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Tactical Combat Casualty Care: Marines learn battlefield first aid Cpl. Anthony Ward Jr

Sgt. Jason Lichtefeld, left, the main caregiver, rushes to the aid of Cpl. Daniel Malmberg, a simulated casualty, during a Tactical Combat Casual Care class on Camp Schwab March 17. Both are with Military Police Support Company, Headquarters Battalion, 3rd Marine Division, III Marine Expeditionary Force.

OKINAWA, Japan - Combat is an inherently dangerous environment in which casualties can occur at any time.

The Tactical Combat Casualty Care course held on Camp Schwab March 14-18 taught Marines the battlefield first aid needed to tend to the wounds fellow Marines might receive during combat.

During the five-day course, Marines with Military Police Support Company, Headquarters Battalion, 3rd Marine Division, III Marine Expeditionary Force, learned how to keep combat casualties alive while awaiting transport to medical care.

The first three days were classroom instruction with some practical applications, said Petty Officer 3rd Class Eddie Rodriguez, a special amphibious reconnaissance corpsman with 3rd Reconnaissance Battalion, 3rd MarDiv. During the last two days of class, Marines use their new skills in realistic training scenarios.

All Marines receive some sort of first aid care while in boot camp, but the training taught during TCCC goes more in depth, Rodriguez said.

“All Marines know how to use an occlusive dressing on a gunshot wound or splint a broken bone,” Rodriguez said.

An occlusive dressing is an air- and water-tight trauma dressing used in first aid.

Providing care on the battlefield however involves understanding human physiology, the aftermath of a wound and being able to care for the victim for a few hours or even days, said Rodriguez.

In one field environment training scenario, two students, a caregiver and an assistant, administered care to a simulated casualty. The team assessed the casualty before providing battlefield first aid, he added.

“It was as real as we could get it,” said Cpl. Daniel Malmberg, the simulated victim for the exercise and one of the students in the course.

As part of the “real” training the caregiver and assistant inserted a tube into Malmberg’s nostril. The procedure, referred to as a nasopharyngeal, is used to open the airway of an unconscious victim, preventing the tongue from blocking air passages.

The course taught the guidelines of battlefield care but also provided Marines with the necessary skills to think independently when dealing with a downed casualty, said Malmberg after completing the course.

“I’d be able to assess any casualty, diagnose and fix them,” he added.

The Marines learned to improvise and use what was available to treat casualties, Rodriguez added.

“Field medicine is kind of improvised,” said Rodriguez. “You might use a stick to make a splint. Today we had the Marines use duct tape as an occlusive dressing.”

TCCC instructors try to teach Marines to think outside the box for solutions to provide medical aid, Rodriguez said.

The knowledge corpsmen teach Marines at TCCC might someday save lives, he said.


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Public Domain Mark
This work, Tactical Combat Casualty Care: Marines learn battlefield first aid, by Cpl Anthony Ward Jr, identified by DVIDS, is free of known copyright restrictions under U.S. copyright law.

Date Taken:04.01.2011

Date Posted:04.01.2011 01:44

Location:OKINAWA, JP

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  • Marines with Special-Purpose Marine Air-Ground Task Force Africa 13 completed the Tactical Combat Casualty Care course here, March 14, 2013.
  • Corpsmen with 3rd Medical Battalion, Combat Logistics Regiment 35, 3rd Marine Logistics Group, III Marine Expeditionary Force, and officers with the Japan Ground Self-Defense Force from mainland Japan, concluded a week-long evolution where they practiced tactical combat casualty care, Feb. 17.
  • Corpsmen with 3rd Medical Battalion completed the tactical combat casualty care course at the Tactical Medical Simulation Center at Camp Hansen June 29.

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