HCB 103: (TCCC) Tactical Combat
Casualty Care
3 objectives of TCCC - ANS--treat casualty
-prevent additional casualties
-complete the mission*
3 phases of TCCC - ANS--Care Under Fire
-Tactical Field Care
-TACEVAC Care
Airway Trauma - ANS-small percentage of combat fatalities but are preventable
Alternative hemostatic adjuncts - ANS--celox gauze
-chito gauze
-xstat
battlefield cricothyroidotomy - ANS-33% failure rate & most technically difficult procedure to do
CoTCCC - ANS-42 members from all services in the DoD and civilian sector
CoTCCC junctional tourniquets - ANS--combat ready clamp(CRoC)
-junctional emergency treatment tool(JETT)
-SAM junctional tourniquet (SJT)
Extraglottic Airway - ANS--Gell filled cuff that makes it simpler to use and avoids the need fro
cuff inflation and monitoring
-casualty must be deeply unconscious
Extremity Hemorrhage - ANS-casualty will die quickly if not controlled
junctional hemorrhage - ANS-often caused by IEDs and many result in junctional hemorrhages;
junctional tourniquets needed
MARCH - ANS-M-massive hemorrhage
A-airway
R-respiration
C-circulation
H-head injury/hypothermia
military environment - ANS--hostile environment
-darkness
-environmental extremes
-different wounding epidemiology
-limited equipment
-need for tactical maneuver
-long delays to hospital care
-different medic training and experiences
suspected tension pneumothorax - ANS--decompress the chest on the side of the injury with a
14-gauge or a 10-gauge, 3.25 inch needle/catheter unit
Casualty Care
3 objectives of TCCC - ANS--treat casualty
-prevent additional casualties
-complete the mission*
3 phases of TCCC - ANS--Care Under Fire
-Tactical Field Care
-TACEVAC Care
Airway Trauma - ANS-small percentage of combat fatalities but are preventable
Alternative hemostatic adjuncts - ANS--celox gauze
-chito gauze
-xstat
battlefield cricothyroidotomy - ANS-33% failure rate & most technically difficult procedure to do
CoTCCC - ANS-42 members from all services in the DoD and civilian sector
CoTCCC junctional tourniquets - ANS--combat ready clamp(CRoC)
-junctional emergency treatment tool(JETT)
-SAM junctional tourniquet (SJT)
Extraglottic Airway - ANS--Gell filled cuff that makes it simpler to use and avoids the need fro
cuff inflation and monitoring
-casualty must be deeply unconscious
Extremity Hemorrhage - ANS-casualty will die quickly if not controlled
junctional hemorrhage - ANS-often caused by IEDs and many result in junctional hemorrhages;
junctional tourniquets needed
MARCH - ANS-M-massive hemorrhage
A-airway
R-respiration
C-circulation
H-head injury/hypothermia
military environment - ANS--hostile environment
-darkness
-environmental extremes
-different wounding epidemiology
-limited equipment
-need for tactical maneuver
-long delays to hospital care
-different medic training and experiences
suspected tension pneumothorax - ANS--decompress the chest on the side of the injury with a
14-gauge or a 10-gauge, 3.25 inch needle/catheter unit