urgent is assigned to emergency cases that should be evacuated as soon as possible and within a maximum of 1 hou...
The NATO definition of prolonged field care (PFC) is field medical care applied beyond “doctrinal planning time lines” in order to decrease patient mortality and morbidity. PFC utilizes limited resources and is sustained until the patient arrives at the next appropriate level of care. For more information see the Special Operations Medical Associat...
The Special Operations Command (SOCOM) Prolonged Field Care Working Group (PFCWG) emphasizes basic medical skills that, when put together, allow for a more comprehensive approach to critical patient care in an austere setting.
There are 10 PFC capabilities: • Monitor the patient to create a useful vital-signs trend. • Resuscitate the patient beyond crystalloid or colloid infusion (blood products). • Ventilate or oxygenate the patient (positive end-expiratory pressure [PEEP], ventilator, supplemental oxygen). • Gain definitive control of the patient’s airway (cricothyroto...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
JCISFA’s mission is to capture and analyze security force assistance (SFA) lessons from contemporary operations to advise combatant commands and military departments on appropriate doctrine; practices; and proven tactics, techniques, and procedures (TTP) to prepare for and conduct SFA missions eficiently. JCISFA was created to institutionalize SFA ...
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O Tactical Combat Casualty Care (TCCC) possui, na doutrina da National Association Tactical Instructor (NATI), três modalidade de instrução a saber: o TCCC Health Personnel (TCCC-HP), vocacionado para médicos, enfermeiros e combatentes de saúde integrados a uma equipe tática; o TCCC Rescue (TCCC – R), vocacionado para combatentes de ...
Tactical Combat Casualty Care ( TCCC or TC3 ) are the United States military guidelines for trauma life support in prehospital combat medicine, designed to reduce preventable deaths while maintaining operation success. The TCCC guidelines are routinely updated and published by the Committee on Tactical Combat Casualty Care (CoTCCC ...
Os conhecimentos de Tactical Combat Casualty Care (TCCC) nas Forças Armadas brasileiras Trabalho de Conclusão de Curso apresentado à Escola de Saúde do Exército, como requisito parcial para aprovação no Curso de Especialização em Aplicações Complementares às Ciências Militares.
O Curso Tactical Combat Casualty Care (TCCC), introduz técnicas e estratégias de tratamento baseadas na evidência para optimizar a sobrevivência das vítimas de trauma no campo de batalha. O Curso TCCC é organizado sob a coordenação do PHTLS, programa reconhecido na educação em trauma pré-hospitalar em todo o mundo.
