In the combat environment, the situation is very different from the civilianenvironment. Casualty care in this setting must be the best possible combination of good medicine and good small-unit tactics. The critical thinking skills of the individual as both a tacticaloperator and a medical provider must be brought into play. The specifics of casualty care in the tactical setting will depend on the tactical situation, the injuries sustained by the casualty, the knowledgeand skills of the first responder (who may not be a medic or a corpsman), and the medical equipment at hand. In contrast to an Emergency Department setting where the patient IS the mission, on thebattlefield, care of casualties sustained is only PART of the mission. TCCC recognizes this fact and structures its guidelines to accomplish three primary goals:
1) Treat the casualty
2)Prevent additional casualties
3) Complete the mission.
In the combat environment many challenges exist that will affect patient care. Although the principles of trauma care must be...