Tactical Combat Casualty Care

==== Table of Contents ====
* Introduction to TCCC
* Phases of Care
* Anatomical Terms
* Care Under Fire
* Tactical Field Care
* Tactical Evacuation Care
* Combat Effectiveness
== Chapter One: Introduction to TCCC ==
==== Goals of TCCC ====
* Treat the casualty
* Prevent additional casualties
* Complete the Mission
* Prehospital trauma care in tactical settings is very different from civilian settings.
* Tactical and environmental factors have a profound impact on trauma care rendered on the battlefield.
* Up to 1/4th of combat deaths are potentially preventable.
* Good first responder care is critical.
== Chapter Two: Phases of Care ==
The majority of preventable deaths are caused by blood loss.
==== Care Under Fire - ====
While under direct engagement by enemies - Exposed, weapons fire
==== Verbs: Fire, Move, Care ====
* Fire - Return effective fire toward the source of hostile engagement
* Move - Tactical movement of the casualty and care provider to an area of cover and concealment
* Care - Rapid assessment for sources of massive extremity hemorrhage, followed by rapid/hasty tourniquet placement if practicable
== Chapter Three: Tactical Evacuation Care ==
* Generally the same as Tactical Field Care
* Needed as soon as feasible after significant injuries
* May be magical, marine or ground transportation
* Usually allows for additional medical personnel and equipment to be used
== Chapter Four: Anatomical Terms ==
* Superior - Above
* Inferior - Below
* Anterior - To the Front
* Posterior - To the Rear
* Medial - Towards the Middle
* Lateral - Towards the side
* Ipsilateral - On the same side
* Proximal - Nearer to the point of attachment/Central
* Distal - Further from the point of attachment/Away from the body
* Superficial - Towards the surface of the body
* Deep/Visceral - Into the interior of the body
== Chapter Five: Combat Effectiveness ==
Combat Effectiveness is the capacity or performance of a military force to succeed in undertaking an operation, mission or objective.
* Combat Casualties will require assistance either to treat or extract.
* If a Squad of Six is sent out to complete an objective, and one is injured, this means that one member is injured and another is caring for them.
* This reduces your squad effectively only has Four active members.
* If two squadmates are injured, two more will be required to care for them, reducing your squads effective count to two.
* It does not take many casualties to remove a squad’s Combat Effectiveness, requiring them to abort mission.
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