Page 138 - Journal of Special Operations Medicine - Summer 2016

TCCC: Success in Combat Eliminating Preventable
3rd Infantry Division Death on the Battlefield

“The adoption and implementation of the principles of
TCCC by the medical platoon of TF 1-15 IN in OIF
1 resulted in overwhelming success. Over 25 days of
continuous combat with 32 friendly casualties,
many of them serious, we had 0 KIAs and 0 Died
From Wounds, while simultaneously caring for a
significant number of Iraqi civilian and military
casualties.” • Kotwal et al – Archives of Surgery 2011
CPT Michael Tarpey • All Rangers and docs trained in TCCC
Battalion Surgeon 1-15 IN • U.S. military preventable deaths: 24%
AMEDD Journal 2005 22 • Ranger preventable death incidence: 3% 23

TCCC in Canadian Forces ASDHA TCCC Letter
Savage et al: Can J Surg 2011 14 February 2014

“…uniform TCCC training throughout the Department.”

What Can TCCC Offer to What Can TCCC Offer to
My Civilian EMS System? My Civilian EMS System?

• Tourniquets
• Hemostatic dressings
• Trauma airway approach CAT SOFT-T
• TCCC Needle Decompression Plan
• Tranexamic Acid (TXA)
• Hypotensive resuscitation - with blood products where
possible
• Intraosseous vascular access
• Triple-Option Analgesia

124 Journal of Special Operations Medicine Volume 16, Edition 2/Summer 2016