Get your free download for TCCC Cards / DD-1380. This stuff is free so please take it and download it here, print it off and laminate of if you need to, punch a hole in it and put a rubber band on it. After words put that sucker in your IFAK and your teams IFAKs. Then go get a sharpie (small one) and you are set.
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Every time you buy 3-ply face masks with Mask Challenge USA, we will donate masks and Personal Protective Equipment (PPE) to our everyday heroes: frontline volunteers, medical workers, and first responders. Step 1. You buy a 20 or 50 pack of 3-ply, non-medical masks through Mask Challenge USA website for yourself and your family. Step 2. Mask Challenge USA donates Personal Protective Equipment (PPE) to support those who support our community: volunteers, medical workers, first responders. BUY Masks Buy MasksWhy buy masks online from Mask Challenge USA?
Nominate NominateNominate an Everyday Hero! Do you know of a worthy group of everyday heroes who need masks? Nominate the volunteer group or organization below for a chance to receive 500 3-ply masks from Mask Challenge USA. Please note: We're excited to donate to as many everyday heroes as possible but please know that due to the high volume of need, we are unable to accommodate all requests. Thank you so much! This is why we train and stay ready. This is the difference between 2 and 24 killed. Church shooting today near Fort Worth Tx. Bad guy in black with shotgun (red) gets killed by good guy and parishioner with LTC (green). Clearly this could have ended so much worse. That’s a solid distance to shoot a pistol under stress. Good work! Make sure you have trained staff and kits to treat people afterwards. If you need help let us know. If we cant get you what you need we will point you in the right direction or find someone else who can. Train hard because dying sucks.
#thingsthatmatter #training #emt #medic #leo #police #chl #shooter #stayready #tragedy #education #medical #tactical #stopthebleed #bleedingcontrol #shootingclass #pistol #school #church #trainhardbecausedyingsucks #goodpeople #Texas Check out the Spring 2018 Combat & Casualty Care magazine put out by Defense Media. Matthew Kinney our CEO wrote a little article that was three pages with picture. Those pictures where of him doing a Rescue Hoist mission in the Korengal Valley, Afghanistan, Training Soldiers in TCCC and PFC, and last is one of his critical care patients that had a gunshot wound to the right side of the head who was ventilated in Iraq. Take a read through the magazine and make sure to read the" "EVOLVING “GOLDEN HOUR” CARE TO MITIGATE THE TREATMENT GAP" Had a first Friday night that I thought you’d appreciate. Had a male patient that was attacked with a sword to the left shoulder/chest. It was medial enough you couldn’t get a tourniquet on it. EMS had tried to control the bleeding with direct pressure but couldn’t get it stopped. The sword had created a large defect which made it difficult to obtain source control. The surgery resident tried to pack the wound with quik clot but it became obvious he wasn’t sure how to do it as he just laid the dressing in the wound bed. So, in the trauma bay I gave him 25mg of Ketamine for a little cooperation. Then I packed the wound with the quik clot followed by two rolls of Kerlex to completely fill in the defect and get enough pressure to control the hemorrhage. It was difficult because of the sheer size of the injury, not necessarily hidden cavities. At the same time, he got a gram of TXA as we took him to the OR. In the OR it was explored and it turned out he’d severed a branch off the subclavian. Thanks for the training and experience. Brian Brian was in one of our Basic SWAT Medic Courses We love to hear feedback from our students and how the training has help them. This is just one of the many we sharing. Please watch and share the touching story of the 173rd Airborne during the Battle of Wanat. Matthew Kinney helped save the lives of these men and wants everyone to hear their story as they tell it. This film is a True Life Documentary, Narrated by the soldiers of Chosen Company 2nd Platoon 173 Airborne
Your gloves play a vital role in your patient assessment. Black gloves greatly reduce that ability to identify blood. This is especially true in low light / no light situations with or without supplemental lighting.
Come see us at #booth 421 at the #TexasStateEMSConference Nov 19-20. We will also be at the #preconference Nov 18-19 conducting our #TCCC course. Those who wish to take their Tactical Responder Exam will be eligible to after our #course for #free if you are not a paramedic. Those that are #paramedic certified will be eligible for the #TacticalParamedic Exam but we have to register and pay for their exam through the #IBSCThe Great American Shoot & Donations for the Special Forces Charitable Trust (100% of all donations go back to SFCT) |
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Free download of all material just released from Committee of Tactical Casualty Combat Care (CoTCCC).
