• Frank K Butler.
• Committee on Tactical Combat Casualty Care, Joint Trauma System, US Army Institute of Surgical Research, San Antonio, TX. Electronic address: Fkb064@yahoo.com.
• Wilderness Environ Med. 2017 Jun 1; 28 (2S): S12-S17.

AbstractTactical Combat Casualty Care (TCCC) is a set of evidence-based, best-practice prehospital trauma care guidelines customized for use on the battlefield. The origins of TCCC were nontraditional. The TCCC program began as a Naval Special Warfare biomedical research effort launched after the realization that extremity hemorrhage, a leading cause of preventable death on the battlefield, was not being treated with a readily available and highly effective intervention: the tourniquet. This insight prompted a systematic reevaluation of all aspects of battlefield trauma care that was conducted from 1993 to 1996 as a joint effort by special operations medical personnel and the Uniformed Services University of the Health Sciences. The product of that 3-year research project was TCCC, the first-ever set of battlefield trauma care guidelines designed to combine good medicine with good small-unit tactics.Published by Elsevier Inc.

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