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BY ORDER OF THE COMMANDER AIR FORCE SPECIAL …

2 AFSOCPAM48-2 6 AUGUST 2015 1. 1. Objectives. 1.1.1. Training Objectives. One of United States Special Operations Command’s (USSOCOM) priorities is …

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BY ORDER OF THE COMMANDER AIR FORCE SPECIAL OPERATIONS COMMAND AIR FORCE SPECIAL OPERATIONS COMMAND PAMPHLET 48-2 6 AUGUST 2015 Aerospace Medicine TACTICAL COMBAT CASUALTY CARE (TCCC) TRAINING PROGRAM COMPLIANCE WITH THIS PUBLICATION IS MANDATORY ACCESSIBILITY: Publications and forms are available downloading or ordering on the e-Publishing web site at RELEASABILITY: There are no releasability restrictions on this publication. OPR: AFSOC/SGXT Certified by: HQ AFSOC/SGX (Major Gabriel Dinofrio) Pages: 16 This pamphlet outlines requirements for Air Force Special Operations Command (AFSOC) Tactical Combat Casualty Care (TCCC) training and establishes training objectives, implementing AFTTP , USAF Medical Support for Special Operations Forces (SOF), and AFPD 48-1, Aerospace Medicine Enterprise. This pamphlet provides guidance for the command s TCCC program designed for all military (enlisted and officer) personnel and designated civilians. This pamphlet applies to AFSOC operational medical personnel and AFSOC Special Tactics medical and pararescue personnel. AFSOC operational medical personnel are defined as those assigned to AFSOC medical unit type codes (UTCs), as outlined in this pamphlet, paragraph , as well as other specific medical personnel assigned to Special Operations Forces (SOF) line units and Air Force Special Operations Air Warfare Center (AFSOAWC), to include AFSOC-gained Air National Guard (ANG) and Air Force Reserve Command (AFRC) units. All records created as a result of processes prescribed in this publication are to be maintained in accordance with Air Force Manual (AFMAN) 33-363, Management of Records, and disposed of in accordance with the Air Force Records Information Management System (AFRIMS) Records Disposition Schedule (RDS). Refer recommended changes and questions regarding this publication to the Office of Primary Responsibility (OPR) using AF Form 847, Recommendation for Change of Publication, and route AF Form 847s from the field through the appropriate functional chain of command. 2 AFSOCPAM48-2 6 AUGUST 2015 1. 1. Objectives. Training Objectives. One of United States Special Operations Command s (USSOCOM) priorities is eliminating preventable loss of life on the battlefield. National Association of Emergency Medical Technicians (NAEMT) Tactical Combat Casualty Care (TCCC) guidelines were developed to ensure Special Operations Forces (SOF) units suffering casualties on the battlefield are able to respond with actions that provide the best possible medical care and tactics consistent with the battlefield environment. TCCC provides evidence-based advances in pre-hospital medicine to preserve life, limb, and eyesight in a deployed environment or during contingency operations. Note: IAW AFI 36-2644, Self-Aid and Buddy Care Training, 19 Aug 14, paragraph , states that the AFSOC TCCC training course fulfills both TCCC and SABCCBT/Skills . Responsibilities. Headquarters Air Force Special Operations Command (HQ AFSOC). AFSOC/SG. Establishes, reviews, and approves AFSOC s TCCC policy and objectives for all AFSOC units. AFSOC/SGX. Provides