CASE # 3 Communication & Safety
The pictures are from a smoke alarm call at 02:00 recently. Light smoke in a house no obvious fire found, no fire damage was found during the investigation. House was about 4,000 square feet, two story. Attic space on both ends of the house. One attic access had a one foot step down I sent one Firefighter to inspect it after I had to make sure I didn't miss anything. He stepped in before he realized there was step down and I didn't tell him about it. He stumbled and went through the drywall that was the ceiling below. Luckily the open garage door caught him. Tell your people about hazards no matter what. Light bulb moment.
Not everything is lights and sirens.
Captain Swen
Not everything is lights and sirens.
Captain Swen
A 23 year old, 230 pound, muscular, African-American active duty (AD) Soldier in the U.S. Army sustained a high-velocity gunshot wound to his left shoulder in Paktika, Afghanistan. The projectile penetrated anteriorly, immediately inferior to the distal 1/3d of the left clavicle and exited inferior to the left scapula. He was treated by a first responder AD 68W Combat Medic with two packs of QuickClot Combat Gauze (Z-Medica, Wallingford, Connecticut, USA). The gauze was packed into the wound under direct pressure and an 18g IV was placed in his contralateral upper extremity. An infusion of 0.9% normal saline (NS) was initiated at a slow rate. He arrived at the 9 man surgical element, we bypassed EMT and just brought him straight into the OR.
After preoxygenation with 100% oxygen, a Sellick’s maneuver was applied to the patient’s cricoid cartilage and induction of general anesthesia was achieved with Etomidate (Amidate, Pfizer, Inc., New York, USA) followed immediately with succinylcholine (Anectine, Quelicin, suxamethonium, Pfizer Inc., New York, USA). Direct larnygoscopy was performed, a Grade I view was obtained, and an 8.0mm endotracheal (ET) tube was inserted between the true vocal cords to a depth of 22cm at the teeth. The ET cuff was inflated with 5mL of air and breath sounds were equal bilaterally with a positive end tidal CO2 waveform on the monitor (Propaq, ZOLL Medical, Chelmsford, Massachusetts, USA).
After verification of ET tube placement, a massive amount of blood was noted on the floor. Upon inspection, the patient had a rapid, active, arterial flow of pulsatile blood emanating from his wound. An entire roll of gauze (Kerlix, Covidien,-Medtronic, Minnesota, USA) was placed into the wound and direct pressure was applied. The patient was placed on the ventilator.
The patient was found to have a partially severed left subclavian artery.
Succinylcholine is a widely used medication as part of the RSI technique in combat casualties. Application of Combat Gauze to penetrating injuries has become routine for U.S. military forces. The fasciculations caused by succinylcholine can be of sufficient intensity to dislodge the Combat Gauze and result in a rapid loss of hemostasis. Alternatively, an actively moving patient can dislodge the clot formed by combat gauze.
I recommend a reinforcing combat gauze prior to patient movement, using a defasciculating dose of paralytic prior to using succinylcholine, or avoiding succinylcholine altogether if the patient has had a hemostatic dressing applied. The patient also received 4u PRBCs and 4 FFP, we didn't have TXA during surgery.
-George Johnson
CRNA
After preoxygenation with 100% oxygen, a Sellick’s maneuver was applied to the patient’s cricoid cartilage and induction of general anesthesia was achieved with Etomidate (Amidate, Pfizer, Inc., New York, USA) followed immediately with succinylcholine (Anectine, Quelicin, suxamethonium, Pfizer Inc., New York, USA). Direct larnygoscopy was performed, a Grade I view was obtained, and an 8.0mm endotracheal (ET) tube was inserted between the true vocal cords to a depth of 22cm at the teeth. The ET cuff was inflated with 5mL of air and breath sounds were equal bilaterally with a positive end tidal CO2 waveform on the monitor (Propaq, ZOLL Medical, Chelmsford, Massachusetts, USA).
