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(TCCC) -Tactical Combat

Casualty Care (T3C)

Indrek Olveti

EKJ; SATK AIK EMO

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THE EVOLUTION OF TACTICAL COMBAT CASUALTY


CARE
The hard lessons learned over centuries of battlefield healthcare were all but ignored until a landmark paper appeared in a 1996
issue of Military Medicine. Previously, military guidelines for trauma management mirrored tactics used in the civilian sector. Initiated by the
elements of the Special Operations Command, the new strategies outlined in 1996 were collectively referred to as Tactical Combat
Casualty Care (TCCC).
SFC Robert Miller (Retired)

www.NARescue.com

TCCC?

T3C




T3C

90%



Instantaneous Death

100%
Breathing complications

80%
70%

PPE and
good tactics

Shock

Hemorrhage

60%
50%

Infections

Airway obstruction

Self aid
Buddy aid
EMT-B

6min

ALS level skills


Surgery interventions
And Antibiotics

1hr

6hr

24hr

72hr

TC

3
CARE

UNDER FIRE (CUF)-





TACTICAL FIELD CARE -

,

NB!
!
TACTICAL EVACUATION CARE

1) While under fire and without a weapon,


Gunnery Sgt. Ryan P. Shane runs to Sgt.
Lonnie Wells, to pull him to safety during
USMC combat operations in Fallujah.

2) Gunnery Sgt Shane attempts to pull a


fatally wounded Sgt Wells to cover.

3) Another Marine comes to help.

4) Gunnery Sgt. Shane (left) is hit by enemy fire.

5) Gunnery Sgt Shane, on ground at left, was hit by


insurgent sniper fire.


()


(: Combat Gauze;
Celox)

2500


,

!

II

NB!

Journal of

Trauma 2008
232

309 ,

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:
CAT-

- -

!!!
,



!!!

CAT

CAT-

CAT-

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.

,
.

,

NB! !

<C>ABCDE
,



MIST
9-liner

(
)




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Celox Gauze
Quick Clot Combat Gauze


Celox Gauze
,
.

Combat
Gauze I

Combat
Gauze II

Combat
Gauze

Combat Gauze
III

Combat Gauze
IV

Behind

Armour
Blunt Trauma

http://www.rad.msu.edu/education/pages/stu_resources/com
mon/pages/Aben/IM_TUTOR/pages/steps/step8.htm

2 3

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90 .



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18 G ()

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: 250 ,


100 mm/Hg,






NaCl 0,9%

EZ-IO BIG


!
NB! !!!

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CASEVAC MEDEVAC
CASEVAC



MEDEVAC

CASEVAC

CASEVAC

CASEVAC

MEDEVAC

MEDEVAC

MEDEVAC



- ,

MEDEVAC

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