Tactical Combat Casualty Care (TCCC)

Tactical Combat Casualty Care (TCCC)

The Tactical Combat Casualty Care (TCCC) qualification is a medical certification required for all operators within MSOT 8213 – Task Force Raven. This certification ensures every Critical Skills Operator (CSO) can provide lifesaving interventions under the Advanced Combat Medicine (ACM) system.

TCCC focuses on lifesaving measures in the field, broken down into three phases of care: Care Under Fire (CUF), Tactical Field Care (TFC), and Tactical Evacuation (TACEVAC).

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Responsibilities

• Provide immediate lifesaving care to casualties during combat operations.
• Apply tourniquets, bandages, and airway devices under fire.
• Communicate casualty information to leadership and SARCs.
• Assist in casualty evacuation (CASEVAC/MEDEVAC).
• Maintain individual and team medical equipment.

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Training Required

• This certification must be earned by all candidates prior graduating as a Critical Skills Operator (CSO).
• Completion of the TCCC Qualification Course.

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Skills & Capabilities

• Hemorrhage control (tourniquets, pressure dressings, hemostatic agents).
• Airway management (nasopharyngeal airway, basic airway adjuncts).
• Breathing interventions (chest seals, needle decompression if trained).
• Circulation support (IV/IO initiation if scenario permits).
• Casualty assessment (MARCH algorithm).
• Requesting 9-Line MEDEVAC via ACRE2 radios.

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Equipment

TCCC-qualified operators carry a standardized **blowout kit** and supplemental items to provide lifesaving care:

• **Blowout Kit Contents:**
  • Tourniquets (CAT or equivalent)
  • Pressure bandages (Israeli, ACE wrap)
  • Hemostatic gauze (QuikClot, Celox)
  • Chest seals (occlusive dressings)

• **Airway Adjuncts:**
  • Nasopharyngeal airway (NPA)
  • Oropharyngeal airway (OPA) if available
  • Basic airway kit

• **Pain Management:**
  • Oral or injectable painkillers (as modeled in ACM)
  • Analgesics for stabilization prior to evacuation

• **Additional Supplies:**
  • Nitrile gloves and trauma shears
  • IR chemlight for casualty marking (night ops)

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Training Course

Module 1 – Care Under Fire (CUF)

• Gaining fire superiority and returning fire.
• Moving casualties to cover.
• Rapid tourniquet application.

Module 2 – Tactical Field Care (TFC)

• MARCH assessment (Massive bleeding, Airway, Respiration, Circulation, Hypothermia).
• Application of chest seals and bandages.
• Airway management with NPAs.

Module 3 – Tactical Evacuation (TACEVAC)

• Preparing casualty for evacuation.
• Communicating casualty status using 9-Line MEDEVAC.
• Coordinating with evacuation platforms.

Graduation Criteria

• Demonstrates proper application of tourniquet and bandage under stress.
• Conducts a full MARCH assessment on a simulated casualty.
• Successfully transmits a 9-Line MEDEVAC request using ACRE2 radios.

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Advancement

After earning TCCC qualification, operators may advance to:

• SARC (Special Amphibious Reconnaissance Corpsman) billet for advanced medical specialization.

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Summary

The TCCC qualification ensures that every operator in Task Force Raven can provide lifesaving medical care under combat conditions. By mastering the basics of hemorrhage control, airway management, and casualty evacuation, TCCC-qualified operators increase the survivability of the MSOT in high-risk environments.