Tactical combat casualty care (TCCC) is the pre-hospital care rendered to a casualty in a tactical, combat environment. The principles of TCCC are fundamentally different from those of traditional civilian trauma care where most medical providers and medics train. These differences are based on both the unique patterns and types of wounds that are suffered in combat and the tactical conditions medical personnel face in combat. Unique combat wounds and tactical conditions make it difficult to determine which intervention to perform at what time. Besides addressing a casualty’s medical condition, responding medical personnel must also address the tactical situation faced while providing casualty care in combat. A medically correct intervention performed at the wrong time may lead to further casualties. Put another way, “good medicine may be bad tactics,” which can get the rescuer and casualty killed. To successfully navigate these issues, medical providers must have skills and training oriented to combat trauma care, as opposed to civilian trauma care.

Tactical Combat Casualty Care (TCCC) is created by the U.S. Department of Defense Committee on TCCC (Co-TCCC) to teach  evidence-based, life-saving techniques and strategies for providing the best trauma care on the battlefield. NAEMT conducts TCCC courses as specified by the Co-TCCC’s guidelines and curriculum. Two types of TCCC courses are offered:

• TCCC-MP (TCCC for Medical Personnel) is a 2-day classroom course for military medical personnel  including medics, corpsmen, and pararescue personnel deploying in support of combat operations.
• TCCC-AC (TCCC for All Combatants) is a 1-day classroom course for non-medical military personnel and includes first responder skills appropriate for soldiers, sailors, airmen and marines.

The foundational medical science upon which TCCC is based is published in NAEMT’s PHTLS Military textbook in which the military chapters are written by the Co-TCCC. TCCC, as offered by NAEMT, is the only TCCC course endorsed by the Joint Trauma System and the American College of Surgeons. NAEMT’s TCCC courses are accredited by CAPCE and recognized by NREMT. NAEMT's TCCC courses are taught by a global network of experienced, well-trained, experienced instructors. To support training centers, instructors and students, NAEMT maintains a network of tactical affiliate faculty both in the U.S. and internationally, and staff at its Headquarters Office.

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