Tactical Combat Casualty Care (TCCC) Handbook

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The Tactical Combat Casualty Care (TCCC) concept was developed in 1996 by special operations forces. Tactical Combat Casualty Care guidelines are evidence-based and battlefield-proven to reduce deaths at the point of injury (POI). TCCC teaches first responders to treat casualties in the proper order, treating the most critical situations first. This is done using the acronyms MARCH and PAWS.

Author(s): US Army
Edition: Version 5
Publisher: Center For Army Lessons Learned
Year: 2017

Language: English
Pages: 124
Tags: Tactical Medicine

Chapter 1. Tactical Combat Casualty Care Overview 1
Hemorrhage Control 4
Airway Management 8
Breathing Management 19
Vascular Access 24
Hypothermia Prevention 40
Tactical Field Care Basic Management Plan 42
Chapter 2. Tactical Combat Casualty Care Phases of Care 45
Chapter 3. Tactical Combat Casualty Care Medical Equipment 53
Chapter 4. MARCH/PAWS Treatment Algorithms 63
Chapter 5. Tactical Combat Casualty Care-All Combatants 71
Chapter 6. Tactical Combat Casualty Care-Medical Provider 79
Appendix A. Tactical Combat Casualty Care Card 93
Appendix B. Tactical Combat Casualty Care After Action Report 97
Appendix C. Medical Triage Categories 101
Appendix D. Medical Evacuation Precedence Categories 105
Appendix E. 9-Line Request With MIST Report 107
Appendix F. Prolonged Field Care 109
Appendix G. Drug Reference Guide 111
Appendix H. Medical Transition Guidelines in a Tactical Environment 113
Appendix I. Medical Planning Functions 115
Appendix J. Tactical Combat Casualty Care Background 119
Appendix K. References 121