Page 52 - Journal of Special Operations Medicine - Summer 2014

Table 4 TCCC Card Completion Time Range Command biomedical research project and, as a result
of the increasing visibility of TCCC in the conflicts in
Card Time No. Minimum Maximum Mean SD
Iraq and Afghanistan, was ultimately realigned in 2007
Unstressed 444 10 96 26.84 12.81 to function as a subgroup of the Trauma and Injury Sub-
Stressed 284 35 246 115 38.38 committee of the Defense Health Board, which is the
senior external medical advisory group to the U.S. Sec-
retary of Defense. In a 2009 update to The Journal of
5
Table 5 Unstressed TCCC Card Accuracy
Trauma: Injury, Infection and Critical Care, CAPT (Ret)
Percent Frank Butler, MD, discusses documentation of care in
Correct No. Minimum Maximum Mean SD TCCC. A CoTCCC-sponsored First Responder Care
5
Unstressed 444 60 100 94.59 8.68 Documentation conference was held in August 2007 to
Stressed 284 30 100 84.99 14.87 address this issue.

At that tri-service conference, it was noted that, with
in some areas that need improvement. One critical area more than 30,000 casualties from Iraq and Afghanistan
4
that needs improvement is prehospital documentation. at that point, less than 10% of casualty records had any
documentation of prehospital care. In only about 1%
The Committee on Tactical Combat Casualty Care of the cases, the information available was sufficient.
(CoTCCC) was formed in 2001 as a U.S. Special Operations In a study published in the July 2011 supplement to the

Table 6 Unstressed TCCC Card Completion Time by Scenario
95% Confidence Interval for Mean
No. Mean SD SE Lower Bound Upper Bound
A 88 29.05 15.950 1.700 25.67 32.42
B 90 25.66 9.773 1.030 23.61 27.70
C 87 25.74 13.240 1.419 22.91 28.56
D 89 27.65 12.392 1.314 25.04 30.26
E 90 26.13 11.946 1.259 23.63 28.64
Total 444 26.84 12.809 .608 25.65 28.03

Table 7 Stressed TCCC Card Completion Time by Scenario
95% Confidence Interval for Mean
No. Mean SD SE Lower Bound Upper Bound Minimum Maximum
A 52 108.75 35.630 4.941 98.83 118.67 56 201
B 19 120.11 39.409 9.041 101.11 139.10 72 220
C 25 113.16 43.571 8.714 95.17 131.15 58 214
D 21 100.76 24.710 5.392 89.51 112.01 57 147
E 37 117.81 43.808 7.202 103.20 132.42 40 240
F 9 115.78 38.431 12.810 86.24 145.32 53 191
G 9 121.78 40.804 13.601 90.41 153.14 73 191
H 46 134.52 37.869 5.584 123.28 145.77 73 246
I 1 98.00 — — — — 98 98
J 11 89.27 25.827 7.787 71.92 106.62 60 135
K 21 126.90 32.590 7.112 112.07 141.74 69 188
L 14 113.50 40.333 10.779 90.21 136.79 79 240
M 18 93.17 27.843 6.563 79.32 107.01 35 166
N 1 83.00 — — — — 83 83
Total 284 115.00 38.375 2.277 110.52 119.49 35 246

42 Journal of Special Operations Medicine Volume 14, Edition 2/Summer 2014