Tactical combat casualty care
- Tactical Combat Casualty Care (TCCC) is a set of evidence-based guidelines for trauma care in a tactical or combat environment.
- Developed and updated by the Committee on Tactical Combat Casualty Care (CoTCCC), a division of the US Department of Defense Joint Trauma System (JTS).
- Goal is to reduce preventable combat deaths.
- Guidelines are divided into three "phases of care".
Phases of Care
Assessment and Triage
- Rather than typical "ABC" approach to trauma assessment, TCCC prioritizes massive hemorrhage
- MARCH acronym is used to prioritize treatment:
- M - Massive hemorrhage
- A - Airway
- R - Respiration
- C - Circulation
- H - Head/Hypothermia