Tactical Combat Casualty Care (TCCC) Handbook

Description

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. 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