R 101429Z JAN 11
UNCLASSIFIED//
MARADMIN 016/11
MSGID/GENADMIN/CG TECOM QUANTICO VA//
SUBJ/TACTICAL COMBAT CASUALTY CARE (TCCC) GUIDELINES AND UPDATES DEC 2010//
REF/A/DOC/MEMO FROM ASD, HA TO SERVICE SECRETARIES DTD 4 MAR 2009/NOTAL//
REF/B/TCCC GUIDELLINES AND UPDATES DTD 18 AUG 2010//
REF/C/ TCCC GUIDELINES AND UPDATES DTD 1 NOV 2010//
REF/D/EMAIL FROM HQMC HEALTH SERVICES TMO OFFICE  WITH APPROVAL OF CHANGES//
NARR/REF A IS ASD, HA MEMO REQUESTING SERVICES REVIEW TCCC GUIDELINES FOR TRAINING OF MEDICAL PERSONNEL.  REF B IS THE TCCC GUIDELINES AND UPDATES FOR HYPOTHERMIA.  REF C IS THE TCCC GUIDELINES AND UPDATES FOR FLUID RESCUSCITATION.  REF D IS AN EMAIL FROM HQMC HEALTH SERVICES TMO OFFICE  WITH APPROVAL OF CHANGES.//
POC/S. J. PARKS/LCDR/MEDICAL PROGRAMS OFFICER/TECOM/ QUANTICO VA/703-784-3051/STEVEN.J.PARKS(AT)USMC.MIL//
POC/J. R. MILES/CIV/S-5 FMTB-E/910-450-0815/ JOHN.R.MILES(AT)USMC.MIL//
GENTEXT/REMARKS/ 1.  TACTICAL COMBAT CASUALTY CARE (TCCC) CONCEPTS WERE DEVELOPED IN 1996 AS A SPECIAL OPERATIONS INITIATIVE.  THE COMMITTEE ON TACTICAL COMBAT CASUALTY CARE (COTCCC) WAS ESTABLISHED IN 2001 TO ENSURE THE LESSONS LEARNED FROM THE MODERN DAY BATTLEFIELD WERE ANALYZED AND INCORPORATED INTO THE TCCC GUIDELINES.  TCCC HAS BEEN IDENTIFIED AS ONE OF THE REASONS THAT US MILITARY OPERATIONS HAVE EXPERIENCED THE HIGHEST CASUALTY SURVIVAL RATES IN HISTORY.  MEMBERS OF THE COTCCC REPRESENT ALL SERVICES AND THE CIVILIAN SECTOR TO INCLUDE HIGHLY EXPERIENCED NAVY CORPSMEN, US ARMY MEDICS, AIR FORCE PARARESCUEMEN, SPECIAL FORCES MEDICS, TRAUMA SURGEONS, EMERGENCY MEDICINE AND CRITICAL CARE PHYSICIANS, RESEARCH SCIENTISTS, AND MEDICAL EDUCATORS WHO MEET 3-4 TIMES A YEAR TO DISCUSS TOPICS IN CASUALTY CARE, INCLUDING TECHNIQUES, PROCEDURES, EQUIPMENT, AND DRUGS/AGENTS.  THE COTCCC DEVELOPED NEW GUIDELINES, BASED ON OPERATIONAL EXPERIENCE AND SERVICE LESSONS LEARNED, AND BRIEFED THE DEFENSE HEALTH BOARD (DHB) AND ASST SECRETARY OF DEFENSE HEALTH AFFAIRS (ASD HA).  ASD, HA REQUESTED SERVICES REVIEW THE NEWLY PUBLISHED GUIDELINES AND IMPLEMENT AS APPROPRIATE (REF A).
2.  SUMMARY OF TCCC GUIDELINE CHANGES:
A.  ADDITIONAL GUIDELINES ON THE PREVENTION OF HYPOTHERMIA.
B.  ADDITIONAL GUIDLELINES ON FLUID RESCUSCITATION.
3.  TCCC GUIDELINES REFLECTING THE ABOVE MOST RECENT UPDATES ARE POSTED ON THE MILITARY HEALTH SYSTEM WEBSITE UNDER TCCC AT HTTP:/WWW.HEALTH.MIL.
4.  EFFECTIVE IMMEDIATELY, THE MOST RECENTLY APPROVED TCCC GUIDELINES WILL BECOME THE STANDARD TO WHICH TRAINING EFFORTS ARE TO BE FOCUSED AND EVALUATION WILL BE BASED. THESE CHANGES WILL AFFECT NUMEROUS TRAINING PROGRAMS AND COURSES.  EFFORTS ARE UNDERWAY TO UPDATE TRAINING STANDARDS AND WILL BE ACCOMPLISHED THROUGH THE NORMAL STAFFING PROCESS.  A KEY ELEMENT OF THE TCCC GUIDELINES IS THEIR APPLICABILITY TO MEDICAL PERSONNEL, COMBAT LIFESAVERS, AND INDIVDUAL DEPLOYING COMBATANTS.
5.  THE REVISED PRE-HOSPITAL TRAUMA LIFE SUPPORT MANUAL (PHTLS) 7TH EDITION, MILITARY VERSION AS MENTIONED IN MARADMIN 0645/09, HAS BEEN PUBLISHED AND IS NOW AVAILABLE FOR PURCHASE IN BOOKSTORES AND ON VARIOUS WEBSITES TO INCLUDE BUT NOT LIMITED TO WWW.AMAZON.COM AND WWW.EMERGENCYSTUFF.COM.
6.  THIS MESSAGE IS APPLICABLE TO THE MARINE CORPS TOTAL FORCE.
7.  RELEASE AUTHORIZED BY MAJGEN RAYMOND C. FOX, COMMANDING GENERAL, TRAINING AND EDUCATION COMMAND.//