TACTICAL COMBAT CASUALTY CARE

Tactical Combat Casualty Care (TCCC)
Matt Grasha presented an excellent overview on properly addressing the 3 primary causes of PREVENTABLE deaths under combat conditions, namely:
  1. Extremity Hemorrhage (demonstrating use of tourniquets)
  2. Tension Pneumothorax (life-threatening condition resulting from an Opening Chest Wound aka Sucking Chest Wound) &
  3. Airway Obstruction requiring insertion of a nasal pharyngeal airway (NPA)
This page on Tactical Combat Casualty Care (TCCC) will continue to evolve. We plan to make available to our PatCon Guests nearly two dozen medical manuals including the U. S. Army Special Forces Medical Handbook and the Air Force Special Operations Command Paramedic Treatment Protocols. Once a dedicated webpage is created, all manuals will be provided in PDF format allowing  you and members of your Tribe to save these invaluable medical resources to thumb drives. Then, task yourselves with printing and protecting them for your SHTF archives. 

Until we establish a web page for hosting all of the medical manuals and guides in downloadable PDF format, Matt has provided the below-listed "Basic Management Plan for Care Under Fire" followed by links to MUST WATCH YouTube instructional videos.  

Remember: Nothing replaces hands-on training with reputable professionals. Train and cross-train with your families and your Tribe members. Without immediate, competent care, a single traumatic injury can take anyone out of the fight for good. Make sure you, and those on whom you depend, learn lifesaving medical skills. Such skills are an indispensable part of the Auxiliary. 

Basic Management Plan For Care Under Fire

1. Return fire and take cover

2. Direct or expect casualty to remain engaged as a combatant. 
    if appropriate.

3. Direct casualty to move to cover and apply self-aid if able.

4. Try to keep the casualty from sustaining additional wounds.

5. Casualties should be extricated from burning vehicles or buildings 
    and moved to places of relative safety. Do what is necessary to 
     stop the burning process.

6. Stop life-threatening external hemorrhage if tactically feasible
     Direct casualty to control hemorrhage by self-aid if able.
     Use a TCCC-recommended tourniquet for hemorrhage that is 
       anatomically amenable to tourniquet application.
     Apply tourniquet at the highest point on the limb above the 
       bleeding site, over the uniform, tighten, and move 
       the casualty to cover

7. Airway management is generally best deferred until the 
    Tactical Field Care phase.

Here are the links to the MUST WATCH training videos. 
Thank you, Matt!

Combat Lifesaver Training Manual (U.S. Army) - YouTube

Wound Packing With Gauze - YouTube

Hyfin Occlusive Dressing for Open Chest Wounds - YouTube

Needle Decompression of Tension Pneumothorax - YouTube

Nasopharyngeal Airway Training - YouTube
Note: During Matt's own TCCC training, others placed the NPA tube into his airway and he, in turn, successfully placed the tube in the airway of other trainees. Matt declares, "It's no big deal." The training video ends well for the marine. ;)

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