tccc – tactIcal combat casualt y care
TCCC – Tactical Combat Casualty Care Rescue procedures
in tactical environment has been defined in three phases:
1) CARe UNDeR FIRe – aid providing under fire;
2) TACTICAL FIeLD CARe – wounded care in field;
3) TACTICAL evACUATIoN – tactical evacuation.
Aid provided in each phase is changing proportionally to
tactical danger and environmental conditions. Author of
Tactical Combat Casualty Care (TCCC or TC3) guidelines is
US SoCoM.
According to TC3 guidelines, 90% of all combat deaths
takes place before arriving to a hospital. Some sources split
all combat wounded into those who survive, because they
reach the hospital with all physiological parameters kept
and those, whom doctors are not able to safe due to nature
of wounds or because initial medical care was insufficient.
Tactical Rescue is ruled by few principles, which minimize
preventable deaths.
care under fIre phase where best medicine will be
good tactics and where fire cover and enemy neutralization
will decrease the number of wounded that need to be taken
care of. (The faster danger will be neutralized, the less woun-
ded there will be). In this phase wounded execute self-help
– he is expected to know how to control limb bleeding and
to make use of a tourniquet which is part of IFAK (Individual
First Aid Kit).
tac tIcal fIeld care phase – is associated with medic
(with medical backpack) therapeutic initiative.
tac tIcal evacuatIon phase entail medical support on
the way to a hospital. Currently medical evacuation is con-
ducted by Medical evacuation vehicles or Medical evacu-
ation Aircrafts.
TC3
