all right how's it going my name is Stocks at T1G and what I want to do is
just briefly cover the synopsis of what T Triple C means that's tactical combat
casualty care tactical combat casualty care is basically a priority in
technique matrix when you have a dynamic environment with bad guys shooting at
you and you have no protocols like you would say in a nice lovely hospital
setting and teacher will see there's there's three phases there's care under
fire there's tactical field care and there's
CasEvac or medivac depending on your resources so the first thing we want to
talk about is care under fire care under fire your priorities tend to be
not taking any damage yourself as a medical provider but really the main
idea is to lay down suppressive fire depending on the circumstance
keep your casualty from taking further hits further shots or get keep him from
sustaining additional wounds and there's not going to be a whole lot of medicine
that you're doing under care under fire in fact one of my favorite sentences in
medicine period is the best medicine during care under fire is superior
firepower if any medicine goes on at all it's either placing a tourniquet on the
X which is where he was injured or it's verbally directing the medicine he
should do to himself as you can see here I'm putting all the medic medicine aside
traditional medicine aside I'm just dragging him over to a spot where he is
in the proverbial safe space for the moment and we're going to get to our
other medicine here in a bit when we're no longer sustaining fire the second
phase is tactical field care tactical field care means that you're not
necessarily out of danger but you're not sustaining direct fire at this point
it's a good time to wipe the sweat off your brow making hopefully you've got a
QRF for somebody in for security while you're doing additional
medicine tactical field care is actually where most of your medicine is going to
take place you can see here that one of the first things we want to do after we
put on the tourniquet I guess is you want to check that airway
make sure he's got good ventilation is going in and out in his case he's going
to need a crike so we have placed a crike in I've got my partner here he's
looking he's checking all the traditional bleeders at the junctional
sites and the limbs and he's also putting on chest seals as he finds them
from the chin to the bellybutton after we've taken care of the breathing box on
the thorax and look at that what we really need to check is the circulation
as well that's going to give us a quick snapshot
of how well he's circulating blood flow when we give him a pulse check and a
blanche check underneath a nail bed once we've assessed for shock make sure in
his case we're going to go ahead and cover him up and get him off to the CasEvac
so in our case here we have a CasEvac bird there's no medical personnel or
medical equipment dedicated to this bird so CasEvac we have our FE here who's
telling us to come on board and once we get on that aircraft with that patient
we're really going we like the acronym MARCH quite a bit March being massive
hemorrhage A being airway R being respirations C being circulation and H
being head and heat as teachable C providers we're going to go through that
MARCH algorithm several times depending on our standing orders or how well we're
trained in advanced medicine is going to dictate how deep we can go into medicine
before he gets to a medical facility but in the case of his flight there are
flight considerations which we do talk a lot about here at a T1G as far as
atmospheric pressure changes that can affect your patient once he's on the
bird but as far as just a bread and butter example of a teachable C scenario
that's a pretty good one somebody gets hurt there's suppressive fire and CasEvac
is going to come scoop up in the meantime our main job is to
keep him alive until it he gets to the MTF I hope the video helped you at least
give you a superficial overview of what teacher teachable C is all about if
you have any additional questions please reach out to us and leave a comment
below we appreciate your time