How Air Force PJ's Perform Tactical Combat Casualty Care | Medical | Tactical Rifleman

Published on December 16, 2016
Duration: 4:57

This video details Tactical Combat Casualty Care (TCCC) as performed by Air Force PJs, emphasizing its three phases: Care Under Fire, Tactical Field Care, and CASEVAC. It highlights the importance of immediate life-saving interventions like tourniquets and chest seals, and introduces the MARCH algorithm for assessing casualties in tactical environments.

Quick Summary

Tactical Combat Casualty Care (TCCC) involves three phases: Care Under Fire (suppress enemy, move to safety, limited aid), Tactical Field Care (airway, bleeding, circulation control when secure), and CASEVAC (evacuation using the MARCH algorithm: Massive hemorrhage, Airway, Respiration, Circulation, Head/Heat).

Chapters

  1. 00:00Introduction to TCCC
  2. 00:37Phase 1: Care Under Fire
  3. 01:58Phase 2: Tactical Field Care
  4. 03:16Phase 3: CASEVAC and MARCH

Frequently Asked Questions

What are the three phases of Tactical Combat Casualty Care (TCCC)?

TCCC is divided into three phases: Phase 1 is Care Under Fire, focusing on immediate life threats and moving to safety. Phase 2 is Tactical Field Care, performed when the casualty is no longer under direct fire, addressing airway, bleeding, and circulation. Phase 3 is CASEVAC (Casualty Evacuation), involving transport and continued medical management.

What is the primary goal during the 'Care Under Fire' phase of TCCC?

The primary goal during Care Under Fire is to gain fire superiority to suppress the enemy and prevent further casualties. Medical intervention is limited to applying a tourniquet for massive hemorrhage or providing self-aid instructions while moving the casualty to a safer location.

What does the MARCH algorithm stand for in TCCC?

The MARCH algorithm is a mnemonic used for casualty assessment during TCCC. It stands for Massive hemorrhage, Airway, Respiration, Circulation, and Head/Heat. This systematic approach ensures critical life threats are addressed efficiently.

What medical interventions are emphasized in Tactical Field Care?

Tactical Field Care involves more comprehensive medical interventions when the casualty is secure. Key actions include managing the airway (potentially with a cricothyroidotomy), controlling junctional hemorrhages, applying vented chest seals for penetrating chest trauma, and assessing circulation.

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