professional and technical guidance on AFSOC TCCC programs and approves implementation of programs and distribution of products based on current TCCC guidelines. Assists with the development of objectives, course curriculum, and lesson plans as directed by AFSOC/SG. Appoints AFSOC TCCC advisor for training and administrative management. Certifies AFSOC TCCC instructors. AFSOC TCCC Advisor. TCCC advisor will ensure personnel use the approved AFSOC TCCC training course (NAEMT/AF SABC components) throughout the command. Provide consultation and coordination for base/geographically-separated unit (GSU) level TCCC Advisors. Maintain roster of AFSOC/SG approved TCCC instructors and monitors. Maintain roster of all personnel who have successfully completed TCCC. Develop objectives, course curriculum, and lesson plans as directed by AFSOC/SG and ensures dissemination to the unit levels. Base/ Geographically-Separated Unit (GSU)/Unit-Level Responsibilities. Base/GSU (Group). Base/GSU Commanders with a required TCCC program (IAW United States Special Operations Command (USSOCOM) message DTG: AFSOCPAM48-2 6 AUGUST 2015 3 222016Z Mar 05; Requires the completion of Tactical Combat Casualty Care within 6 months of deployment), will ensure sufficient training materials are present to conduct required TCCC training. AFRC and ANG units retain responsibility for their personnel even when co-located with active duty units. AFRC and/or ANG units may attend and/or consolidate TCCC training with other (AF, AFRC and/or ANG) units for program efficiency. Consolidated training programs should be clearly defined in an agreement outlining each unit s TCCC training program roles and responsibilities. Must appoint a primary and alternate Wing TCCC Advisor to manage the TCCC program. Wing CCs may delegate appointing authority to other wing staff. For installations with more than one wing, the host wing may provide a centralized installation Wing TCCC Advisor position. Other tenant/co-located wings then appoint Unit TCCC Monitor(s) to support the host installation s Wing TCCC Advisor. A centralized installation advisor position with supporting monitors creates a streamlined structure for program execution and/or inspection. Unit Commanders. Unit Commanders with a required TCCC program (IAW USSOCOM message DTG: 222016Z Mar 05; Requires the completion of Tactical Combat Casualty Care within 6 months of deployment), will ensure sufficient training materials are present to conduct required TCCC training. Ensures personnel requiring TCCC training receive training and maintain their certification. Unit commanders will appoint a unit TCCC monitor to manage the unit s TCCC program. Appoints unit TCCC instructors. Unit TCCC Monitors. Monitor must be certified to teach TCCC. Conduct evaluations on unit TCCC instructors every 24 months for proficiency. Forward copy of monitor and instructor appointment letters to AFSOC TCCC advisor. Assist commanders with selection of unit personnel for TCCC instructor training courses. Selection of instructors will consider the need for flexibility in training schedules and continuity when instructors leave the unit. Report quarterly statistical data to AFSOC TCCC Advisor. Reports must include but are not limited to student names, unit, date of course completion, and percentage of unit trained. Maintain TCCC instructor folders which include TCCC instructor 4 