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While at Op Med there were several presentations covering both PHTLS, BTLS and TCCC. The big thing that was stressed was that the TCCC course was for non-medical trades. They received the TCCC, PHTLS, an orientation to lines of evac (Ambulances like the LSVW, Bison and Griffin) and a final tactical field ex. According to the presenter this took a total of 2 weeks and he was surprised that the TCCCs trainees at the end were talking like medics.
In my opinion and that of several others at the conference there is no need to teach the PHTLS course to teach the TCCC portion. What do you get out of the TCCC?
IA= Win the fire fight
A= Get your Ass down
B= Get your Butt out of the line of fire
C= Check for deadly bleeds
-if there is a change in LOC dissarm the casualty
-if there is a bleed in an extremity put on a tourniquet
-if there is a change in airway then put in a nasal trumpet (NPA)
- if there is a chest wound with resp distress and possible tracheal shift land mark and decompress with the 14 G provided.
Why do these personnel need the anatomy and physiology of a PHTLS and/ or BTLS for this...they don't.
Why don't they get IV cannulization on this course...because fluid resuscitation with high volume cristaloid does more damage then good and by the way they can not possibly Cary enough to make a difference (3 L of crystaloid for 1 L of blood loss). and if they transfuse that amount they will destroy any chances of the casualty clotting or transporting Oxygen to the tissues any way due to dilution. One day our jump bags will carry Pentaspan but we are not there yet.
So what?
The TCCC course is great for the non medical trained, it teaches a couple of quick interventions that should be propagated within each combat arms section. The recomentation from the pilot project team is 2 TCCC per section. These two should not be jnr Pte and Cpl. It should be the Snr Cpls but not the 2IC or section commander.
It would also be an increase in skill set for the reserves. Easily and cheaply taught.
1. Reduce the course to one day of skills lab and lecture. Use the new Sim mans to teach the skills.
2. one day of orientation to the emergency veh.
3. A three day FTX where they are bombarded with casualties in different situations, and degrees of urgency.
Heck with that time line both regular and reserve combat arms pers could take the same course at the same time. Standardization, what a concept.
OK the idea is out so
comments please
GF
In my opinion and that of several others at the conference there is no need to teach the PHTLS course to teach the TCCC portion. What do you get out of the TCCC?
IA= Win the fire fight
A= Get your Ass down
B= Get your Butt out of the line of fire
C= Check for deadly bleeds
-if there is a change in LOC dissarm the casualty
-if there is a bleed in an extremity put on a tourniquet
-if there is a change in airway then put in a nasal trumpet (NPA)
- if there is a chest wound with resp distress and possible tracheal shift land mark and decompress with the 14 G provided.
Why do these personnel need the anatomy and physiology of a PHTLS and/ or BTLS for this...they don't.
Why don't they get IV cannulization on this course...because fluid resuscitation with high volume cristaloid does more damage then good and by the way they can not possibly Cary enough to make a difference (3 L of crystaloid for 1 L of blood loss). and if they transfuse that amount they will destroy any chances of the casualty clotting or transporting Oxygen to the tissues any way due to dilution. One day our jump bags will carry Pentaspan but we are not there yet.
So what?
The TCCC course is great for the non medical trained, it teaches a couple of quick interventions that should be propagated within each combat arms section. The recomentation from the pilot project team is 2 TCCC per section. These two should not be jnr Pte and Cpl. It should be the Snr Cpls but not the 2IC or section commander.
It would also be an increase in skill set for the reserves. Easily and cheaply taught.
1. Reduce the course to one day of skills lab and lecture. Use the new Sim mans to teach the skills.
2. one day of orientation to the emergency veh.
3. A three day FTX where they are bombarded with casualties in different situations, and degrees of urgency.
Heck with that time line both regular and reserve combat arms pers could take the same course at the same time. Standardization, what a concept.
OK the idea is out so
comments please
GF