Page 175 - JSOM Spring 2018

The updated TCCC Curricula have been mailed to DoD This work was requested by both DHA and FORSCOM and is
schoolhouses and are available on the following websites: intended to provide the TCCC curriculum material in a format
• https://deployedmedicine.com/ that is acceptable to military schoolhouses that train nonmedi-
• http://www.naemt.org/education/TCCC/tccc.aspx cal personnel in basic military skills, including, but not limited
• https://www.jsomonline.org/TCCC.html to, TCCC. These newly developed lists correlate to the exist-
• http://www.specialoperationsmedicine.org/Pages/tccc ing “TCCC Skill Sets by Provider Level” list.
.aspx
• http://www.cotccc.com 21. Breakout Sessions: There were four breakout sessions at
this meeting.
TCCC students should now all receive an electronic copy of
the TCCC Quick Reference Guide (developed by Mr Har- A. TCCC Maritime—chaired by CAPT Jose Acosta. His brief-
old Montgomery) that contains an abbreviated synopsis of back points from the breakout session included:
the TCCC Guidelines, the TCCC Clinical Algorithms, and – There is not presently a need for TCCC maritime to be de-
other TCCC reference information requested by user Medics, veloped as an additional TCCC curriculum.
Corpsmen, and PJs. The TCCC QRG can be downloaded at: – Maritime-particular injuries such as near-drowning, smoke
https://deployedmedicine.com/market/11/content/87 inhalation, electrocution, and burns could be covered with
Work on the Ninth Edition of the PHTLS textbook is on- the addition of a maritime scenario to the scenarios section
going. TCCC will have 13 chapters contributed by members of the TCCC curriculum.
of the CoTCCC or the TCCC Expert Panel: – There are gaps between the care recommended in the
Introduction to TCCC TCCC guidelines and the care that the services are prepared
Care Under Fire to render in prehospital settings for trauma victims.
Tactical Field Care – TCCC is foundational for everyone in the military and
Tactical Evacuation Care all should get the basic concepts that are contained in the
TCCC Scenarios TCCC curricula.
Aeromedical Evacuation
Joint Trauma System B. New TCCC Technology—chaired by Dr Mel Otten. His
Triage in TCCC brief-back points from the breakout session included:
Injuries from Explosives Dr Otten reviewed the informal but long-standing criteria
Management of Burns in TCCC that are used by the New Technology Subcommittee to evalu-
TCCC Casualty Response Planning ate new battlefield trauma care equipment proposed for use
Medical Support of Urban Operations in TCCC. Equipment that is planned for fielding with combat
Ethical Considerations for Combat Medics medics, corpsmen, and PJs should:
– WORK—with evidence to prove it (ALWAYS FIRST)
Both Dr Giebner and Dr Butler expressed their appreciation – Be easy to apply/use
to all of the individuals who are helping with these chapters. – Be easy to train
– Be able to be used quickly—time efficient
20. TCCC Quick Reference Guide and Social Media Initia- – Cause minimal complications
tives: Mr Harold Montgomery reviewed the newly developed – Come in small packages
TCCC Quick Reference Guide (QRG). The first edition of this – Have a long-shelf life
new CoTCCC knowledge product includes: – Be usable in harsh environments
– An abbreviated synopsis of the TCCC Guidelines – Use common accessories (batteries/plugs/etc.)
– The TCCC Clinical Algorithms – Cause minimal risk with use
– A CoTCCC-recommended equipment list – Be consistent with best battlefield trauma care practices
– TCCC Casualty Card (DD 1380) and the TCCC AAR Forms – Be low cost
– Triage and Evacuation Categories—JTS Examples
– The Nine-Line Evacuation request format Dr Otten noted that we need more medics on this subcommit-
– TCCC medication summaries tee. He also noted that decisions about new items of TCCC
– Key TCCC references equipment must generally be made without the benefit of high-
– Conversion Guide quality evidence.

The QRG will be updated at least once a year. Future editions C. TCCC Web/Mobile/Social Media—chaired by Mr Harold
will add whatever additional information that our combat Montgomery. His briefback points from the breakout session
medical personnel tell us that they need to help them care for included:
our country’s combat wounded. Mr Montgomery requested – The intent of this effort is to increase the availability of
that any combat medical personnel who had suggestions for TCCC knowledge products to younger medics in formats
additional material that should be included in the QRG con- that they are likely to use.
tact him, but also noted that one of the goals of this document – The DHA research effort to produce short, topic-centric
is to keep in brief. videos to be used in both the TCCC Curriculum and on the
Please note also that although this document has been website will be ongoing over the next year.
copyrighted to protect it from intellectual property pirates, it – We need more individuals who would like to participate in
is intended to be freely available for use by anyone who is us- TCCC videos.
ing TCCC to help care for the wounded. – Planned features for the TCCC section of the Deployed
Mr Montgomery also discussed briefly his work to pro- Medicine website will include sections for medic questions
vide a listing of the tasks, conditions, and standards for TCCC. and medic feedback on TCCC issues.

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