After verification of ET tube placement, a massive amount of blood was noted on the floor. Upon inspection, the patient had a rapid, active, arterial flow of pulsatile blood emanating from his wound. An entire roll of gauze (Kerlix, Covidien,-Medtronic, Minnesota, USA) was placed into the wound and direct pressure was applied. The patient was placed on the ventilator.
The patient was found to have a partially severed left subclavian artery.
Succinylcholine is a widely used medication as part of the RSI technique in combat casualties. Application of Combat Gauze to penetrating injuries has become routine for U.S. military forces. The fasciculations caused by succinylcholine can be of sufficient intensity to dislodge the Combat Gauze and result in a rapid loss of hemostasis. Alternatively, an actively moving patient can dislodge the clot formed by combat gauze.
I recommend a reinforcing combat gauze prior to patient movement, using a defasciculating dose of paralytic prior to using succinylcholine, or avoiding succinylcholine altogether if the patient has had a hemostatic dressing applied. The patient also received 4u PRBCs and 4 FFP, we didn't have TXA during surgery.
-George Johnson
CRNA
CASE #1

EXAMPLE PHOTO
My ATRIC class ended at 17:00 on Oct 01. At 02:30 on Oct 02 I was on the ambulance when a we received a call for a shooting at an apartment complex. Initially advised to stage for law enforcement, within minutes we were requested to "make scene." Once onscene, I never thought twice about the perimeter officers and door guys with guns drawn. I wasn't concerned that the first time I heard the shooter had not been located was while I was caring for the victim. I was not worried, because of the training I've received by the ALERRT staff during the course of Active Shooter II and ATRIC. I trusted that my officers would watch over us as we provided indirect threat care. SWAT Officers Ellingston & Beller had placed an Israeli bandage over the abdominal entrance wound (intestine protruding), and no exit wound found, so we quickly moved him onto a backboard and into the ambulance. The victim ultimately succumbed to his injuries At a local hospital, but because of the immediate care he received (made possible by the direct training provided ALERRT, and teamwork practiced in live scenarios), he was able to name his shooter(s).
Katie Contreras
Lieutenant/Paramedic
Katie Contreras
Lieutenant/Paramedic
Case Study 1 presented by Katie M Contreras
Lieutenant/Paramedic
Feel free to comment and share these as they are posted each week. Pictures of the SWAG will be posted after they have received it. We have already been told that the NAR 4 Aid Bag will be put to work saving lives immediately.
Lieutenant/Paramedic
Feel free to comment and share these as they are posted each week. Pictures of the SWAG will be posted after they have received it. We have already been told that the NAR 4 Aid Bag will be put to work saving lives immediately.
SHARE YOUR STORY!!! GET FREE SWAG / GEAR
"Experience is not the best teacher; evaluated experience is." Howard G. Hendricks
To that end, WE NEED YOUR HELP!
Send us your patient case studies, your down-range stories, your 911 call, your memorable training, learning, "oh wow"-light bulb moments!
Send us an email @ 911tacmed@gmail.com or FB message or carrier pigeon with a video of you telling about it or a small narrative explaining what happened (videos, pics, links, etc....).
We will sort through them and pick some of the best to showcase on the FB page and website.
BUT WAIT..... THERE'S MORE!
To thank you for your time and wisdom we will send you (no catch, totally free of charge, you don't even pay shipping) some pretty decent swag (see pics!).
You can't train too hard for a job that can kill you (and you never know, the life you save, may be your own!).
August 7, 2017 will be the first Post going up from your experiences you all share. The 1st GIVE AWAY is a NAR 4 AID BAG! We will post pictures of the each person with their free SWAG!
1TCCC Bag
1 Knights Armament Rail Cover Set For AR
5 100 OZ. Camelbak Reservoirs For Your Back Packs / Aid Bags / Hiking Pack or whatever you want to put them in
20 Glow In The Dark MED Patches
10 Patch Hats
1 Tactical Waist Pack
1 Individual First Aid Kit (IFAK) Drop Leg / Belt / Molle (for bags or body armor mounting)
3 Seat Belt Cutters
1 Willie X PT-1 Eye Wear / Sun Glasses / Ballistic Eye Protection
1 Retractable Leash
1NAR IPRO / Ballistic Eye Wear
1 Camelbak OD Green
2 Medium Multicam Combat Shirts (Sexy Shirt For All You Tacticool Folks)
1 Digital Soft Shell Jacket
1 Digital Combat Shirt (Sexy Shirt)
1 Gerber Multi Tool
2 Nomex Gloves
To that end, WE NEED YOUR HELP!
