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In the early 1990s, the US Special Operations Command (part of the Department of Defense) commissioned a study to evaluate battlefield treatments, and Captain Frank Butler, Lieutenant Colonel John Hagman, and Ensign George Butler published their results in the journal Military Medicine in 1996. The contents of the article, known as tactical combat casualty care (TCCC), propelled battlefield casualty management to new levels of effectiveness, helping to lower the fatality rate to the lowest on record.
These tactical principles are directly relevant to civilian tactical emergency medical services (TEMS). The core tenets of TCCC are to simultaneously treat the casualty, prevent additional casualties, and complete the mission. TCCC is organized into three distinct phases, with a unique priority of care assigned to each phase.
As of 16 March 2018, TCCC is the DoD standard of care for first responders (medical and non-medical) and the All Service Member TCCC course replaces Service trauma skills currently taught in first aid and self-aid buddy care courses. All Service members are to receive role based TCCC training and certification in accordance with the skill level appropriate to their training and deployment billet.
The training provided by our company is in full accordance with the TCCC guidelines, we teach how it was meant to be taught, according to the provider skill level. We do not deviate from the curriculum nor do we teach our own interpretation of the guidelines, making us a "type 1" TCCC provider
TCCC-AC (TCCC for All Combatants) is a 1-day classroom course for non-medical military personnel and includes first responder skills appropriate for soldiers, sailors, airmen and marine
TCCC-MP (TCCC for Medical Personnel) is a 2-day classroom course for military medical personnel including medics, corpsmen, and pararescue personnel deploying in support of combat operations.
Understanding that there is a significant focus on military operations within the courses to include not only verbiage and jargon but also TTP's and protocols.
Unless you are engaged in squad level operations, with the possibility of having to perform tactical field care or prolonged field care with pharmacological agents and invasive or advanced devices, the official Tactical Combat Casualty Care curriculum, as designed, may not be your best choice.
If you are civilian EMS, law enforcement, SWAT medic, Rescue Task Force, etc, the Tactical Emergency Care Curriculum may be your best bet since it is designed and written specifically for your work environment, using appropriate language, and considering options for casualties at the extremes of ages, health, and physical status.
The training delivered by our company is in full accordance with the TCCC guidelines. We teach how it was meant to be taught, according to the provider skill level. We do not deviate from acceptable standards of care nor do we teach our own version of the guidelines based on our comfort level.
We teach you the how's and why's, followed by the evidence-based tactical medicine research which justifies it. We show you all different kinds of gear and equipment and how they are best applied. We have numerous different types of tourniquets, bandages, hemostatic agents, stretchers, sleds, and training tools for you to evaluate.
Each course includes time for a full gear shake out, we will show you what you have that is worth keeping, what is junk, and what you need to be purchasing.
This is a "tactical medical course", not a "run-and-gun" or "edutainment" course, it is designed to enhance your medical skill set. Courses that include significant live fire tactical training in a 1 or 2 day format really take away from the medical didactic component.
We want you to really understand the subject matter and will dedicate as long as it takes for every student to leave with the confidence needed to act during a time of crisis.
Which kind of TCCC Instructor are you?
Are you one of these four types? (as defined by CoTCCC)
1. Those that are current and up-to-date on the latest CoTCCC Guidelines and TCCC training material.
2. Those that are teaching TCCC as they learned it when they learned, but have not kept up-to-date and do not know they latest developments.
3. Those that teach the parts they are comfortable with or selectively teach or don't teach portions of TCCC that they agree or disagree with.
4. Those that interpret their own brand of TCCC which may or may not have anything to do with what is really in the CoTCCC guidelines.
To the first type - Thank you and stay engaged. You are on the cutting edge and providing your students with the best practices based on evidence and lessons learned to save lives.
To the second type - Get up to speed. TCCC may have changed and you could be providing your students and unit members with better capabilities to save lives.
To the third type - Get with the game. You are reducing capability and putting lives at potential risk by not teaching and practicing everything available in TCCC.
To the fourth type - You are dangerous and jeopardizing lives. TCCC is NOT someone's opinion or personal views on how to conduct tactical medicine. TCCC is not about marketing products without sound scientific research or critical review.
Real TCCC is a product of evidence-based medicine, battlefield lessons learned, case reviews of hundreds of casualties, and the latest from research and development formed into the best recommendations for battlefield trauma care.
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