AFSOCPAM48-2 6 AUGUST 2015 certification, class rosters and instructor evaluations. Monitors will perform yearly self inspections on programs and forward results to AFSOC TCCC Advisor. TCCC Instructors. Successfully complete the TCCC instructor course. Provide TCCC training. Adhere to all TCCC directives and ensure pre and post tests are accomplished. Report individuals who successfully complete TCCC initial/refresher training to the unit TCCC monitor. Instructor to student ratio will not exceed 1 instructor to every 5 students (1:5). Requirements. Personnel Who Receive TCCC Training. TCCC training will include all current updates and guidelines that can be found at: (AFSOC/SG share-point). All members fulfilling SOCOM taskings must complete appropriate level as outlined in Attachment 2 as directed in SOCOM message, dated 222016Z Mar 05, Tactical Combat Casualty Care Training and Equipment. All high risk personnel whose duties involve working outside of the wire such as; but not limited to: aircrew, security forces, special tactics, and medical personnel in line units are required to receive TCCC training at no less than the Combat Life Saver (CLS) level as outlined in Attachment 4. All AFSOC 4N0X1Cs and 1T2X1s require training at no less than medic/pararescue (PJ) level as outlined in Attachment 4. Other personnel identified by the unit commander. Training Programs. Initial Training. Initial TCCC training will remain current for 24 months. Training for non-medical personnel and medical providers not in direct patient care must consist of a minimum of four hours of didactics and four hours of hands on training. Training for medical personnel that provide direct patient care must comprise five hours of didactics and three hours of hands on. Hands on training will cover the specific course level skills as outlined in Attachment 4, TCCC Skills List. Since TCCC regularly updates practices and procedures, please refer to the most current training found at AFSOCPAM48-2 6 AUGUST 2015 5 (AFSOC/SG share-point SABC/TCCC Tab/Shared documents/04_Naemt TCCC folder). Refresher Training. Refresher training consists of completion of minimum of a two day, eight hour TCCC course that covers the major skills listed in Attachment 4 and the additional Self-Aid Buddy Care (SABC) items covered in the AFSOC TCCC slides (environmental emergencies, traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD). Initial is good for four years. Refresher training will be completed every two years after initial four years certification or as USSOCOM Directive 350-29, Training, and states (Attachment 2), within 60days of a USSOCOM overseas deployment. Training Materials. Only use approved HQ AFSOC/SG lesson plans. Approved lesson plans can be found at (AFSOC/SG share-point SABC/TCCC Tab/Shared documents/04_Naemt TCCC folder). Instructor Training. TCCC instructors must: Be a minimum of an EMT-B or higher IAW NAEMT guidelines (IDMT, 5/7 level Aerospace Medical Service technician, Emergency Medical Technician, Physician, Physician Assistant, PJ, Nurse, Medical Instructors), and successfully complete the NAEMT TCCC Instructor course or IAW USSOCOM Directive 350-29 being a current ATP card holder. Students demonstrating TCCC instructor potential during course should be identified and recommended as potential TCCC instructors at the unit level. ATP card holders will receive formal classroom training