TCCC OVERVIEW
What are the phases of care in TCCC?
Care Under Fire/Threat, Tactical Field Care, and Tactical Evacuation Care.
What is Care Under Fire?
Care Under Fire is the care given by the first responder at the scene of the injury while they and the casualty are still under effective hostile fire or near the threat.
True or False: During TFC, the tactical situation could change back to CUF again at any time?
True.
In which phase of care is most of the Tactical Trauma Assessment performed?
Tactical Field Care.
What is the most essential treatment task in CUF?
Application of a limb tourniquet to control massive bleeding.
What is the only intervention performed in CUF?
A hasty TQ (high and tight, over the clothes).
What is the difference between TFC and CUF?
Tactical Field Care is the care rendered once the combat medic/corpsman and casualty are no longer under direct threat from effective enemy fire. This allows for the time and the relative safety for a more deliberate approach to casualty assessment and treatment.
What pneumonic is used to prioritize care in the Tactical Trauma Assessment?
MARCH PAWS
What does MARCH PAWS stand for?
Massive bleeding, airway, respirations (breathing), circulation, and hypothermia AND head injury, pain, antibiotics, wounds, and splints.
What are the three call outs made during CUF?
Return fire, Move to Cover, and Apply self-aid.
What is MARCH PAWS?
In the Tactical Field Care phase, the MARCH PAWS sequence is followed for a more deliberate approach to the assessment and treatment of casualties than was possible during Care Under Fire. A full tactical trauma assessment should follow the steps of the MARCH PAWS sequence.
What is a blood sweep?
A blood sweep is a rapid visual and palpable head-to-toe check of the front and back of the casualty for any unrecognized life-threatening bleeding.
What is every first responder’s role in CUF?
Suppress hostile fire and/or establish scene safety, assist in self-aid, and assist in moving casualties, if feasible.
How long does it take to bleed to death from a complete femoral artery and vein disruption?
3 minutes or less
What is triage?
Triage is the deliberate sorting of casualties and allocation of limited treatment resources according to a system of priorities designed to maximize the number of survivors on the battlefield.
In what phase of care is each type of blood sweep performed?
A rapid visual blood sweep paying particular attention to their limbs is performed under CUF while a palpable hands on blood sweep head to toe is performed under TFC.
Name 4 of the 7 factors that influence TCCC?
Hostile fire, tactical considerations, wounding patterns, environmental considerations, level of first-responder training and experience, equipment constraints and the potential for significant delays in evacuation.
What are 4 signs of life-threatening bleeding discussed in MOD 3?
Bright red blood is pooling on the ground, The overlying clothes are soaked with blood, There is a traumatic AMPUTATION of an arm or leg, and There is pulsatile (pulsing) or steady bleeding from the wound.
What is a CCP and some considerations of a CCP?
The Casualty Collection Point (CCP) is a location on the battlefield for the triage, treatment and monitoring, and the packaging/staging of casualties for evacuation. The CCP should be established reasonably close to the fight where casualties are likely to occur, be near natural “lines of drift”, provide relative cover and concealment from the enemy whenever possible, and have access to evacuation routes.
Why is it important to assess the casualty’s mental status?
They may need to be disarmed and to have communications equipment removed. Following their mental status throughout the assessment may help responders identify changes in clinical status, leading to early casualty reassessment.