Tactical combat casualty care

Background

• 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

• Care under fire
• Tactical field care
• Tactical evacuation 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

See Also

• Combat triage
• Nine line CASEVAC
• Military emergency medicine

External Links

• Committee on Tactical Combat Casualty Care (CoTCCC)