Next Generation Combat Medic

Knowledge Weighs Nothing in the Rucksack

Tactical Combat Casualty Care

 MISSION: To develop on an ongoing basis the best possible set of trauma care guidelines customized for the tactical environment and to facilitate the transition of these recommendations into battlefield trauma care practice.

Review the latest guidelines below.

All Combatants | Combat Medic / Corpsman | SOC Paramedic


Click the links below to browse the NGCM supplements to TCCC

M – Massive Hemorrhage

A – Airway Management

R – Respiratory / Thoracic

C – Circulatory Support

H – Hypothermia Prevention

E – Eye Injuries


P – Pain Management

A – Antibiotics

W – Wound Care

S – Splinting

B – Burn Treatment

TBI – Traumatic Brain Injury


Posts about TCCC:

  • 4 Things You Should Do Before You Pack an Aid Bag - One of the most common questions we get on the Facebook page goes something like this: I’m getting ready to deploy soon. What should I pack in my aid bag? The answer is, as usual in medicine, “it depends”. There are many factors which play into what you carry in your aid bag. Here are […]
  • Blood Transfusions, Reactions, and More - “Colloids and Crystalloids don’t carry oxygen or clotting factors. As Combat Medics we stop hemorrhaging, so it only makes sense to replace the blood lost with blood, not clear fluid. Whole Blood is the superior fluid for the hemorrhagic shock casualty and the first choice for TCCC Fluid Resuscitation. This page is intended to be […]
  • doppler tourniquet CAT SOFT-TW SOFT-T TQ ultrasound artery arterial fetal cheap inexpensive testing technology Do you use a Doppler for Bleeding Control Training? - Control of massive bleeding is all about achieving occlusion of the artery. We do this by using an approved tourniquet placed appropriately and tightened until bleeding stops. But how do we replicate achieving occlusion in training? I highly recommend the use of an ultrasonic doppler. Dopplers have been used in emergency departments and OB wards […]
  • crush injury compartment syndrome crushed rhabdo urine output prolonged field care PFC USAISR US Army Institute of Surgical Research Clinical Practice Guidelines CPG fluid tourniquet albuterol The Crush Injury - “Medic!” After an explosion, one of your guys legs are trapped under heavy debris that can not be lifted by your team…
  • Marines fast rope from an MV-22B Osprey The Prone Trauma Patient / Airway - As your unit is assaulting an objective, one of your guys burns in during the fast rope and hits HARD.  “Medic!” As you descend you notice he is prone and not moving around. Once closer he complains of pain in his back and is grimacing. While not in CUF (yet), you certainly have the potential […]
  • Wound Care, Blocks, Wound Closure - Wound Care – Irrigation – “The solution to pollution is dilution” Blocks – Local / Digital – *Advanced* Regional Blocks – Wound Closure – Sutures – Staples – Dermabond (Glue) Steri-strips
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