Tactical Combat Casualty Care (Tccc) Card Page 2
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1
2EVAC CATEGORY: ______________________ BATTLE ROSTER #: ____________
T
T
r
e
a
t
m
e
n
t
s :
r
e
a
t
m
e
n
t
s
(X all that apply, and fill in the blank)
C:
Extremity-TQ
Junctional-TQ
Pressure-Dressing
Hemostatic-Dressing
_______________________________
Type:
A:
Intact
NPA
CRIC
ET-Tube
SGA
__________
Type:
B:
O2
Needle-D
Chest-Tube
Chest-Seal
_________
Type:
C:
Name
Volume Route
Time
Fluid
Blood
Product
MEDS:
Name
Dose
Route
Time
Analgesic
(e.g. Ketamine,
Fentanyl,
Morphine)
Antibiotic
(e.g. Moxifloxacin,
Ertapenem)
Other
(e.g. TXA)
OTHER:
Combat-Pill-Pack
Eye-Shield
R
L)
Splint
(
Hypothermia-Prevention
______________________
Type:
N
:
N
O
T
E
S
_________________________________________________
O
T
E
S
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
F
R
IRST
ESPONDER
N
: ____________________________ L
4: ________
AME
AST
(Last, First)
DD FORM (NUM), (DATE)
Page 2 of 2
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