Tactical combat casualty care

Tactical Combat Casualty Care (TCCC or TC3) is — a standard of care in Prehospital Battlefield Medicine. The TCCC Guidelines are routinely updated and published by the Committee on Tactical Combat Casualty Care (CoTCCC). TCCC was designed in the mid-'90s for the Special Operations medical community. Originally a USSOCOM Medical R&D initiative, TCCC developed battlefield appropriate and evidence-based casualty care based on injury patterns of previous conflicts. The primary intent of TCCC is to reduce preventable combat death through a means that allows a unit to complete its mission while providing the best possible care for casualties. Now it is a DOD course, conducted by NAEMT. TCCC or similar standards are used by most allied countries.

The Committee on Tactical Combat Casualty Care (CoTCCC) was originally established by the US Special Operations Command in 2002 before shifting to the Naval Medical Education & Training Command in 2004. The CoTCCC was shifted again in 2007 as a standing subcommittee of the Defense Health Board (DHB). In 2012, the CoTCCC was moved to the DoD Joint Trauma System (JTS). The CoTCCC has 42 voting members, who are specialized physicians, providers, and enlisted medical specialties from the Army, Navy, USAF, USMC, and USCG. The TCCC Working Group is larger group operating in conjunction with the CoTCCC consisting of non-voting members from throughout the DoD, US government agencies, civilian medical professionals, and partner nations.

In TCCC prehospital battlefield care is divided into 3 phases:

TCCC uses MARCH acronym:

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