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Tactical Combat Casualty Care for Military Medical Providers


Description: NAEMT's Tactical Combat Casualty Care course introduces evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield, under the auspices of the PHTLS program. It is the only TCCC course endorsed by the American College of Surgeons.

NAEMT’s Tactical Combat Casualty Care course (TCCC) was recognized by the Board of Critical Care Transport Paramedic Certification (BCCTPC) as “helping to prepare students to take the TP-C exam.

Length: 16 hours

Approved for 16 hours of EMS Continuing Education through CECBEMS

Target Audience: Military Medics, Physicians, Nurses, Paramedics, TEMS/SWAT Medics

Course Objectives:

•EXPLAIN the differences between tactical and civilian
pre-hospital trauma care
•DESCRIBE the key factors influencing tactical casualty
care
•UNDERSTAND how Tactical Combat Casualty Care guidelines are developed
•DESCRIBE the 3 phases of care in Tactical Combat Casualty Care
•DESCRIBE the role of situational awareness and tactical awareness in the prevention of trauma in a tactical setting.
•DEMONSTRATE techniques that can be used to quickly move casualties to cover when scene becomes unsafe or tactical need requires such action.
•EXPLAIN patient assessment in the Care Under Fire phase.
•EXPLAIN the rationale for early use of a tourniquet to control life threatening extremity bleeding during Care Under Fire.
•DEMONSTRATE the appropriate application a commercially available tourniquet to the arm and leg.
•EXPLAIN why immobilization of the cervical spine is not a critical need in casualties with penetrating trauma to the neck or back without signs of neurological deficit.
• STATE the common causes of altered states of consciousness in a tactical situation.
• STATE why a casualty with an altered state of consciousness should be disarmed.
• DESCRIBE airway control techniques and devices appropriate to the Tactical Field Care phase.
• DEMONSTRATE the recommended procedure for surgical cricothyroidotomy.
• LIST the criteria for the diagnosis of tension pneumothorax on the battlefield.
• DESCRIBE the diagnosis and initial treatment of tension pneumothorax on the battlefield.
• DEMONSTRATE the appropriate procedure for needle decompression of the chest.
• DESCRIBE the progressive strategy for controlling hemorrhage in tactical field care.
• DEMONSTRATE the correct application of hemostatic agents
• DEMONSTRATE the appropriate procedure for initiating a rugged IV field setup.
• STATE the rationale for obtaining intraosseous access in tactical casualties.
• DEMONSTRATE the appropriate procedure for initiating an intraosseous infusion.
• STATE the tactically relevant indicators of shock in tactical settings.
• DESCRIBE the pre-hospital fluid resuscitation strategy for hemorrhagic shock in casualties.
• DESCRIBE the management of penetrating eye injuries.
• DESCRIBE how to prevent blood clotting problems resulting from hypothermia.
• DESCRIBE the appropriate use of pulse oximetry in prehospital tactical casualty care
• STATE the pitfalls associated with interpretation of pulse oximeter readings
• LIST the recommended agents for pain relief in tactical settings along with their indications, dosages, and routes of administration
• DESCRIBE the rationale for early antibiotic intervention on combat casualties.
• DISCUSS the management of burns in Tactical Field Care
• EXPLAIN why cardiopulmonary resuscitation is not generally used for cardiac arrest in tactical trauma care.
• DESCRIBE the procedure for documenting care with a Casualty Card.
• DESCRIBE the appropriate procedures for providing trauma care for wounded hostile combatants.
•DESCRIBE the differences between MEDEVAC (Medical Evacuation) and CASEVAC (Casualty Evacuation)
•DESCRIBE triage at a multiple casualty incident 
•DESCRIBE the four evacuation categories of casualties
•DESCRIBE the differences between Tactical Field Care and Tactical Evacuation Care
•LIST the nine items in a MEDEVAC request
•DESCRIBE the additional assets that may be available for airway management, electronic monitoring, and fluid resuscitation
•STATE the rules of thumb for calling for Tactical Evacuation and the importance of careful calculation of the risk/benefit ratio prior to initiating the call
•DEMONSTRATE methods of preparing a patient for aeromedical transport
•DEMONSTRATE use of the TALON III Stretcher 
•DEMONSTRATE use of the SKED
•DEMONSTRATE use of an Improvised Stretcher 

