USFOR-A FRAGO 14-067 21 March 2014 All physicians, physician assistants, nurse practitioners, medics, corpsmen, parajumpers (PJs) and nurses in CJOA-A (Afghanistan) will be trained in TCCC In 2014, the commander of U.S. Forces in Afghanistan Training will be done in accordance with made TCCC training a requirement for medical current TCCC Guidelines (found on Joint personnel deployed Trauma System website) Curriculum to support this training is on the Military Health System website Training is reportable to the chain of command Units will field equipment to perform TCCC Phases of Care in TCCC: Timing Is Everything scenarios in combat usually entail both •Casualty Most battlefield casualty scenarios involve making both a medical problem as well as a tactical problem. medical and tactical decisions very rapidly. want the best possible outcome for both the •We Remember the still wants to kill you. casualty and the mission. The combat environment does not take a just “time-out” medicine can sometimes be bad tactics; •Good because you have a casualty. bad tactics can get everyone killed or cause the mission to fail. the RIGHT THING at the RIGHT TIME •Doing is critical TCCC Phases of Care divides care into 3 phases based on the •TCCC tactical situation. Doing the RIGHT thing at the WRONG time can get the gunfight, attention is focused •During you and your teammates killed. primarily on eliminating the threat. the threat decreases, increasing focus is •As applied to providing the best possible medical care for the casualties.
USFOR-A FRAGO 14-067 21 March 2014 All physicians, physician assistants, nurse practitioners, medics, corpsmen, parajumpers (PJs) and nurses in CJOA-A (Afghanistan) will be trained in TCCC Training will be done in accordance with current TCCC Guidelines (found on Joint Trauma System website) Curriculum to support this training is on the Military Health System website Training is reportable to the chain of command Units will field equipment to perform TCCC In 2014, the commander of U.S. Forces in Afghanistan made TCCC training a requirement for medical personnel deployed Phases of Care in TCCC: Timing Is Everything •Casualty scenarios in combat usually entail both a medical problem as well as a tactical problem. •We want the best possible outcome for both the casualty and the mission. •Good medicine can sometimes be bad tactics; bad tactics can get everyone killed or cause the mission to fail. •Doing the RIGHT THING at the RIGHT TIME is critical Most battlefield casualty scenarios involve making both medical and tactical decisions very rapidly. Remember the still wants to kill you. The combat environment does not take a “time-out” just because you have a casualty. TCCC Phases of Care •TCCC divides care into 3 phases based on the tactical situation. •During the gunfight, attention is focused primarily on eliminating the threat. •As the threat decreases, increasing focus is applied to providing the best possible medical care for the casualties. Doing the RIGHT thing at the WRONG time can get you and your teammates killed.