The advent of tactical combat casualty care tccc represented a fundamental paradigm shift from the care of casualties cax that evolved in the late 1970s special operations forces sof engaged in combat operations removed from conventional forces cf and with austere logistical support represent a set of unique challenges as well. The journal of special operations medicine offers civilian readers access to the most cutting edge developments in the field including updates on tactical emergency casualty care tecc the national tems imitative and council ntic and combat lessons learned jsom is the one stop shop for best practice and future advancements in civilian tems. Tactical combat casualty care in special operations capt frank k butler jr mc usn ltc john hagmann mc usat us military medical personnel are currently trained to care for combat casualties using the principles taught in the ad vanced trauma life support atls course the appropriate ness of many of the measures taught in atls for the combat. Special operations medics refine tactical combat casualty care special operations medics assigned to 10th special forces group airborne assess casualty training aids during a medical . Tactical combat casualty care tccc or tc3 is the standard of care in prehospital battlefield medicine the tccc guidelines are routinely updated and published by the committee on tactical combat casualty care cotccc a component of the joint trauma system jts tccc was designed in the mid 90s for the special operations medical community
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