on TCCC instructor programs prior to assuming TCCC instructor duties. Instruct one TCCC course under the supervision of a certified TCCC instructor. Be appointed by unit commander (See attachment 5 for appointment letter template). Will maintain currency by instructing a minimum of two classes every 12 months. (NAEMT requirements take update course every 4 years). IDMT, 5/7 level Aerospace Medical Service technician, Emergency Medical Technician, Physician, Physician Assistant, PJ, Nurse, Medical Instructors that have completed the NAEMT PHTLS/TCCC instructor course or are a USSOCOM ATP current card holder will only require fulfilling to be an instructor at their unit. Note: Certain civilian positions such as those instructing at the Tactical Operations Medical Skills (TOMS) Lab, Air Force Special Operations Warfare Center (AFSOAWC) and other 6 AFSOCPAM48-2 6 AUGUST 2015 various civilian positions are authorized to be AFSOC TCCC instructors provided they fulfill the requirements listed in paragraph AFSOC/SG or designated representative certifies satisfactory completion of the USSOCOM/AFSOC/NAEMT TCCC instructor course requirements and maintain a roster of TCCC instructors and their current instructor status. TCCC course must: Provide illustrative injury examples to support the instruction. Teach the proper techniques for leading practical skill demonstrations. Stress the importance of administering pre and post TCCC examinations to all students. Ensure the TCCC training programs always include and place special emphasis on hands-on skills demonstration and verification. Maintain an instructor folder that consist of copy NAEMT Instructor Certificate/ card(or current ATP card), copies of class rosters (Attachment 3) for a period of no less than 24 months. TCCC Supplemental Training Materials. Instructors must use AFSOC/SG approved PowerPoint presentations and video demonstrations in order for students to receive dual credit (TCCC/SABC) as outlined in paragraph Training Exemptions. AFSOC Training Exemptions. Waiver, exemption, and deviation requests will be routed to AFSOC/SG for consideration and approval. Waiver, exemption, and deviation requests will include the following: Reason for waiver, exemption, or deviation. Training to be accomplished in order to meet TCCC training intent (training plans must be included with the request). Concurrence from the unit commander. Air Force Self-Aid and Buddy Care (SABC) Exemptions as outlined AFI 36-2644, Self-Aid and Buddy Care Training, dated 19 Aug 14, paragraph , paragraph , paragraph , and paragraph SABC Computer Based Training (CBT) and Hands-on Exemptions. IAW AFI 36-2644, AFSOC-taught Tactical Combat Casualty Courses (TCCC) fulfill both the SABC and Hands-on requirements. The AFSOC TCCC completion date may be annotated as the SABC completion date. LEE H. HARVIS, Colonel, USAF, MC, CFS Command Surgeon AFSOCPAM48-2 6 AUGUST 2015 7 Attachment 1 GLOSSARY OF REFERENCES AND SUPPORTING INFORMATION References AFTTP , USAF Medical Support for Special Operations Forces (SOF), 09 Jan 2012 AFPD 48-1, Aerospace Medicine Enterprise, 23 Aug 2011 AFMAN 33-363, Management of Records, 01 Mar 2008 AFI 36-2644, Self-Aid and Buddy Care Training, 02 Apr 2012 USSOCOM Directive 350-29, Training, 07 Sep 2012 Prescribed Forms No forms are prescribed by this pamphlet. Adopted Forms AF Form 847, Recommendation for Change of Publication