Send us your patient case studies, your down-range stories, your 911 call, your memorable training, learning, "oh wow"-light bulb moments!
Send us an email @ 911tacmed@gmail.com or FB message or carrier pigeon with a video of you telling about it or a small narrative explaining what happened (videos, pics, links, etc....).
We will sort through them and pick some of the best to showcase on the FB page and website.
BUT WAIT..... THERE'S MORE!
To thank you for your time and wisdom we will send you (no catch, totally free of charge, you don't even pay shipping) some pretty decent swag (see pics!).
You can't train too hard for a job that can kill you (and you never know, the life you save, may be your own!).
August 7, 2017 will be the first Post going up from your experiences you all share. The 1st GIVE AWAY is a NAR 4 AID BAG! We will post pictures of the each person with their free SWAG!
1TCCC Bag
1 Knights Armament Rail Cover Set For AR
5 100 OZ. Camelbak Reservoirs For Your Back Packs / Aid Bags / Hiking Pack or whatever you want to put them in
20 Glow In The Dark MED Patches
10 Patch Hats
1 Tactical Waist Pack
1 Individual First Aid Kit (IFAK) Drop Leg / Belt / Molle (for bags or body armor mounting)
3 Seat Belt Cutters
1 Willie X PT-1 Eye Wear / Sun Glasses / Ballistic Eye Protection
1 Retractable Leash
1NAR IPRO / Ballistic Eye Wear
1 Camelbak OD Green
2 Medium Multicam Combat Shirts (Sexy Shirt For All You Tacticool Folks)
1 Digital Soft Shell Jacket
1 Digital Combat Shirt (Sexy Shirt)
1 Gerber Multi Tool
2 Nomex Gloves
When you're passionate about your craft, and when your craft is saving lives, you want to bring that work to as many people as possible. To that end, we have decided to branch out geographically and within the next year are planning to open a fourth training facility in the Colorado Springs to Denver corridor. As always, our training operations can always be brought to your location; however, since not everyone has a facility to utilize all of our offerings, we have our own dedicated to providing our full training array.
This expansion will allow us to bring these life saving trainings to more people without adding additional travel expenses for our clients.
We are huge fans of the Colorado / Wyoming area and are beyond excited to be planning and implementing this expansion. We're hopeful all of our clients (past, present and future) along with friends and family (framily) will share our enthusiasm!
This expansion will allow us to bring these life saving trainings to more people without adding additional travel expenses for our clients.
We are huge fans of the Colorado / Wyoming area and are beyond excited to be planning and implementing this expansion. We're hopeful all of our clients (past, present and future) along with friends and family (framily) will share our enthusiasm!
Gift cards are now available for that someone in your live who needs or loves Medical and Tactical Gear and Training. Cards are available from $10 - $200. They never expire and there are no service charges with our cards.
Version 5 of the TCCC Handbook. For those who don't know say hello to MARCH/PAWS and Prolonged Field Care. Let everyone know where to get the handbook.

tactical_casualty_combat_care_handbook_v5.pdf | |
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Best job I ever had! Dynamic hoist in the Korengal Valley for a MEDEVAC. Remember Everything above in V5 of the TCCC Handbook has come from lessons learned in combat. Some good and some bad things were done by all in order for us to make the turn around the corner with these improvements. Keep leaning forward in the foxhole and striving for perfection. However, remember when you train, push hard and train till failure. Never stop when you have gotten it right because you are not pushing hard enough and nothing goes as planned when it hits the fan. Remember to learn from the mistakes, regroup and do it again.
Matthew Kinney
Matthew Kinney
William H. McRaven, Chancellor of The University of Texas System and former commander of the U.S. Special Operations Command as the TexMed 2017 keynote speaker. McRaven’s address titled “Physicians in the Age of Terrorism – Stories of the Battlefield” reflects on policies resulting from terrorist events and the ramifications of a weak national security system. What is and why TCCC was and is. The history from the conception of TCCC to now.
