Page 145 - JSOM Summer 2019

Tactical Combat Casualty Care Skill Sets
by Responder Level

22 April 2019

ASM – All Service Members (Tier 1)
CLS – Combat Lifesaver (Tier 2)
CM/HM – Combat Medic/ Hospital Corpsman (68W/8404/4N) (Tier 3)
CP – Combat Paramedic/Provider (Tier 4)
ARC – Resuscitative Teams with an Advanced Resuscitative Care Capability
Task/Skill Responder Level
OVERVIEW OF TACTICAL COMBAT CASUALTY CARE ASM CLS CM/HM CP ARC
Conduct Tactical Combat Casualty Care X X X X X
Care Under Fire/Threat X X X X X
Tactical Field Care (TFC) X X X X X
Tactical Evacuation Care (TACEVAC) X X X X
Advanced Resuscitation Care (ARC) X
CASUALTY ASSESSMENT
TCCC Rapid Casualty Assessment (Basic Life Threatening Assessment) X X X X X
TCCC Trauma Casualty Assessment X X X X
Triage Casualties X X X
MASSIVE EXTERNAL HEMORRHAGE
Recognize Life-Threatening External Hemorrhage X X X X X
Control Massive External Hemorrhage in TCCC X X X X X
Tourniquet Application X X X X X
Hemostatic Dressing Application X X X X X
Wound Packing with Hemostatic Dressing X X X X X
Apply Direct Pressure X X X X X
Pressure Dressing Application after Hemostatic Dressing X X X X X
Junctional Device/Tourniquet Application X X X
XStat Application X X X
AIRWAY
Airway Assessment and Treatment in TCCC X X X X X
Airway Positioning-Sit-up/Lean Forward X X X X X
Chin-Lift/Jaw-Thrust Manuever X X X X X
Recovery Positioning of a Casualty X X X X X
Bag-Valve-Mask Ventilation X X X X
Nasopharyngeal Airway X X X X
Extraglottic Airway X X X
Airway Suctioning X X X
Surgical Cricothyroidotomy X X X
Endotracheal Intubation X X
RESPIRATION / BREATHING
Assessment of Respirations in TCCC X X X X X
Treatment of Respiratory Dysfunction in TCCC X X X X X
Treatment of Sucking Chest Wound/Apply Vented Chest Seal X X X X
Needle Thoracostomy (Needle Chest Decompression) X X X X
Oxygen Administration X X X
Automated Ventilation X X*
Simple (Finger) Thoracostomy X X
Tube Thoracostomy (Chest Tube) X X

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