Tactical combat casualty care in special operations capt frank k butler jr mc usn ltc john hagmann mc usat us military medical personnel are currently trained to care for combat casualties using the principles taught in the ad vanced trauma life support atls course the appropriate ness of many of the measures taught in atls for the combat. The advent of tactical combat casualty care tccc represented a fundamental paradigm shift from the care of casualties cax that evolved in the late 1970s special operations forces sof engaged in combat operations removed from conventional forces cf and with austere logistical support represent a set of unique challenges as well. Tactical combat casualty care tccc is designed to provide all special operations forces sof operators medical and nonmedical in deploying units with sufficient medical skills to sustain casualties until evacuation and if necessary while under fire 89 tccc training emphasizes. We will review some of the factors that must be considered in caring for wounded patients on the battlefield with an emphasis on the special operations environment a basic management protocol is proposed that organizes combat casualty care into three phases and suggests appropriate measures for each phase. The journal of special operations medicine offers civilian readers access to the most cutting edge developments in the field including updates on tactical emergency casualty care tecc the national tems imitative and council ntic and combat lessons learned jsom is the one stop shop for best practice and future advancements in civilian tems
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