• Pierre Pasquier, Clément Dubost, Mathieu Boutonnet, Anne Chrisment, Thierry Villevieille, Emmanuel Batjom, Emmanuel Bordier, Sylvain Ausset, Marc Puidupin, Jean-Yves Martinez, Christian Bay, Jacques Escarment, François Pons, Bernard Lenoir, and Stéphane Mérat.
• Department of Anesthesiology and Intensive Care Unit, Hôpital d'Instruction des Armées Bégin (Military Teaching Hospital), Saint-Mandé, France. Electronic address: pasquier9606@me.com.
• Injury. 2014 Sep 1;45(9):1307-11.

IntroductionTo improve the mortality rate on the battlefield, and especially the potentially survivable pre-Medical Treatment Facility deaths, Tactical Combat Casualty Care (TCCC) is now considered as a reference for management of combat casualty from the point of injury to the first medical treatment facility. TCCC comprises of a set of trauma management guidelines designed for use on the battlefield. The French Military Health Service also standardised a dedicated training programme, entitled "Sauvetage au Combat" (SC) ("forward combat casualty care"), with the characteristic of forward medicalisation on the battlefield, the medical team being projected as close as possible to the casualty at the point of injury. The aim of our article is to describe the process and the result of the SC training.Materials And MethodsRecords from the French Military Health Service Academy - École du Val-de-Grâce administration, head of the SC teaching programme, defining its guidelines, and supporting its structure and its execution, were examined and analyzed, since the standardisation of the SC training programme in 2008. The total number of trainees was listed following the different courses (SC1, SC2, SC3).ResultsAt the end of 2013, every deployed combatant underwent SC1 courses (confidential data), 785 health-qualified combatants were graduated for SC2 courses and 672 Role 1 physician-nurse pairs for SC3 courses.ConclusionThe SC concept and programmes were defined in France in 2007 and are now completely integrated into the predeployment training of all combatants but also of French Military Health Service providers. Finally, SC teaching programmes enhance the importance of teamwork in forward combat medicalisation settings.Copyright © 2014 Elsevier Ltd. All rights reserved.

18 keywords...

hide…