Page 32 - ATP-P 11th Ed

The guidelines build upon the accepted TCCC categories framed in the novel
MARC2H3-PAWS-L treatment algorithm, (Massive Hemorrhage/MASCAL, Airway,
SECTION 1 Control, Antibiotics, Wounds (including Nursing and Burns), Splinting, Logistics).
Respirations, Circulation, Communications, Hypo/Hyperthermia and Head Injuries, Pain
The PCC guidelines prepare the Servicemem-
3
2
ber for “what to consider next” after all TCCC in- MARC H -PAWS-L
terventions have been effectively performed and Massive Hemorrhage/MASCAL
should only be trained after having mastering the Airway
principles and techniques of TCCC. Respirations
The guidelines are a consolidated list of ca- Circulation
sualty-centric knowledge, skills, abilities, and best Communication
practices are the proposed standard of care for de- Hypothermia/Hyperthermia
veloping and sustaining DoD programs required to Head Injury
enhance confidence, interoperability, and common Pain Control
trust among all PCC-adept personnel across the Antibiotics
Joint force. Wounds (+ Nursing/Burns)
The JTS CPGs are foundational to the PCC Sprinting
guidelines and will be referenced throughout this Logistics
document in an effort to keep these guidelines con-
cise. General information on the Joint Trauma System is available on the JTS website
(https://jts.amedd.army.mil) and links to all of the CPGs are also available by using the
following link: https://jts.amedd.army.mil/index.cfm/PI_CPGs/cpgs.
The TCCC guidelines are included in these guidelines because they are foundational
AND a prerequisite to effective PCC. Remember, the primary goal in PCC is to get out of
PCC!!!

PCC Principles

The principles and strategies of providing effective prolonged casualty care are meant to
help organize the overwhelming amount of critical information into a clear clinical picture
and proactive plan regardless of the nature of injury or illness. The following steps can be
implemented in any austere environment from dispersed small team operations in permis-
sive environments to large scale combat operations to make the care of a critically ill pa-
tient more efficient for the medic and their team. These mimic the systems and processes in
typical intensive care units without relying on technology while leaving the ability to add
technological adjuncts as they become available. The following checklist is meant to em-
phasize some of the most important principles in efficient care of the critically ill patient.

22 SECTION 1 TACTICAL TRAUMA PROTOCOLS (TTPs) ATP-P Handbook 11th Edition 23