Preventable Death in Conventional Forces is 24% and SOF 0-3% How do we bridge the gap?
DODi 1322.24 mandates that "all military personnel are trained to perform basic first aid (self aid or buddy care), and that this training is sustained at appropriate intervals".
DOD Tier 1
The Defense Health Agency (DHA) “All Service Member” TC3, or TC3-ASM course replaces service-specific trauma skills currently taught in first aid and self-aid buddy care courses. TC3-ASM (TCCC All Service Members) is a 7-hour course for all service members. The foundational medical science upon which TCCC is based is published in NAEMT’s PHTLS Military textbook in which the military chapters are written by the Committee of Tactical Combat Casualty Care (Co-TCCC).
This link takes you to the course curriculum held on Deployed Medicine.
DoD Tier 2
The Army (AR350-1) mandates that "Each squad, crew, or equivalent-sized deployable unit will have at least one member certified as a CLS. CLSs must be recertified every 12 months at unit level" (10%) Table F2. The TC3 CLS course replaces the T3 for All Combatants (TC3-AC) course.
TC3-CLS (TC3 Combat Lifesaver) is a 40-hour course for non-medical military personnel deploying in support of combat operations. The foundational medical science upon which TCCC is based is published in NAEMT’s PHTLS Military textbook in which the military chapters are written by the Co-TCCC.
DoD Tier 3
The Defense Health Agency (DHA) has been tasked by the Department of Defense (DoD) to create tiered or "role based" medical training. They have completed and published Roles 1 & 2 but we are still waiting for role 3 and 4 at this time. Many Installations are using the NAEMT TC3-MP (medical provider) course in the interim. Check with your local Medical Simulation Training Center (MSTC) or contact Army EMS (now CMS) to determine what the best plan of action for your unit is. Until the course is released stay up to date with the TC3 Guidelines.
DoD Tier 4
The Defense Health Agency (DHA) has been tasked by the Department of Defense (DoD) to create tiered or "role based" medical training. They have completed and published Roles 1 & 2 but we are still waiting for role 3 and 4 at this time. Many Installations are using the NAEMT TC3-MP (medical provider) course in the interim. Check with your local MSTC or contact Army EMS (now CMS) to determine what the best plan of action for your unit is.
The Joint Trauma System (JTS) is dedicated to the reduction of morbidity and mortality, and to improved survivability for all trauma patients in wartime and peacetime. The organization employs an organized approach to provide improved trauma care across the continuum of care to trauma patients – battle injury and non-battle injury. The JTS is responsible for posting the current Clinical Practice Guidelines (CPG) used in clinical settings.
Deployed Medicine is an innovative learning service developed to supplement the medical education and training of U.S. military personnel, although some of the medical content could be broadly applied for use by civilian medical providers. Deployed Medicine posts the TC3 guidelines for field medicine as well as content and research conducted by the Committee of Tactical Combat Casualty Care (CoTCCC).
68W Combat Medic Website (CAC Accessed)
TC8-800 Slides and Lesson Plans (CAC Accessed)
68W TC3 Sustainment Course (CAC Accessed)
US Army EMS Training Portal (CAC Accessed)
68W MODS Tracking System (CAC Accessed)
68W Policy and Procedure (CAC Accessed)
Medical Operational Data Systems (CAC Accessed)
National Registry of Emergency Medical Technicians (CAC Accessed)
Whether the goal is finding treatment recommendations, looking up drug information, or giving information to patients, UpToDate brings the answers clinicians need into the workflow at the point of care. UpToDate’s API supports all access options offered by the leading EHR solutions, making implementation fast and easy.
Free Medical Books
In addition to print, Borden books are available for download in PDF, epub, and MOBI formats.
The Borden Institute publishes and maintains the Textbooks of Military Medicine. The volumes in the series constitute a comprehensive treatise on the art and science of military medicine, covering such diverse topics as biological and chemical warfare, military preventive medicine, military medical ethics, combat behavioral health, harsh environments, and care of combat injuries. Two recent award-winning Textbooks of Military Medicine include Medical Aspects of Biological Warfare and Care of the Combat Amputee.
The Institute also publishes specialty titles, such as the award-winning War Surgery in Afghanistan and Iraq: A Series of Cases, 2003-2007 and Pediatric Surgery and Medicine for Hostile Environments.
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