This algorithm is from a TCCC course put on by a service trauma training center. It departs from TCCC Guidelines at a number of points: It ignores the analgesic option that can be used even if the tactical scenario is likely to revert to Care Under Fire (meloxicam and acetaminophen). Instructor Drift in a course, 2015 “TCCC” It appears to discourage indicated analgesics even in TBI does not contraindicate ketamine. Tactical Field Care. Shock does not contra-indicate ketamine. No one is likely to be allergic to both ketamine and Neither TBI nor hemorrhagic shock is a contraindication opioids. to the use of ketamine. It is unlikely that any individual would be allergic to both ketamine and opioids. This is not the triple-option analgesia recommended in TCCC guidelines. It is an excellent example of instructor drift. These are examples of inappropriate training that have Inappropriate Training been identified in some vendor-supplied “TCCC” courses. labs” “Shock labs” “Cognition In labs”, volunteers are given hypotensive Insertion of intraosseous devices on course attendee medications so that they can experience the signs and volunteers symptoms of hypovolemic shock. Regional nerve blocks by non-medical personnel Central venous catheter placement by prehospital In labs”, volunteers are given mind-altering “cognition providers substances like ketamine and tested on tasks like manual Arterial blood draws dexterity.
Instructor Drift in a “TCCC” course, 2015 TBI does not contraindicate ketamine. Shock does not contra-indicate ketamine. No one is likely to be allergic to both ketamine and opioids. This algorithm is from a TCCC course put on by a service trauma training center. It departs from TCCC Guidelines at a number of points: It ignores the analgesic option that can be used even if the tactical scenario is likely to revert to Care Under Fire (meloxicam and acetaminophen). It appears to discourage indicated analgesics even in Tactical Field Care. Neither TBI nor hemorrhagic shock is a contraindication to the use of ketamine. It is unlikely that any individual would be allergic to both ketamine and opioids. This is not the triple-option analgesia recommended in TCCC guidelines. It is an excellent example of instructor drift. Inappropriate Training “Shock labs” “Cognition labs” Insertion of intraosseous devices on course attendee volunteers Regional nerve blocks by non-medical personnel Central venous catheter placement by prehospital providers Arterial blood draws These are examples of inappropriate training that have been identified in some vendor-supplied “TCCC” courses. In labs”, volunteers are given hypotensive medications so that they can experience the signs and symptoms of hypovolemic shock. In “cognition labs”, volunteers are given mind-altering substances like ketamine and tested on tasks like manual dexterity.
010306%20TCCC-MP%20Direct%20From%20The%20Battlefield%20IG%20150603.docx