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