The Prolonged Field Care(PFC) Working Group has been working hand in hand with the US Army Institute Of Surgical Research(USAISR) and the Joint Trauma System (JTS) writing and editing new guidelines for medics and providers who may have to take care of casualties for longer than normal planning guidelines in resource constrained environments. This could be a few hours or many days.
Before moving in to Prolonged Field Care you should first master the basics and Tactical Combat Casualty Care (TCCC) Below are the tools and downloads from prolongedfieldcare.org for those of you who have the need to or are working in that environment.
PFC Casualty Card v19
Medical Planning Tool
10 Essential Capabilities Grid
PFC Priorities RAVINE Mnemonic
12 Pharm Principles for SOF Medics Handout
MSMAID Acronym with Minimum, Better, Best Packing List
SORT Prolonged Field Care Nursing Checklist
44 Patient Mass Casualty Triage Tracker
Create a Care Plan Slide Show
Awake Cricothyroidotomy Checklist
Post Cric Checklist
Zoll/Impact 731 ventilator Cheat Sheet
Old Eagle Impact 752 Ventilator Cheat Sheet (Rule of 5s)
Scott Weingart’s Dominating the Ventilator Handout
Everything You Need to Know About Foley Catheters
Open Globe Eye Injury Guidelines
PFC Specific Hospital MPT Rotation AAR and Recommendations
TBI MACE Exam Card
Emergency Whole Blood Protocol
Skills Non-medical Team Members Should Know For PFC
Preparing for Operations in a Resource-Depleted and/or Extended Evacuation Environment -Gabe Corey
Click to Download PFC Scenario Used at SOMSA 2014
Patient Scenario
One way to run a Prolonged Field Care Scenario with references included
Malaria Treatment Protocol ver 1 4
Before moving in to Prolonged Field Care you should first master the basics and Tactical Combat Casualty Care (TCCC) Below are the tools and downloads from prolongedfieldcare.org for those of you who have the need to or are working in that environment.
PFC Casualty Card v19
Medical Planning Tool
10 Essential Capabilities Grid
PFC Priorities RAVINE Mnemonic
12 Pharm Principles for SOF Medics Handout
MSMAID Acronym with Minimum, Better, Best Packing List
SORT Prolonged Field Care Nursing Checklist
44 Patient Mass Casualty Triage Tracker
Create a Care Plan Slide Show
Awake Cricothyroidotomy Checklist
Post Cric Checklist
Zoll/Impact 731 ventilator Cheat Sheet
Old Eagle Impact 752 Ventilator Cheat Sheet (Rule of 5s)
Scott Weingart’s Dominating the Ventilator Handout
Everything You Need to Know About Foley Catheters
Open Globe Eye Injury Guidelines
PFC Specific Hospital MPT Rotation AAR and Recommendations
TBI MACE Exam Card
Emergency Whole Blood Protocol
Skills Non-medical Team Members Should Know For PFC
Preparing for Operations in a Resource-Depleted and/or Extended Evacuation Environment -Gabe Corey
Click to Download PFC Scenario Used at SOMSA 2014
Patient Scenario
One way to run a Prolonged Field Care Scenario with references included
Malaria Treatment Protocol ver 1 4
TENSION DECOMPRESSION: FINGER THORACOSTOMY
Good knowledge to have and test your junior medics on. Every medic should know where the landmarks for Anterior Axillary Line needle thoracostomy and Mid Axillary Line Tubal/Finger Thoracostomy. You should be able to walk up to junior medics and "pop quiz" them by having them draw the safety triangle on their buddy with a marker and choose their site. (Some even use their povidone-iodine swabs to mark landmarks before the procedure.)
People accidentally tube livers, diaphragms and all. Know your landmarks!!!
If you're placing a needle, finger or tube through the chest wall, it should be lateral and in the 4th/5th ICS.
People accidentally tube livers, diaphragms and all. Know your landmarks!!!
If you're placing a needle, finger or tube through the chest wall, it should be lateral and in the 4th/5th ICS.