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TITLE: USASOC (Special Forces) FIRST RESPONDER
CONTENTS:
1. Tactical Combat Casualty Care (TCCC)
2. Evaluate a Casualty
3. Open Airway
4. Hemorrhage Control
5. Thoracic Trauma
6. Abdominal Trauma
7. Head and Spine Injuries
8. Shock
9. Vitals
10. IV
11. Burns
12. Extremity Trauma
13. Casualty Evacuation
14. Triage
15. Heat Injuries
16. Cold Injuries
17. Combat Stress
18. Administer Medication
PREFACE
Management of medical emergencies is best accomplished by appropriately trained physicians in an Emergency
Department setting. Special Operations combat medics (SOCMs), however, may often find themselves in austere tactical
environments where evacuation of a teammate to an MTF for a medical emergency would entail either significant delays
to treatment or compromise of the unit’s mission. Although SOCM-trained medics are not routinely authorized by the
services to treat non-traumatic emergencies, in many SOF situations, training SOCMs to treat at least some medical
emergencies may result in both improved outcome for the individual and an improved probability of mission success. The
disorders chosen have one of the following properties in common: they are relatively common; they are acute in onset; the
SOCM is able to provide at least initial therapy that may favorably alter the eventual outcome; and the condition is one
that is either life-threatening or could adversely effect the mission readiness of the SOF operator.
The protocols outlined in the following pages carry the following assumptions:
A. The SOCM medic is in an austere environment where a medical treatment facility or a unit sick call
capability is not available. If a medical treatment facility or a medic authorized to treat patients
independently is available, then the patient should be seen in those settings rather than by a SOCM medic.
B. The individual to be treated is a team member, a coalition partner, or a detainee.
C. Immediate evacuation may not be possible and, even if it is, may still entail significant delays to definitive
treatment. The medical problem may worsen significantly if treatment is delayed.
D. The SOCM will contact a consulting physician as soon as feasible.
E. SOCM treatment will be done under the appropriate protocol.
F. Medication regimens are designed to minimize the number of medications the SOCMs are required to learn
and carry and medications have been used for multiple conditions when feasible without compromising care.
G. Appropriate documentation of diagnosis and treatment rendered in the patient’s medical record will be
accomplished when the unit returns to forward operating base.
H. Note these protocols are not designed to allow SOCM medics to conduct Medical/Civic Action (MEDCAP)
missions independently.
I. Evacuation recommendations are based on the appropriate therapy per protocol being initiated on
diagnosis.
J. The definitions of Urgent, Priority, and Routine evacuations are based on the times found in Joint Publication
4-02.2 of 2, 4, and 24 hours respectively.