intro to tccc

different from prehospital care - battlefield considerations

  • treat casualty, prevent additional casualties, complete mission


care under fire, tact field care, tact evac care

cuf - still under fire, very limited. return fire and take cover

tfc - no longer under fire, still on battlefield. work under cover and concealed

tacevac - care after cas has been picked up by aircraft etc, on the way to better care. more deliberate assessment


preventable death

  • extremity haemorrhage - torniquet

  • junctional haemorrhage - dressing

  • airway trauma or obstruction - suction

  • tension pneumo -


massive bleeding                                                                pain (meds)

airway                                                                                 antibiotics

respiration                                                                           wounds

circulation                                                                            splinting

hypothermia and head injuries


tacevac

establish evacuation point

comms pt info

loading casualties

securing casualties

reassessing


casevac - evac of injuried people WITHOUT in transit care

medevac - evac of injuried people between MTFs. specific people are required

ae - aeromedical evac


fwd ae -

tac ae -

strat ae -



fwd ae priorities

urgent - arrive at mtf within 2 hrs

priority - specialist treatment required within 4 hrs

routine - within 24 hrs


strat ae priorities

urgent - 24 hrs, threat to life, limb or vision

priority - 48 hrs, least possible delay to avoid disability

routine - 7 days


combat and non combat settings

all service members, cuf

  • move cas to safety, ensure scene safety, identify and control bleedings


all service members, tfc


combat life saver, cuf


cbrneeet threats

chem, bio, rad, nuclear, explosive, env, endemic, traumatic


role 1 support

  • primary care, resus and stabilise, prep for transfer, limited hold for low-acuity pts


role 2

  • evac from r1, triage, diagnostics, med supply


role 3

  • spec surgery, critical care, strat evac pt hold, ct scan, additional support for miss req. plus same as r2


role 4

  • national responsibity, normally at military or military support national hub