Since the tragic event in Brussels, there have been many preparation minded folks out there talking about the need to train TCCC (Tactical Combat Casualty Care). TCCC is an acronym that gets thrown out there quite a bit; lesser known is its cousin, TECC (Tactical Emergency Casualty Care).
What are the similarities and differences between the two?
THE SIMILARITIES:
– Both originate from experiences and research resulting from combat operations in Iraq & Afghanistan.
– Both divide care into three phases: direct threat care, indirect threat care, and evacuation care.
– Both address assessment and interventions in critical events outside of “civilized” mechanisms of injury
THE DIFFERENCES:
– TCCC is military combatant oriented, and assumes the age and health level of patients are at a certain uniform level; TECC is oriented towards noncombatants and takes into account varying degrees of health, illnesses and ages, to include pediatric casualties.
– From a operational perspective, TECC involves casualty care and evacuation from the location of the event as a primary goal. TCCC is concerned with successful mission completion as its primary goal.
– TCCC and TECC have different expectations when it comes to identifying trauma problems and implementing corresponding solutions. For example, because military combatants are highly likely to be kitted with full ballistic protection, wound patterns are likely to differ from those received by civilian casualties who are unlikely to have such protection.
Train according to what you are likely to face.
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