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Military and Tactical Medicine/Tactical Combat Casualty Care TCCC or TC3

TSG is a global leader with experience providing all levels of the National Association of Emergency Medical Technicians (NAEMT) Tactical Combat Casualty Care (TCCC) training as well as Tactical Emergency Casualty Care (TECC) training for Civilian Tactical Emergency Medical Service (EMS). The following is a description of Military TCCC training.


The specifics of casualty care in the tactical setting will depend on the tactical situation, the injuries sustained by the casualty, the knowledge and skills of the first responder, and the medical equipment at hand. In contrast to a hospital Emergency Department setting where the patient IS the mission, on the battlefield, care of casualties sustained is only PART of the mission. TCCC recognizes this fact and structures its guidelines to accomplish three primary goals:


• Treat the casualty

• Prevent additional casualties

• Complete the mission


The TCCC program was developed to customize the principles of good trauma care for successful use on the battlefield.


The original 1996 TCCC paper identified the need for a standing committee to ensure that the TCCC guidelines are updated as necessary to reflect both new advances in prehospital medicine and battlefield experience. The Committee on TCCC (CoTCCC) was established in 2001 and is now part of the U.S. Defense Health Board.


TCCC guidelines are published every four years in the military version of the Prehospital Trauma Life Support (PHTLS) textbook. It is also recognized that the TCCC guidelines and curriculum will change more often than the four-year cycle of the PHTLS textbook. NAEMT will post on their web site the updated TCCC guidelines and curriculum as it is approved. It should be noted that: "All continuing education courses are not under the jurisdiction of the commission for independent education, they are credited through CE Broker."

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