Tactical Combat Casualty Care (TCCC)

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6 • 665 Ratings

🗓️ 16 March 2015

⏱️ 23 minutes

🔗️ Recording | iTunes | RSS

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Summary

Today's episode will cover Tactical Combat Casualty Care (TCCC), aka Care Under Fire, aka Care in the Immediately Unsafe Environment. Dr. Andy Bohn, a residency colleague, recorded today's episode to talk about the basics of taking care of any patient in an unsafe environment. While the military connotations of this may make you uncomfortable, the techniques and protocols he discusses can be directly translated into any civilian mass casualty scenario such as the Boston Marathon bombing or the fertilizer plant explosion in West, Texas. Andy will discuss how to stay safe in these hostile environments, how to perform the right interventions that will save lives while elimintating the useless interventions that won't (I'm looking at you- c-collars...), and how to get the casualty to the next level of care safely.

Transcript

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0:00.0	This is Steve Carroll, and you're listening to the Embasey podcast.
0:04.3	Today's episode is going to be on tactical combat casualty care, or was better known as T-T-T-T-Rple-C.
0:10.1	These are a set of guidelines that talk about how to take care of an injured casualty while in any unsafe environment.
0:16.5	This episode has been written and recorded by Dr. Andy Bone, one of my friends from residency,
0:20.5	who was currently on active duty with the Air Force at Wright-Prat Hospital in Ohio. This episode has been written and recorded by Dr. Andy Bone, one of my friends from residency,
0:24.5	who was currently on active duty with the Air Force at Wright-Prat Hospital in Ohio.
0:28.5	Before I turn it over to Andy, I want to give us some context to this topic.
0:34.6	Being in the Army, this topic of combat casualty care has been a long time coming on this podcast.
0:38.5	That being said, Andy will be discussing what's commonly called care under fire, which you will learn as a misnomer. A better term would be care in the
0:43.9	immediately unsafe scene. I say this because some people out there may be uncomfortable with
0:48.8	the militaristic connotations associated for caring for casualties at the point of injury.
0:54.2	That is totally fine, and talking about those kinds of situations can make people feel uncomfortable.
0:59.4	However, keep in mind that the medical care and tactics that we talk about could be applied
1:04.2	to the civilian sector as well.
1:06.0	For example, if you were at the finish line of the Boston Marathon bombing, or even at the scene of a disaster,
1:11.9	such as a gas main explosion, the same overarching principles would still apply as far as getting
1:17.4	yourself to safety first, applying simple medical interventions that will save lives, and foregoing
1:23.1	interventions that will waste time and not affect patient outcomes. So even if you're uncomfortable
1:28.3	with the militaristic connotations of this, I would encourage you to give it a listen
1:32.4	because you never know when you may happen to be present for a large-scale disaster. The practical
1:37.3	advice that Andy gives will keep you safe and help you save lives in the immediate aftermath of any
1:42.3	disaster. One quick note is that the audio
	...

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