1. Treat casualty
What are the three
2. Prevent additional casualties
objectives of TCCC?
3. Complete mission
How are the changes in The Committee on Tactical Combat Casualty Care
TCCC made? (CoTCCC)
Care rendered by the first responder or combatant at
What is care under fire? the scene of the injury while they're STILL UNDER
effective hostile fire.
Care rendered by the first responder or combatant once
he and the casualty are no longer under effective hostile
What is tactical field care? fire.
Injury has occurred, but there has been no hostile fire.
1. Care Under Fire
3 phases of care in TCCC? 2. Tactical Field Care
3. TACEVAC Care
What makes P-MARCH-P so It can be tailored to any environment and casualty.
special?
First P: Patient/Provider Safety
M Massive Hemorrhage
A Airway
R Respirations
C Circulation
H: Head Trauma/Hypothermia
Second P: Pain Medications
, What happens in the first P? Move PT from site, to safety.
What interventions can Tourniquets
occur in M?
What interventions can • Circkey
occur in A? • NPA
What interventions can • Occlusive Dressing
occur in R? • NeedleD
What interventions can • Combat Gauze
occur in C?
What interventions can • Blankets
occur in H? • Fluid Resuscitation
What interventions can • Pain Meds
occur in the SECOND P?
Where do you apply a TQ if Proximal to the bleeding site(s). Place high and tight
its over a uniform?
Fire Superiority
Best "medicine" on the
battlefield? ** Its not actually considered medicine, but in order to
get your PT out you must protect them and yourself first.
What is the MOST FREQ. Extremity hemorrhage
cause of PREVENTABLE
battlefield deaths?
Only what warrants Life-Threatening bleeding
intervention during care
under fire? What do you do TQ
to treat this?
How long does it take to 3 minutes
bleed to death from an
arterial bleed?
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