Abbreviations and Acronyms ANG Air National Guard AF Air Force AFMAN Air Force Manual AFRC Air Force Reserve Command AFRIMS Air Force Records Management System AFSOAWC Air Force Special Operations Air Warfare Center AFSOC Air Force Special Operations Command AFSOCPAM AFSOC Pamphlet ATP Advance Tactical Practitioner CBT Computer Based Training CLS Combat Lifesaver CM Combat Medic CPM Combat Paramedic HQ Headquarters NAEMT National Association of Emergency Technicians OPR Office of Responsibility PJ Pararescue PTSD post-traumatic stress disorder RDS Records Disposition Schedule 8 AFSOCPAM48-2 6 AUGUST 2015 SAV Staff Assistance Visit SOF Special Operations Forces TBI Traumatic Brain Injury TCCC Tactical Combat Casualty Care (TCCC) TOMS Tactical Operations Medical Skills Lab USSOCOM United States Special Operations Command UTC Unit Type Code AFSOCPAM48-2 6 AUGUST 2015 9 Attachment 2 SAMPLE SOCOM MESSAGE TACTICAL COMBAT CASUALTY CARE TRAINING AND EQUIPMENT Table Sample USSOCOM Message. * * * * * * * * * * * * * * * * * * * * * * * * UNCLASSIFIED FOR OFFICIAL USE ONLY ROUTINE AMHS Communications Center USER: TOR: 3/22/2005 8:25:40 PM Prec: R DTG: 222016Z Mar 05 From: DOD, SOCOM, ORGANIZATIONS, USSOCOM (SOCS) - CHIEF OF STAFF(MC) Subj: TACTICAL COMBAT CASUALTY CARE TRAINING AND EQUIPMENT UNCLASSIFIED//FOR OFFICIAL USE ONLY. REF: A. PREHOSPITAL TRAUMA LIFE SUPPORT MANUAL (SECOND PRINTING OF (FIFTH EDITION) CHAPTER 16 B. USCENTCOM MSG 061715Z JAN 2005 C. CDR USSOCOM LTR OF 9 MARCH 05 UNCLAS 1. NARR. REF A IS THE TRAINING MANUAL FOR PREHOSPITAL TRAUMA LIFE SUPPORT CERTIFICATION. REF B IS THE USCENTCOM INDIVIDUAL PROTECTION AND INDIVIDUAL/UNIT DEPLOYMENT POLICY. REF C IS THE SPECIAL OPERATIONS COMBAT MEDIC COURSE CRITICAL TASK LIST. 2. USSOCOMS NUMBER ONE MEDICAL PRIORITY IS ELIMINATING PREVENTABLE LOSS OF LIFE ON THE BATTLEFIELD. TACTICAL COMBAT CASUALTY CARE (TCCC) GUIDELINES WERE DEVELOPED BY USSOCOM TO ENSURE THAT SOF UNITS SUFFERING CASUALTIES ON THE BATTLEFIELD ARE ABLE TO RESPOND WITH ACTIONS THAT PROVIDE THE BEST POSSIBLE MEDICAL CARE CONSISTENT WITH THE BATTLEFIELD ENVIRONMENT AND GOOD SMALL UNIT TACTICS. CURRENT TCCC GUIDELINES ARE PUBLISHED IN CHAPTER 16 OF REF A. 3. CURRENT CENTCOM GUIDANCE IN REF B DIRECTS THAT ALL DEPLOYING PERSONNEL BE ISSUED A HEMOSTATIC DRESSING AND A COMBAT APPLICATION (CAT) TOURNIQUET AS RECOMMENDED IN REF A. CDR USSOCOM HAS ESTABLISHED TCCC AS THE SOF STANDARD FOR MANAGEMENT OF BATTLEFIELD TRAUMA PER REF C. RECENT OEF/OIF REPORTS FROM BOTH SOF AND CONVENTIONAL ARMY UNITS HAVE SHOWN TCCC TO BE HIGHLY SUCCESSFUL IN MANAGING CASUALTIES ON THE BATTLEFIELD. 4. USSOCOM COMPONENT COMMANDERS ARE DIRECTED TO ENSURE THAT THEIR DEPLOYING UNITS RECEIVE TRAINING TO INCLUDE ALL 10 AFSOCPAM48-2 6 AUGUST 2015 OF THE TCCC GUIDELINES IN REF A WITHIN 6 MONTHS OF DEPLOYING ISO COMBAT OPERATIONS. COMMANDERS ARE ALSO DIRECTED TO ENSURE THAT ALL UNIT COMBATANTS HAVE THE EQUIPMENT IN PARAGRAPHS 5 AND 6 AND BE TRAINED IN ITS USE PRIOR TO DEPLOYMENT. file:///C|/...