How Air Force PJ’s Perform Tactical Combat Casualty Care | Medical | Tactical Rifleman

all right how’s it going my name is Stocks at T1G and what I want to do is just briefly.


all right how’s it going my name is
Stocks at T1G and what I want to do is just briefly cover the synopsis of what
T Triple C means that’s tactical combat casualty care tactical combat casualty
care is basically a priority in technique matrix when you have a dynamic
environment with bad guys shooting at you and you have no protocols like you
would say in a nice lovely hospital setting and teacher will see there’s
there’s three phases there’s care under fire
there’s tactical field care and there’s CasEvac or medivac depending on your
resources so the first thing we want to talk about is care under fire care
under fire your priorities tend to be not taking any damage yourself as a
medical provider but really the main idea is to lay down suppressive fire
depending on the circumstance keep your casualty from taking further
hits further shots or get keep him from sustaining additional wounds and there’s
not going to be a whole lot of medicine that you’re doing under care under fire
in fact one of my favorite sentences in medicine period is the best medicine
during care under fire is superior firepower if any medicine goes on at all
it’s either placing a tourniquet on the X which is where he was injured or it’s
verbally directing the medicine he should do to himself as you can see here
I’m putting all the medic medicine aside traditional medicine aside I’m just
dragging him over to a spot where he is in the proverbial safe space for the
moment and we’re going to get to our other medicine here in a bit when we’re
no longer sustaining fire the second phase is tactical field care tactical
field care means that you’re not necessarily out of danger but you’re not
sustaining direct fire at this point it’s a good time to wipe the sweat off
your brow making hopefully you’ve got a QRF for somebody in for
security while you’re doing additional medicine tactical field care is actually
where most of your medicine is going to take place you can see here that one of
the first things we want to do after we put on the tourniquet
I guess is you want to check that airway make sure he’s got good ventilation is
going in and out in his case he’s going to need a crike so we have placed a
crike in I’ve got my partner here he’s looking he’s checking all the
traditional bleeders at the junctional sites and the limbs and he’s also
putting on chest seals as he finds them from the chin to the bellybutton after
we’ve taken care of the breathing box on the thorax and look at that what we
really need to check is the circulation as well
that’s going to give us a quick snapshot of how well he’s circulating blood flow
when we give him a pulse check and a blanche check underneath a nail bed once
we’ve assessed for shock make sure in his case we’re going to go ahead and
cover him up and get him off to the CasEvac so in our case here we have a CasEvac bird there’s no medical personnel or medical equipment dedicated to this bird
so CasEvac we have our FE here who’s telling us to come on board and once we
get on that aircraft with that patient we’re really going we like the acronym
MARCH quite a bit March being massive hemorrhage A being airway R being
respirations C being circulation and H being head and heat as teachable C
providers we’re going to go through that MARCH algorithm several times depending
on our standing orders or how well we’re trained in advanced medicine is going to
dictate how deep we can go into medicine before he gets to a medical facility but
in the case of his flight there are flight considerations which we do talk a
lot about here at a T1G as far as atmospheric pressure changes that can
affect your patient once he’s on the bird but as far as just a bread and
butter example of a teachable C scenario that’s a pretty good one somebody gets
hurt there’s suppressive fire and CasEvac is going to come scoop
up in the meantime our main job is to keep him alive until it he gets to the
MTF I hope the video helped you at least give you a superficial overview of what
teacher teachable C is all about if you have any additional questions please
reach out to us and leave a comment below we appreciate your time

91 thoughts on “How Air Force PJ’s Perform Tactical Combat Casualty Care | Medical | Tactical Rifleman”

  1. PJ'S; Angel's of the battlefield. Once thought about going down this route myself. Going so far as becoming an EMT on the civilian side. However, I believe my calling is to be putting the holes in people instead of plugging them. I'll be training vigorously for the next few years for the 18x program instead but these guys will always be SuperMan in my book. Great Video, and more so, a great channel. Keep the content coming.

  2. I'm old, with that being said, it's been fun to watch battlefield care improve and that hard earned experience has made it's way into the civilian world. Especially well trained active shooter responders.

  3. If you are interested in survival the best ideas that i've had was with the Marla Survive System
    (i found it on google) definately the most incredible survival i've followed.

  4. One of my good buddies was an 18 Delta. He was with 5th Group out of Fort Campbell and part of ODA 534. I have the utmost respect and gratitude for all men and women like my friend who bravely fought for us, our country and for each other (their brethren). Oppreso Liber.

  5. Great Video. I was old school when we called it Field Medical Training 8404. A lot has changed for the better. Thank you for you service.

  6. I'm trying to become an EMT, I always find this kind of thing interesting. This does fit in with something I was taught which is the first thing you always do is make sure it's safe to administer first aid. Getting someone out of the danger zone takes priority because if they die or you become incapacitated, it defeats the purpose. Of course I'm not a professional (yet) and I'm not a high speed guy like you are but I always find this channel informative. Thank you for the content.

  7. Hey Stooks I will be moving down to the Hulbert, Eglin, Duke area in June. Being a former NJ EMT and Army Infantry 80-84 I would sure like to get some of my skills back maybe you could offer any suggestions to getting my skills back plus or maybe have a p.o.c. that I can make contact with to reschool me in my treatment skills.

