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PFC/PCC-Aligned • 28 Pages • TCCC-Current Doctrine

Unit Deployment Medical Readiness Audit

A field-tested self-assessment for teams preparing to deploy. Score your element across 10 deployment-critical domains — from Care Under Fire massive hemorrhage to prolonged casualty holding, load plans, and expendable rotation.

Authored by Marco R. Torres, MD, NRP — clinician and paramedic educator, Navy veteran, and founder of MED-TAC International.

  • Ten scored domains across 70 deployment-critical rows — raw score out of 140 converted to a standardized 100-point readiness index.
  • Critical-item safety gate — an uncorrected deficit in point-of-injury tourniquets, hemostatics, vented seals, or documentation caps readiness at Tier 2 until remediated.
  • Prolonged Casualty Care (PCC CPG 91) and TCCC alignment — built for austere, delayed-evacuation operating environments where transport times exceed golden-hour standards.
  • Phase-based remediation matrix — actionable checklists for T-90, T-60, T-30, T-7, and post-mission debrief.

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What the Ten Scored Domains Cover

From Care Under Fire through 72-hour prolonged casualty care — the entire operational medical footprint, scored objectively.

Section A • 8 Rows

Doctrine & TCCC/PCC Alignment

Written casualty response SOPs, MARCH team language, designated CCPs, evacuation triggers, MIST handoff formatting, and command roles.

Section B • 10 Rows

Massive Hemorrhage Readiness (M)

Two-tourniquet minimum per operator, junctional capability, in-date hemostatics, dual placement standards, and counterfeit screening.

Section C • 8 Rows

Airway & Respiration (A/R)

Sized NPAs, manual suction, 1,000 ml BVM with adjuncts, dual vented chest seals per IFAK, tension pneumothorax burping, and needle decompression.

Section D • 6 Rows

Circulation & Resuscitation (C)

IV/IO access capability, whole-blood resuscitation hierarchy, 2 g TXA administration endpoints, shock recognition, and cold-chain integrity.

Section E • 6 Rows

Hypothermia & Head Injury (H)

HPMK staging at POI, ground insulation, hypothermia triage priority in MARCH, traumatic brain injury (TBI) tracking, and exposure mitigation.

Section F • 8 Rows

Prolonged Casualty Care (PCC)

24-hour sustainment consumables per casualty estimate, analgesia and antibiotic protocols, burn and eye care, long-bone splinting, and litter movement.

Section G • 6 Rows

Load Distribution & Carry Plan

Standardized operator IFAK layout, team adjunct assignment, vehicle-mounted platform kits, carry weight audits, and consumable climate protection.

Section H • 6 Rows

Training & Sustainment Cadence

Element-wide MARCH competency, sub-60-second tourniquet drills with either hand, mass-casualty simulations, and medical integration for new members.

Section I • 6 Rows

Resupply & Expendable Rotation

Lot/expiry tracking logs for hemostatics and fluids, emergency replenishment plans, sealed backup staging, and vendor procurement lead times.

Section J • 6 Rows

Accountability & Documentation

DD Form 1380 / TCCC casualty cards staged in every kit, tamper-evident seals with inspection dates, casualty tracking worksheets, and AAR debriefs.

Readiness Index & Deployment Tiers

Tier 1 • Deployable

119–140 pts (85–100%)
Medical posture meets high-threat standards with no critical safety deficits.

Tier 2 • Gap Identified

84–118 pts (60–84%)
Remediate specific equipment or training deficits prior to operational movement.

Tier 3 • Critical Deficit

0–83 pts (<60%)
Substantial systemic risk; mandatory leadership stand-down and remediation.

Critical-Item Gate: A score of 0 on item B1, B4, C4, H1, or J1 automatically caps readiness at Tier 2 until resolved, regardless of total points.

This audit is provided for institutional planning and readiness assessment. It reflects evidence-based TCCC and Prolonged Casualty Care guidelines. Always operate under your unit medical director's authorized scope and protocols.

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