INTRODUCTION TO: TACTICAL COMBAT CASUALTY CARE Pat Thomson FMAC Master Trainer Workshop
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INTRODUCTION TO:
TACTICAL COMBAT CASUALTY CARE
Pat Thomson
FMAC Master Trainer Workshop
1
Pre TCCC
• “Training for combat casualty care would be improved if simulated casualty populations were
based upon actualcombat casualties rather than civilian trauma victims”
• Traditional approach - tactical environment - not be feasible - expose prehospital personnel to
greater danger - disrupt the law enforcement mission - mandate a different set of field assessment
and treatment priorities.
2
Birth of TCC
• 2 Year Study by USSOCOM Identified by Naval Special Warfare Group in 1993
• ATLS for the Battlefield
• Set of Recommendations
• 3 Phases of Care – With appropriate interventions at each phase
Care Under Fire
Tactical Field Care
Tactical Evacuation Care
3
TCCC Progression
• 1999 PHTLS 4th Edition Military Chapter – TCCC
• 2000 First Updates
• 2001 First Committee on TCCC
4
TCCC Updates
• 2003 First Published Update
• 2007 Journal of Military Medicine
• 2009 Journal of Trauma and Acute Care Surgery
5
Further progression
• 2010 – CoTCCC changed voted on by DHB
• 2011 - CoTCCC changed voted on by DHB
• 2012 - CoTCCC changed voted on by DHB
• 2013 – First publication in JSOM
6
Joint Trauma System
• John Holcombe – Founder of the JTS
• "It was intimately clear as I went into Iraq in May 2003 and talked to young medics, forward
operating bases, forward surgical teams, combat missions, and combat support hospitals and found
there was absolutely no connection of anything to anybody. There was no communication from
prehospital providers to ground units or between the ground units and to Landstuhl where casualties
were sent.”
• The result – A Trauma System
– CENTCOM Joint Theatre Trauma System (JTTS)
– Joint Trauma System
– DoD Trauma Registry
– Combat Casualty Care Conferences
7
JTS
• How it works
TCCC ERCCC SCCC
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JTS Reference material
9
Deployed medicine
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Deployed Medicine Resources
11
Using TCCC outside the US DoD
Copyright exists !
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Levels of Information
WHAT HOW WHY
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ANY QUESTIONS?
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