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The three stages of Tactical Combat Casualty Care.
1. Care Under Fire
2. Tactical Field Care
3. Tactical Evacuation Care
Acronym: MARCH
MASSIVE BLEEDING#1 Priority
AIRWAY
RESPIRATION(Breathing)
CIRCULATION
HYPOTHERMIA /HEAD INJURIES
Acronym: PAWS
PAIN
ANTIBIOTICS
WOUNDS
SPLINTING
Casualty removal/extraction principles.
1. Safety
2. MARCH
3. Training
The document/information provided to the evacuation team.
DD Form 1380 (TCCC Card)
The resource available to the soilder first when have gotten shot.
Tourniquet
Two types of tourniquets.
Hasty: High on the upper extremity over clothes.
Deliberate: 2-3 inches above the source of bleeding directly on the skin.
Contents of the Combat Wound Medication Pack (CWMP).
1. Acetaminophen (used for pain management)
2. Meloxicam (gives significant pain relief and will not alter the casualty’s mental status)
3. Moxifloxacin (antibiotic)
Tactical field care is...
when the casualty and the responder are both no longer under effective enemy fire or threat.
Acronym: MIST
Mechanism of injury
Injuries
Symptoms
Treatment
What are 3 things you would look for when inspecting your JFAK?
All supplies are present
Items are not expired
Packaging is not damaged/discolored
The two methods of opening the airway.
1. Head-Tilt Chin Lift
2. Jaw-Thrust (if a neck or spinal injury is suspected)
How to address a penetrating eye injury.
Utilize an Eye-Shield if available (utilize protective eyewear if unavailable)
These lines from the 9-Line MEDEVAC Request must transmitted prior to the MEDEVAC departing to the predesignated location.
1. Location of pick-up
2. YOUR radio frequency
3. # of patients by precedence
4. Special equipment required
5. # of patients by type
Who can call for a MEDEVAC.
Anyone
The DD Form for treating an casuality.
DD Form 1380.
Life threatening chest injuries to assess for during R: Respiration.
1. Gunshot or shrapnel wound
2. Blunt-force trauma
3. Bruising or contusions
4. Any deformities of the chest
What are three sources of burns?
Thermal, Chemical, and Electrical
The equipment secured from casualties with an altered mental status.
1. Weapon(s)
2. Communication/Radios
Casualty categories for evacuation.
Urgent
Priority
Routine
The three goals of TCCC are:
1. Treat the casualty
2. Prevent additional casualties
3. Complete the mission
Signs of shock.
Mental confusion
Rapid breathing
Sweaty, cool, clammy skin
Pale/gray skin
Weak or absent radial pulse
Nausea
Excessive thirst
Previous severe bleeding
Signs of a fracture.
Significant pain and swelling
An audible or perceived “snap”
Different length or shape of limb
Loss of pulse or sensation in the injured arm or leg (check pulse before and after treatment)
Crepitus (hearing a crackling or popping sound under the skin)
The order that casualties are prioritized for treatment.
1. Massive bleeding
2. Penetrating trauma into the box (torso)
3. Airway compromise
4. Respiratory distress
5. Altered mental status
In Care Under Fire, how should a tourniquet be applied?
High and Tight