Tactical Combat Casualty Care: Beginnings

Wilderness Environ Med. 2017 Jun;28(2S):S12-S17. doi: 10.1016/j.wem.2016.12.004. Epub 2017 Mar 9.

Abstract

Tactical Combat Casualty Care (TCCC) is a set of evidence-based, best-practice prehospital trauma care guidelines customized for use on the battlefield. The origins of TCCC were nontraditional. The TCCC program began as a Naval Special Warfare biomedical research effort launched after the realization that extremity hemorrhage, a leading cause of preventable death on the battlefield, was not being treated with a readily available and highly effective intervention: the tourniquet. This insight prompted a systematic reevaluation of all aspects of battlefield trauma care that was conducted from 1993 to 1996 as a joint effort by special operations medical personnel and the Uniformed Services University of the Health Sciences. The product of that 3-year research project was TCCC, the first-ever set of battlefield trauma care guidelines designed to combine good medicine with good small-unit tactics.

Keywords: TCCC; Tactical Combat Casualty Care; battlefield trauma care; tactical medicine.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Emergency Medicine / history
  • Emergency Medicine / methods
  • History, 20th Century
  • Humans
  • Military Medicine / history*
  • Military Medicine / methods
  • United States
  • Wilderness Medicine / history*
  • Wilderness Medicine / methods