%20100818/07%20TCCC%20Refe rence%20Documents/0720%20USSOCOM%20TCCC% 20msg%2022%20March% [10/17/2010 7:26:27 AM] 5. IN ADDITION TO SERVICE STANDARD COMBAT TRAUMA EQUIPMENT, EACH USSOCOM COMBATANT WILL BE PROVIDED THE FOLLOWING COMBAT TRAUMA MANAGEMENT EQUIPMENT, BE TRAINED IN ITS USE, AND CARRY THESE ITEMS IN THE FIELD: COMBAT PILL PACK GATIFLOXACIN 400 MG TYLENOL 1000 MG CELEBREX 200 MG (UNLESS SULFA ALLERGIC) COMBAT APPLICATION (CAT) TOURNIQUET HEMCON DRESSING NASOPHARYNGEAL AIRWAY 6. IN ADDITION TO SERVICE STANDARD COMBAT TRAUMA EQUIPMENT, EACH USSOCOM COMBAT MEDIC WILL BE PROVIDED THE FOLLOWING COMBAT TRAUMA MANAGEMENT EQUIPMENT, BE TRAINED IN ITS USE, AND CARRY THESE ITEMS IN THE FIELD: HEXTEND VELCRO IV STRAPS INJECTABLE PHENERGAN STERNAL INTRAOSSEOUS DEVICE CEFOTETAN BLIZZARD RESCUE BLANKET TECHTRADE (READY HEAT) BLANKET 7. SOME SOF UNITS HAVE ALREADY IMPLEMENTED THE TCCC STANDARD AND SHOULD FORGE AHEAD. SOF UNITS WITHOUT INTERNAL PROGRAMS TO ENSURE THAT TCCC TRAINING AND EQUIPMENT IS PROVIDED IAW REF A CAN RECEIVE BOTH THROUGH THE USSOCOM TCCC TRANSITION INITIATIVE. AN MTT FROM THE US ARMY INSTITUTE OF SURGICAL RESEARCH (USAISR) WILL CONDUCT THE TRAINING (1 DAY FOR UNIT MEDICS ONLY, 2 ADDITIONAL DAYS FOR ALL UNIT MEMBERS) AND PROVIDE REQUIRED EQUIPMENT. UNIT REQUEST FOR PARTICIPATION SHOULD BE DONE THROUGH USSOCOM POC AT LEAST 3 MONTHS PRIOR TO DESIRED TRAINING. SPECIFIC TRAINING DATES WILL BE ESTABLISHED SUBSEQUENTLY WITH USAISR PERSONNEL. 8. UNITS PARTICIPATING IN THE TCCC TRANSITION INITIATIVE WILL BE REQUESTED TO PROVIDE FEEDBACK TO USAISR ABOUT BOTH TCCC TECHNIQUES AND EQUIPMENT UPON THEIR RETURN FROM THEATER. USER FEEDBACK FROM DEPLOYING UNITS IS CRITICAL TO GUIDING FURTHER DECISIONS ABOUT PROCUREMENT OR REEVALUATION AFSOCPAM48-2 6 AUGUST 2015 11 ON NEW TCCC EQUIPMENT. UNITS OBTAINING TCCC TRAINING THROUGH OTHER VENUES THAN THE TCCC TI ARE ALSO ENCOURAGED TO PROVIDE FEEDBACK TO USSOCOM ABOUT TCCC EQUIPMENT AND TECHNIQUES. 9. SOME MILITARY AND COMMERCIALLY AVAILABLE COMBAT TRAUMA TRAINING COURSES DO NOT COVER ALL OF THE CURRENT TCCC GUIDELINES AND EQUIPMENT PER REF A. ATTENDENCE AT THESE COURSES DOES NOT CONSTITUTE COMPLIANCE WITH THIS DIRECTIVE. file:///C|/...%20100818/07%20TCCC%20Refe rence%20Documents/0720%20USSOCOM%20TCCC% 20msg%2022%20March% [10/17/2010 7:26:27 AM] 10. USSOCOM POC FOR UNITS REQUESTING SUPPORT VIA THE TCCC TRANSITION INITIATIVE IS LT COL JIM LORRAINE (DSN 968- 7651; COMM 813-828-7651; E-MAIL TO Addressees (OR1) HCTL2, MESSAGE CENTER(SC) (DN1) DOD, ARMY, ORGANIZATIONS, USASOC, HQ USASOC, MESSAGE CENTER(SC) (OR2) LEYQ3, V3AFSOCDOC (DN2) DOD, AF, ORGANIZATIONS, AFSOC(SC), DOC(SC) (OR3) LEYQ3, V3AFSOCCC (DN3) DOD, AF, ORGANIZATIONS, AFSOC(SC), CC(SC) (OR4) USZE38, DMS, COMNAVSPECWARCOM CORONADO CA(SC) (DN4) DOD, NAVY, ORGANIZATIONS(SC), COMNAVSPECWARCOM CORONADO CA(SC) (OR5) HCTL13, DACGS, CDRJSOC (DN5) DOD, ARMY, ORGANIZATIONS, JSOC, CDR JSOC(SC) (OR6) HCTL13, DACGS, COMJSOC (DN6) DOD, ARMY, ORGANIZATIONS, JSOC, COMJSOC(SC) Originator-OR - SLWA4, CS Originator-DN - DOD, SOCOM, ORGANIZATIONS, USSOCOM (SOCS) - CHIEF OF STAFF(MC) ContentType - SecurityPolicyID-ACP120 - SpifID-ACP120 - [406B1A25350B569E]-[02][10][348][01][65] [02][01][03][0E] ClassificationMark-ACP120 - UNCLASSIFIED// PrivacyMark-ACP120 - PRIVACY MARK UNDEFINED CategoryMark-ACP120 - GENSER Categories//GENSER Informational Categories//FOR OFFICIAL USE ONLY PrecedenceCopy - ROUTINE MessageType - OTHER-ORGANIZATIONAL MTS-ID - /C=US/ADMD=DMS/PRMD=DMS+GOV+SIPR LOCAL= Recipient-OR - SLWA4, CS Recipient-DN - DOD, SOCOM, ORGANIZATIONS, USSOCOM (SOCS) - 12 AFSOCPAM48-2 6 AUGUST 2015 CHIEF OF STAFF(MC) Signers-DN - DoD, SOCOM, Organizations, USSOCOM (SOCS) - CHIEF OF STAFF(mc) ThisMMUser - /C=US/ADMD=DMS/PRMD=DMS+GOV+SIPR/O=FL8/O U=SLWA4/OU=CS ThisMMUserID - 006960 