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BST First Aid – Describe the Phases of TCCC

Describe phases of Tactical Combat Casualty Care (TCCC) 

Training Support Package (TSP) for the Marine Battle Skills Test (BST)

 

TASK: Describe phases of Tactical Combat Casualty Care (TCCC)

CONDITION: Without the aid references

STANDARD: Without omitting key components

ESTIMATED TIME TO TRAIN: 10 minutes

ESTIMATED TIME TO TEST: 2 minutes per Marine 

PERFORMANCE STEPS: 

  1. Describe Care Under Fire (CUF)
  2. Describe Tactical Field Care (TFC)
  3. Describe Tactical Evacuation Care (TACEVAC)

REFERENCES: Pre-Hospital Trauma Life Support, Military Version, Current Edition

SUPPORT REQUIREMENTS: NA

TACTICAL COMBAT CASUALTY CARE (TCCC): 

TCCC is a three phase approach to casualty management, ensuring the appropriate medical care is given at the correct time and place during combat missions. TCCC is commonly known as “first aid”.

PERFORMANCE STEP 1: Describe Care Under Fire (CUF).

Care Under Fire (CUF): Medical care rendered at the scene of the injury while both the rescuer and the casualty are under effective hostile fire. The risk of additional injuries being sustained at any moment is extremely high for both casualty and rescuer. Actions taken during CUF are:

  1. Return fire and take cover.
  1. Direct casualty to remain engaged as a combatant if able.
  1. Direct casualty to move to cover and apply self-aid.
  1. Try to keep casualty from sustaining additional wounds.
  1. Airway management is generally deferred until the Tactical Field Care phase.
  1. Stop life-threatening bleeding if tactically feasible.

PERFORMANCE STEP 2: Describe Tactical Field Care (TFC).

Tactical Field Care: Medical care is rendered once the casualty and the unit are no longer under effective hostile fire. It also applies to situations in which an injury has occurred on a mission, but hostile fire has not yetbeen encountered.

More extensive care is provided by trained medical personnel to prepare casualty for tactical evacuation, if needed.

PERFORMANCE STEP 3: Describe Tactical Evacuation Care (TACEVAC).

Tactical Evacuation Care (TACEVAC): The phase in which casualties are transported to a medical facility for to a higher echelon of care. Allows for additional equipment and personnel to better diagnose and treat casualty wounds and trauma.

 

 

Describe phases of Tactical Combat Casualty Care (TCCC)

Evaluation Checklist

EVALUATOR(S):

MARINE TRAINED:

DATE:

SUPPORT REQUIREMENTS: NA

EVALUATOR NOTE: Marines must answer or perform all the questions below without error in order to pass this event. The evaluator will guide the Marine being tested through the checklist by asking questions.

Performance Step Instructor Notes Pass or Remediate
1. Describe Care Under Fire (CUF). Marine should be asked to list the steps of CUF:

1.     Return fire and take cover.

2.     Direct casualty to remain engaged as a combatant if able.

3.     Direct casualty to move to cover and apply self-aid.

4.     Try to keep casualty from sustaining additional wounds.

5.     Airway management is generally deferred until the Tactical Field Care phase.

6.     Stop life-threatening bleeding if tactically feasible.

2. Describe Tactical Field Care (TFC).

 

Marine should state at TFC is care rendered once the casualty and the unit are no longer under effective hostile fire.  It also applies to situations in which an injury occurs on a mission, but hostile fire has not yet been encountered.
3. Describe Tactical Evacuation Care (TACEVAC). Marine should state Tactical Evacuation Care is the phase in which casualties are transported to medical facility that provide a higher echelon of care.

 

 

Describe phases of Tactical Combat Casualty Care (TCCC) Training Support Package (TSP) for the Marine Battle Skills Test (BST)