Integrating Chemical Biological, Radiologic, and Nuclear (CBRN) Protocols Into TCCC Introduction of a Conceptual Model - TCCC + CBRN = (MARCHE)2

J Spec Oper Med. 2018 Spring;18(1):118-123. doi: 10.55460/ZK2U-M1DZ.


The authors would like to introduce TCCC [Tactical Combat Casualty Care] + CBRN [chemical, biological, radiological, and nuclear] = (MARCHE)2 as a conceptual model to frame the response to CBRN events. This model is not intended to replace existing and well-established literature on CBRNE events but rather to serve as a response tool that is an adjunct to agent specific resources.

MeSH terms

  • Algorithms
  • Biological Warfare
  • Chemical Warfare
  • Decontamination
  • Disaster Planning
  • Emergency Medical Services / methods*
  • Emergency Medical Services / organization & administration
  • Explosive Agents
  • Humans
  • Military Medicine / methods*
  • Models, Theoretical
  • Nuclear Warfare
  • War-Related Injuries / diagnosis*
  • War-Related Injuries / therapy


  • Explosive Agents