220305202150Z AFSOCPAM48-2 6 AUGUST 2015 13 Attachment 3 TACTICAL COMBAT CASUALTY COURSE Table Sample TCCC Sign-In Sheet. Tactical Combat Casualty Course Date:______________ Rank Last Name First Name Last 4 SSN Unit Signature E-Mail Address Pre-Test Post-Test Unit Providing Training: Lead Instructor: Assistant Instructors: 14 AFSOCPAM48-2 6 AUGUST 2015 Attachment 4 TACTICAL COMBAT CASUALTY CARE (TCCC) SKILL LIST Table TCCC Skill List. Tactical Combat Casualty Care (TCCC) Skills List, 17 September 2012 Key: All All Deploying personnel CLS Combat Life Saver (4N0 Med Techs/units working outside the wire, High Risk units ) CM Combat Medic (includes 8404 corpsmen, 68W medics and Nurses) CPM Combat Paramedic (includes SOF ATPs(IDMTs), PJs, Critical Care, and Flight Paramedics, Physicians and Physician Assistants) Skill ALL CLS CM CPM Overview of Tactical Medicine X X X X Hemostasis Apply Tourniquet X X X X Apply Direct Pressure X X X X Apply Bandage X X X X Apply Combat Gauze X X X X Apply Pressure Dressing X X X X Apply Combat Ready Clamp X X Casualty Movement Techniques X X X X Airway Chin lift/Jaw Thrust Maneuver X X X X Nasopharyngeal Airway X X X X Recovery Position X X X X Sit Up/Lean Forward Airway Position X X X X Supraglottic Airway X X Surgical Airway X X Endotracheal Intubation X Breathing Treat Sucking Chest Wound X X X X Needle Thoracostomy X X X Chest Tube X Administer Oxygen X X Intravenous Access and IV Therapy Assess for Shock X X X X Start IV Line/Saline Lock X X Obtain Intraosseous Access X X IV Fluid Resuscitation X X AFSOCPAM48-2 6 AUGUST 2015 15 Skill ALL CLS CM CPM IV Analgesics (Morphine, Ketamine) X X IV Antibiotics X X Tranexamic Acid X X Administer Blood Products X Prevent Hypothermia X X X X Penetrating Eye Injuries Cover Eye with Rigid Shield X X X X Administer Oral Moxifloxacin X X X X Oral and Intramuscular Medications Oral Antibiotics X X X X Oral Analgesia (non-narcotic) X X X X Fentanyl Lozenges X X IM Antibiotics X X IM Ketamine X X IM Morphine X X Fracture Management Splinting X X X X Traction Splinting X X X Management of Burns Stop the burning process X X X X Cover the burned areas X X X X Fluid Resuscitation for Burns X X Electronic Vital Signs Monitoring X X 16 AFSOCPAM48-2 6 AUGUST 2015 Attachment 5 ADVISOR APPOINTMENT LETTER TEMPLATE MEMORANDUM FOR ALL Base/GSU Name UNITS FROM: ## SOW or SOG/CC SUBJECT: Appointment of ## Special Operations Wing/Group Tactical Combat Casualty Care (TCCC) Advisor. 1. In accordance with AFSOCPAM 48-2, TCCC, Paragraph , and upon the recommendation of the (unit) Commander, Col ######, the following are hereby appointed wing primary and alternate TCCC Advisors. ALT/PRI RANK/NAME DUTY PHONE SIGNATURE Primary MSgt John M Smith ###-#### Alternate SSgt Jane L Smith ###-#### 2. Wing SABC Advisors will act IAW AFI 36-2644, Self-Aid and Buddy Care Training, as the base point-of-contact for all unit SABC monitors, schedule and conduct SABC instructor training courses and annually evaluate unit level SABC programs. They are responsible for validating the quality of training and assisting unit monitors with professional and technical advice. 3. This letter of appointment is in effect until superseded or rescinded. Questions regarding this appointment may be addressed to ######, at (###) ###-#### or #########, Colonel, USAF Commander cc: Advisors:

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