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FORMS

CANINE-TACTICAL COMBAT CASUALTY CARE CARD (cTCCC)
EVAC CAT: Urgent Priority Routine
EVAC TYPE: Fixed Rotary Ground MEDEVAC CASEVAC
UNIT: NAME: TATTOO:
DATE: (DD-MM-YY) TIME: GENDER: M F
Mechanism of Injury: (Mark X all that apply
IED GSW MINE BURN GRENADE ARTILLERY FALL
OTHER:
Injury: (Mark all injuries that apply with an X)

Signs and Symptoms: (fill in the blank)
Time
Pain Score (0-10)
Temperature (99-102.5)
Pulse Rate/Location (60-80)
Respirations (16-30)
Blood Pressure (120/80)
Pulse Ox% (> 95%)
Capillary Refill (< 2 sec)
NOTES:

DD FORM 3073 OCTOBER 2019 (Send card to dog.consult@us.af.mill) Page of

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