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administration (slow IV push vs the currently recommended and testing contained in the existing TCCC-MP curriculum.
10-minute infusion) and a better technique for securing of A 5-day course should be considered to include the entire
the new CAT Generation 7 tourniquets after application. The JTS-recommended curriculum and to add graded trauma lanes
course appraiser also noted that there were a number of ex- and autologous blood transfusion training to the core JTS
cellent videos of actual TCCC interventions being performed TCCC-MP curriculum. The post-course written testing also
that are not part of the current JTS-approved TCCC-MP needs to use the standardized TCCC fund of knowledge ques-
curriculum. These videos should be forwarded to CoTCCC tions and the TCCC Critical Decision Case Study questions
staff and the Joint Trauma Education and Training (JTET) developed by the JTS. Finally, there is a need to establish a sys-
branch of the JTS for consideration as potential additions to tematic and standardized quality assurance program to ensure
the TCCC-MP curriculum. Consideration should also be given that TCCC training programs are carried out in accordance
to the inclusion of additional TCCC training modalities such with the JTS-recommended TCCC curriculum. This program
as advanced simulators, moulaged casualties, graded trauma would best be performed as a new function of the CoTCCC
lanes, autologous blood transfusion training, and the use of with dedicated TCCC course appraisers.
live-tissue training (when logistically feasible) for selected
course items such as surgical airways. Further, the 16-hour Keywords: Tactical Combat Casualty Care; TCCC; training;
training time currently allotted for TCCC-MP training was simulators; live tissue training; battlefield trauma care
found to be insufficient to present all of academic material
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Then and Now: 20 Years In Publication | 25

