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U.S. SPECIAL OPERATIONS COMMAND’s
Tactical Trauma Protocols (TTPs)
Prolonged Casualty Care Guidelines (PCC)
Tactical Medical Emergency Protocols (TMEPs)
Recommended Drug List (RDL)
Canine/K9 Tactical Combat Casualty Care Guidelines (C-TCCC)
Burn Quick Reference Guide and Nerve Charts
For SPECIAL OPERATIONS ADVANCED TACTICAL PARAMEDICS (SO-ATPs)
USSOCOM OFFICE OF THE COMMAND SURGEON
DEPARTMENT OF EMERGENCY MEDICAL SERVICES AND PUBLIC HEALTH
Published August 2022
Publisher of the Journal of Special Operations Medcine
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© 2017 / ISBN 978-1-7366242-8-9
Previously know as: Journal of Special Operations Medicine’s Training Supplement (2007–2012)
and Journal of Special Operations Medicine Advanced Tactical Paramedic Protocols Handbook (2012–2021).
No protection is claimed in original government works. All rights reserved on Breakaway Media work product. No work product parts of this publication
may be reproduced or transmitted in any form or by any means, electronic or mechanical (including photocopy, recording, or any information storage
and retrieval system) without permission in writing from the publisher.
Disclaimer: The Advanced Tactical Paramedic – Protocols (ATP-P) Handbook is a resource for Special Operations Forces (SOF) medical personnel with
advanced skills and knowledge, operating in tactical, remote or austere environments. The purpose of the handbook is to provide these medical
professionals a resource that outlines the latest techniques and procedures used in the Special Operations community.
The USSOCOM Tactical Trauma Protocols (TTPs), Tactical Emergency Medical Protocols (TMEPs), and the TMEPs Drug List outlined in this
handbook are peer-reviewed for accuracy, currency, and applicability by the authors and the publisher. Best efforts have been used in preparing these
protocols by the USSOCOM and the Curriculum and Examination Board (CEB) authors. The publisher, Breakaway Media, LLC, makes no representations
or warranties of any kind and assumes no liabilities of any kind with respect to the accuracy or completeness of the contents. The publisher shall not
be held liable or responsible to any person or entity with respect to any loss or incidental or consequential damages caused, or alleged to have been
caused, directly or indirectly, by the information contained herein. Loss or damage include, but are not limited to, loss of life, limb, eyesight, or mobility.
This publication is intended to be used by qualified medical personnel in the treatment of injuries to persons and working dogs under their care. It is
not intended to be used by unqualified persons or persons without proper medical training.

