TACTICAL COMBAT CASUALTY CARE
Tactical combat casualty care (TCCC) can be divided into three phases. The
first is care under fire; the second is tactical field care; the third is combat casualty
a. Care Under Fire. In a situation in which the casualty and you are under
hostile fire, you are very limited as to the care you can provide. Paragraph 1-3
discusses this situation.
b. Tactical Field Care. In tactical field care, you and the casualty are in a
protected or safe environment. In this situation, you are free to provide casualty care to
the best of your ability. Paragraph 1-4 discusses this situation.
c. Combat Casualty Evacuation Care. In the third situation, care is being
given to the casualty during casualty evacuation (CASEVAC). Casualty evacuation
refers to the care given to the casualty while the casualty is awaiting pickup or is being
transported by a nonmedical vehicle, such as a vehicle used to transport troops or
supplies. Paragraph 1-5 discusses this situation.
NOTE: Casualty evacuation is different from medical evacuation (MEDEVAC). In
MEDEVAC, a designated medical vehicle (ground ambulance or air
ambulance) is used.
PERFORMING CARE UNDER FIRE
Care under fire is rendered at the scene of the injury while you and the casualty
are still under effective hostile fire. In such a situation, you should perform the following
a. Return fire as directed or required before providing medical treatment.
b. Determine if casualty is alive or dead.
c. Provide tactical care to the live casualty. Reducing or eliminating enemy fire
may be more important to the casualty's survival than the treatment you can provide.
Suppress enemy fire.
Use cover or concealment (smoke) to conceal the casualty, if possible.
(3) If the casualty is able, direct him to return fire, move to cover, and
administer self-aid (control bleeding). If the casualty is unable to move and you are
unable to move the casualty to cover, have casualty "play dead."