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:

  • 14 Medical Lessons Learned from The Battle of the Black Sea that are Still True Today - Medical lessons learned have a habit of fading from memory as wars draw to a conclusion. Valuable knowledge can be lost if these hard earned lessons aren’t passed down to new providers. Below are 14 lessons learned from the 1992 battle which occurred in Mogadishu, Somalia, known today as the Battle of the Black Sea. […]
  • 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 - This article was last reviewed in December 2018 and is based on research available at that time. We will attempt to update this page as new evidence and best practice becomes available. “Colloids and Crystalloids don’t carry oxygen or clotting factors. As Combat Medics we stop hemorrhaging, so it only makes sense to replace the […]
  • Buyer Beware: Selecting Your Everyday Carry Tourniquet - Source: Buyer Beware: Selecting Your Everyday Carry Tourniquet From Primary & Secondary By Andrew D. Fisher and Will G. With the increase in Active Violent Incidents (AVIs) over the last few years and the shared lessons learned (LL) from the U.S. and Canadian militaries’ experience in Afghanistan and Iraq, there has been an explosion of […]
  • 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 a vascular or ultrasound doppler. Dopplers have been used in emergency departments and […]
  • Failure to Comply: Why Aren’t We Keeping Up? - TCCC standards are not secret. TCCC standards are not optional. Why then is compliance with TCCC standards so poor?
  • Whole Blood Toolkit: Questions & Answers for your Medical Director - This article was last reviewed in February 2022 and is based on research available at that time. We will attempt to update this page as new evidence and best practice becomes available. You may be aware of the recent resurgence in talk surrounding whole blood transfusions on the battlefield. There is quite a bit of […]