  8. I have question. where the various clips of people performing medical procedures real? or was this a training exercise.

  9. Awesome video. I'm in the Army and we only get this training about once a year. Where can I go for training like this on my own? Thanks.

  10. do you have any manual or other stuff that may be handy, I am about to take that course in my country and any extra info its always usefull btw it was a pretty nice video and takes the bases of cares in a mission

  11. Definitely just subscribed. Excellent video content and very informative as I had not heard of TCCC as a specific "procedure or acronym" per se, but I have always followed similar procedures in dangerous emergency situations. Also greatly appreciate the written summary beneath the video. I love the blunt honesty of emergency possibilities! Forget the safe spaces. Definitely recommending you guys to my buddies!

  12. I look at the military paramedic of the Ukrainian army and unfortunately I can only dream of this ((the young men keep it that way.) There are really a couple of misses but in general it's cool !!!!!

  13. You give me so much info about the military even though I'm a kid
    Your one of my fav channels. On YouTube with that said easily.
    Ps subbed easily defenetly
    One again thanks for all the info
    You should have 10m subs not only 10k
    Oh wait you should have 435527m subs

  14. Great job. I'm a full time ER physician. I've done a zillion of those procedures but NEVER once while anyone was shooting at me. Thanks for your skills and your service. Keep up the good work.

  15. First time I have stumbled onto your videos. Very impressed with your presentation: clear, well-explained and good clips to illustrate your points. I worked as an EMT for years and then became an Xray tech specializing in ER (and sometime OR) work in big-city Level 1 trauma centers in Boston and New Orleans. Obviously no one was shooting at me, but we did have occasional shoot-ups in the ER when gang members would try to come in and finish off the patient we were treating or when his gang would be protecting him. It was definitely duck and cover time for us, but there are those times you simply CANNOT leave a critical patient on the table to go hide. This only happened to me once, being ("under fire" so to speak) and I have rarely been so scared in my life, but I did manage to keep bagging the patient throughout. I can't imagine having to take heavy fire, return fire and continue basic life-support when needed. By the way, are you and the PJ's? (the So Others May Live people) attached to each other in any way?

  16. hi i was wondering do you have an one on one coaching program to teach me these type of skills. Thanks

  17. I love channels like this. Practical knowledge from the experts, in a easily digestible format, and with as minimal fluff and nonsense as possible. Keep up the great work.

  18. Appreciate the breakdown. I'm trying to wrap my head around as much as I can before getting into a TCCC course.

  19. I just took a TCCC AC Course and I absolutely love your synopsis.  There are many who say and dont know.  You guys know!  Keep up the good work.

  20. Priorities: Wounds = Stop the Bleeding, Pulse = Frequent Checks, Shock = Heating/ Warming. I took note of three main priorities.
    So for a chest wound, if it were a through and through wound, would we be using two chest seals? One for opening whilst the other for the exiting wound?
    Great video. Informative as always. Thank you.

  21. Great educational video. I am searching for a video that includes a solid example of the blood sweep and checking for exit wound as these have been commonly missed with simulated casualties coming in from the field to the aid station.

  22. Great advice with today's mass shooting happenings.if more people had trauma training in Vegas more lives could have been saved .an you never know when you might stumble into a life threatening situation.a lot of crazy folks out there .

  23. Great simple to the point video. Can't train on medical enough. It's crazy how many people think they got it yet when you induce stress people can barely put on a TQ.

  24. This is the first time I've noticed that the casualty isn't put in a real blackhawk but in the T1G mock blackhawk. So that is +1 for realism!

    And can we see more of Stook the PJ?

  25. How did you do your moulage and tracheotomy/cricothyrotomy in the video? Is that on an actual person, or a dummy? It looks very realistic!

  26. The Military Contractor's need to learn that if they are going to be in combat.  It is really important.  That is the kind of thing they need to know because I am pretty sure they could get shot.  It is possible for them to get shot doing other things as well.

  27. I have been clicking the "like" button on many of these videos, but when I go back and check these videos I've watched before; youtube has taken down the like, or I have to re-like it. I'm not sure what's going on there, but I know you would have many more likes from me if youtube wasn't trying to be censorship Nazis. On that note; thank you for making these videos. As a person who has to carry both for my own defense, but as a part of my profession, I appreciate all your hard work on producing these videos. They are an indispensable resource and a great way to stay in the zone and current in a dangerous world.

  28. If I could go back to being 16, id most likely do this instead of joining the fire dept. The most intensive ALS call I've been on is prolly like a lift assist to these guys. Love my job but these dudes are badass!

  29. Very informative video. I really wanna push for a range supporting my company's corpsman utilizing realistic training like this.

  30. I am sorry, but I gotta say:
    You talk the talk, but your walk is off.

    Wouldn't say anything, but you tube is a new age university and when you show that this is how a PJ applies a CAT or the hazblanket or carries the stretcher to the chopper, you should do that flawless.

  31. I've been out since 02. It's great to see advancements in the gear a medic can carry. Also I would like to say how impressed I am with the information in the description. Good work Brothers.

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