•EXPLAIN the differences between tactical and civilian pre-hospital trauma care

•DESCRIBE the key factors influencing tactical casualty care

•UNDERSTAND how Tactical Combat Casualty Care guidelines are developed

•DESCRIBE the 3 phases of care in Tactical Combat Casualty Care

•DESCRIBE the role of situational awareness and tactical awareness in the prevention of trauma in a tactical setting.

•DEMONSTRATE techniques that can be used to quickly move casualties to cover when scene becomes unsafe or tactical need requires such action.

•EXPLAIN patient assessment in the Care Under Fire phase.

•EXPLAIN the rationale for early use of a tourniquet to control life threatening extremity bleeding during Care Under Fire.

•DEMONSTRATE the appropriate application a commercially available tourniquet to the arm and leg.

•EXPLAIN why immobilization of the cervical spine is not a critical need in casualties with penetrating trauma to the neck or back without signs of neurological deficit.

• STATE the common causes of altered states of consciousness in a tactical situation.

• STATE why a casualty with an altered state of consciousness should be disarmed.

• DESCRIBE airway control techniques and devices appropriate to the Tactical Field Care phase.

• DEMONSTRATE the recommended procedure for surgical cricothyroidotomy.

• LIST the criteria for the diagnosis of tension pneumothorax on the battlefield.

• DESCRIBE the diagnosis and initial treatment of tension pneumothorax on the battlefield.

• DEMONSTRATE the appropriate procedure for needle decompression of the chest.

• DESCRIBE the progressive strategy for controlling hemorrhage in tactical field care.

• DEMONSTRATE the correct application of hemostatic agents

• DEMONSTRATE the appropriate procedure for initiating a rugged IV field setup.

• STATE the rationale for obtaining intraosseous access in tactical casualties.

• DEMONSTRATE the appropriate procedure for initiating an intraosseous infusion.

• STATE the tactically relevant indicators of shock in tactical settings.

• DESCRIBE the pre-hospital fluid resuscitation strategy for hemorrhagic shock in casualties.

• DESCRIBE the management of penetrating eye injuries.

• DESCRIBE how to prevent blood clotting problems resulting from hypothermia.

• DESCRIBE the appropriate use of pulse oximetry in prehospital tactical casualty care

• STATE the pitfalls associated with interpretation of pulse oximeter readings

• LIST the recommended agents for pain relief in tactical settings along with their indications, dosages, and routes of administration

• DESCRIBE the rationale for early antibiotic intervention on combat casualties.

• DISCUSS the management of burns in Tactical Field Care

• EXPLAIN why cardiopulmonary resuscitation is not generally used for cardiac arrest in tactical trauma care.

• DESCRIBE the procedure for documenting care with a Casualty Card.

• DESCRIBE the appropriate procedures for providing trauma care for wounded hostile combatants.

•DESCRIBE the differences between MEDEVAC (Medical Evacuation) and CASEVAC (Casualty Evacuation)

•DESCRIBE triage at a multiple casualty incident 

•DESCRIBE the four evacuation categories of casualties

•DESCRIBE the differences between Tactical Field Care and Tactical Evacuation Care

•LIST the nine items in a MEDEVAC request

•DESCRIBE the additional assets that may be available for airway management, electronic monitoring, and fluid resuscitation

•STATE the rules of thumb for calling for Tactical Evacuation and the importance of careful calculation of the risk/benefit ratio prior to initiating the call

•DEMONSTRATE methods of preparing a patient for aeromedical transport

•DEMONSTRATE use of the TALON III Stretcher 

•DEMONSTRATE use of the SKED

•DEMONSTRATE use of an Improvised Stretcher 

 

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