TCCC Guidelines 2019 (Review)

In this segment, I’m going to do a step-by-step breakdown review of the new  2019 TCCC Guidelines using the “MARCHE-PAWSB” pneumonic, which stands for:

  • Massive Hemorrhage
  • Airway
  • Respirations
  • Circulation
  • Hypothermia
  • Eye Injuries

  • Pain Management
  • Antibiotics
  • Wounds
  • Splinting
  • Burns

The entire 24 page document is shown in the clickable image below:

TCCC Guidelines 2019

 

Let’s break it down!


CARE UNDER FIRE

The guidelines for Care Under Fire: 

Key Skills:

  •  

 


TACTICAL FIElD CARE (MARCHE-PAWSB)

MASSIVE HEMORRHAGE 

These are the guidelines for Massive Hemorrhage:

Massive Hemorrhage

Key Skills:


 


TACTICAL FIElD CARE (MARCHE-PAWSB)

AIrway

These are the TCCC guidelines for Airway:

TCCC Airway

 

Key Skills:


 


TACTICAL FIElD CARE (MARCHE-PAWSB)

Respiration

The TCCC guidelines for Respiration:

TCCC Respirations

Β 

Key Skills:



Β 


TACTICAL FIElD CARE (MARCHE-PAWSB)

Circulation

The TCCC guidelines for Circulation:

TCCC Circulation

Β 

Key Skills:Β 


Β 


TACTICAL FIElD CARE (MARCHE-PAWSB)

Hypothermia

The TCCC Guidelines for Hypothermia:

Β 

Key Skills:


Β 


TACTICAL FIElD CARE (MARCHE-PAWSB)

eye injuries

The TCCC Guidelines for Eye Injuries:

 

Key Skills:


 


TACTICAL FIElD CARE (MARCHEPAWSB)

Pain Management

The TCCC Guidelines for Pain Management:

TCCC Pain Management

Β 

Key Skills:


Β 


TACTICAL FIElD CARE (MARCHEPAWSB)

Antibiotics

The TCCC Guidelines for Antibiotics:

Β 

Key Skills


Β 


TACTICAL FIElD CARE (MARCHEPAWSB)

Wounds

The TCCC Guidelines for Wounds:

Key Skills:

  • N/A

 


TACTICAL FIElD CARE (MARCHEPAWSB)

splinting

The TCCC Guidelines for Splinting:

Key Skills:


 


TACTICAL FIElD CARE (MARCHEPAWSB)

burns

The TCCC Guidelines for Burns:

TCCC Burns

 

Key Skills:

  • N/A

 


TACTICAL FIElD CARE (“cCDP”)

Not done yet! During your MARCHE-PAWSB, there are 4 points you need to consider:

  • Communication
  • Cardiopulmonary Resuscitation (CPR)
  • Documentation of care
  • Prepare for Evacuation

 

 

 

 


 


TACTICAL Evacuation CARE 

What’s different?  Tactical evacuation care is basically the same as tactical field care, but there are some subtle differences:

 

  • A “Transition of care” section is added just prior to Massive Hemorrhage:

 

  • Endotracheal Intubation is added as an option for airway management under Tactical Evacuation Care.  Not specifically recommended in Tactical Field Care

 

  • Guidelines for supplemental oxygen are further detailed in  Tactical Evacuation Care following Respirations:

 

  • Guidelines for Traumatic Brain Injury (TBI) are added after Circulation:

 

  • A portable fluid warmer for IV fluids and blood products is mentioned under Hypothermia:

 

  • Guidelines for CPR are slightly more flexible in Tactical Evacuation Care.  They state that if you have a casualty with no obviously fatal wounds and you will be arriving at a facility with surgical capability within a short period of time, you MAY perform CPR so long as it’s not done at the expense of providing lifesaving care to other casualties

 

That’s TCCC in a nutshell!  Keep up to date with the guidelines at Deployed Medicine

 

Good luck out there!

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