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army is quickly, finally adopting the tactical combat casualty 2006;6(3):35–38
care ways that we have been using for some time now. The Hypotensive Resuscitation Ben Donham, MD; Mel Otten, MD
TCCC “just in time” training team is constantly on the road
bringing the latest recommendations and equipment to our 2006;6(3):67–72
force. POC: SFC Dominique Greydanus, U.S. Army Institute Already Been Published
of Surgical Research at Fort Sam Houston, Texas (Dominique. Special Operations Forces
Greydanus@CEN.AMEDD.ARMY.MIL). I hear he is looking COMBAT MEDICINE J.R. Wilson
for some teaching help too. Therefore, any broke 18Ds who
want to live in San Antonio might contact him. 2007;7(1): 17–21
Education & Training
2005;5(3):87–88 The United States Special Operations Command update on the
COMBAT FIRST RESPONDER Command Medical Certification Program CPT Steve Briggs, SP,
After Action Thoughts Regarding 2005 APR 04 E Co Suspected APA, MPAS-C, Chief of USSOCOM Education and Training
Land Mine Incident
2007;7(2):55–62
EXCERPT: RECOMMENDATIONS: Review the CATs in Moderate to Severe Traumatic Brain Injury From the Battle-
possession of the battalion and be aware that the non-grooved
windlass may fail during application. Provide expedient wind- field to the Community Philip Girard MS, Kathy Helmick
lass tourniquets (e.g., tubular nylon, plastic Gatorade rings, CRNP, Glenn Parkinson MSW
and wood dowels) pending arrival of supply of newer model 2007;7(3):19–20
CATs from manufacturer. While some personnel advocate uti- What’s New?
lizing bungee cords, field trials failed to suppress a distal pulse From the Navy Operational Medical Lessons Learned Center
when applied to an uninjured extremity. When utilizing Fen-
tanyl lollipops to provide rapid pain relief, attach the lollipop 2007;7(3):78–84
or mark the patient to assist in the downstream assessment/ Causes of Death in U.S. Special Operations Forces in the
management at higher echelons of care. Continue to provide
TCCC instruction to all unit personnel. Global War on Terrorism 2001–2004 John B. Holcomb, MD;
Neil R. McMullin, MD; Lisa Pearse, MD; Jim Caruso, MD;
Charles E. Wade, PhD; Lynne Oetjen-Gerdes, MA; Howard
2005;5(4):1–2 R. Champion, FRCS; Mimi Lawnick, RN; Warner Farr, MD;
FROM THE SURGEON Frank Butler, MD, CAPT, USN, HQ Sam Rodriguez, BS; Frank K. Butler, MD
USSOCOM Command Surgeon
EXCERPT: The Tactical Combat Casualty Care Transition Ini- 2008;8(3):42-46
tiative sponsored by USSOCOM and executed by the Army What’s New?
Institute of Surgical Research has been doing a superb job of Tactical Combat Casualty Care Guidelines
ensuring that new TCCC training and equipment has been
flowing to the operators in our deploying SOF units. The best 2008;8(3):47-53
endorsement for this program was from one of our SOF combat Thoughts on Aid Bags Part One Michael R. Hetzler, 18D;
medics who remarked after the training “They’ve been telling Justin A. Ball, 18D
us for years that we were going to get this equipment. Today
we finally got it all.” General Brown’s letter to the Army Sur- 2008;8(4): 27–29
geon General about this project stated “The TCCC Transition Battlefield Use of Human Plasma by Special Operations Forces
Initiative developed and executed by the U.S. Army Institute of MSG Christopher Murphy
Surgical Research (ISR) to meet this challenge has been one of
the most successful biomedical research efforts in the history of 2008;8(4): 30–35
this command and has produced remarkable advances in our Thoughts on Aid Bags Part Two SFC Justin A Ball; MSG
force’s readiness to successfully manage battlefield trauma . . . Michael R Hetzler
Reports from SOF forces in theater documenting lives being
saved with these techniques are now routine occurrences. This 2009;9(1): 65–68
project has been an example of medical support for our com- Previously Published
bat forces at its very finest.” The TCCC TI is funded at $1.3 An Evaluation of Tactical Combat Casualty Care Interven-
million dollars per year level starting in FY07 and continuing tions in a Combat Environment Maj Homer C Tien, MD,
into out-years but was under-funded for FY06. Through the MSc, FRCSC; Vincent Jung, Sandro B Rizoli, MD, PhD,
hard work of Maj Tim Dykens and Mr. Bob Clayton in our FRCSC, FACS; Maj Sanjay V Acharya, MD, FRCPC; LCDR
office and Mr. Dave Saren of SOAL, an unfunded requirement John C MacDonald, MD, FRCPC
was generated and briefed to the USSOCOM Acquisition Ex-
ecutive, Dr. Dale Uhler. He concurred with going forward with 2009;9(2):93–101
the UFR and, so far, an additional $667K of a proposed $1.1 Previously Published
million has been identified. This great work will help us to en- Prehospital Advances in the Management of Severe Penetrating
sure that our combat medics have all the training and gear that Trauma Robert Mabry, MD; John G. McManus, MD, MCR
they need to continue to provide world-class battlefield trauma
care to our wounded SOF warriors. 2009;9(3):7–13
NATO SOF Transformation and the Development of NATO
In between our first 5 years and our last 5 years of publishing SOF Medical Doctrine and Policy LTC G. Rhett Wallace,
TCCC was discussed in the following editions: MD, FAAFP

16 | JSOM Volume 20, Edition 4 / Winter 2020