Doom and Bloom: Important Aspects of Tactical Combat Casualty Care

Dr. Alton at Doom and Bloom Medicine has a short article and video dealing with Tactical Combat Casualty Care.

You may have heard me reference something called “TCCC” in previous articles, podcasts, or videos. TCCC, sometimes called T3C or T triple C, is a term that means Tactical Combat Casualty Care. It represents the recommendations with regards to prehospital care of soldiers who have incurred traumatic injuries on the battlefield. Established in the mid-1990s, TCCC guidelines have become so widely accepted that many law enforcement and civilian medical personnel have adopted them.

And well they should. These protocols were developed at the cost of painful lessons in the field in Iraq and Afghanistan. It is thought that there were 1000 preventable deaths in these conflicts. If you add civilian injuries during the same time period, the number of preventable deaths might number in the hundreds of thousands. The TCCC’s primary goals is to save lives, prevent additional casualties, and, in true military fashion, complete the mission…In survival settings, you can’t duplicate the care given at a field hospital or a trauma center. Your final outcomes won’t always be happy. You might, however, use some of the methods in MARCH/PAWS to possibly save the life of those who would otherwise die during or in the aftermath of a disaster…