Mabry and McManus AMEDD Center and School In 2008, Major Bob Mabry was the Director of Academics for Combat Medic Training at the Army new concept of Tactical Combat Casualty “The Medical Department Center and School. He used to be Care has revolutionized the management of an 18D Special Forces medic himself. combat casualties in the prehospital tactical LTC John McManus was the Director of Predeployment setting.” Medical Training for the Army Medical Department Center and School. Critical Care Medicine July 2008 USMC Casualty Scenario 2008 CoTCCC gets input directly from combat In every meeting of the CoTCCC, real combat casualty • medics, corpsmen, and USAF pararescuemen scenarios are presented and discussed. (PJs) Lessons learned are incorporated into TCCC curriculum. 15 casualties - 4 tourniquets applied • 3 lives saved - 4th casualty died from chest • wound Tourniquets et al: – Two Landmark Papers Most important tourniquet papers ever published Published in 2008/2009 Most importantly apply tourniquets ASAP when • – Tourniquets are saving lives on the battlefield needed. • 31 lives saved in 6 months by tourniquets Survival improved if shock prevented. • Author estimates 2000 lives saved with NOBODY is arguing about whether tourniquets save • tourniquets in this conflict up to that date lives any more. (2009) No arms or legs lost because of tourniquet use •
Mabry and McManus AMEDD Center and School “The new concept of Tactical Combat Casualty Care has revolutionized the management of combat casualties in the prehospital tactical setting.” Critical Care Medicine July 2008 In 2008, Major Bob Mabry was the Director of Academics for Combat Medic Training at the Army Medical Department Center and School. He used to be an 18D Special Forces medic himself. LTC John McManus was the Director of Predeployment Medical Training for the Army Medical Department Center and School. USMC Casualty Scenario 2008 • CoTCCC gets input directly from combat medics, corpsmen, and USAF pararescuemen (PJs) • 15 casualties - 4 tourniquets applied • 3 lives saved - 4th casualty died from chest wound In every meeting of the CoTCCC, real combat casualty scenarios are presented and discussed. Lessons learned are incorporated into TCCC curriculum. Tourniquets – et al: Two Landmark Papers • Published in 2008/2009 • Tourniquets are saving lives on the battlefield • 31 lives saved in 6 months by tourniquets • Author estimates 2000 lives saved with tourniquets in this conflict up to that date (2009) • No arms or legs lost because of tourniquet use Most important tourniquet papers ever published Most importantly – apply tourniquets ASAP when needed. Survival improved if shock prevented. NOBODY is arguing about whether tourniquets save lives any more.
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