How Air Force PJ's Perform Tactical Combat Casualty Care | Medical | Tactical Rifleman
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- เผยแพร่เมื่อ 15 ธ.ค. 2016
- When we were first contemplating making instructional youtube videos, we didn’t give a shit about being entertaining to the masses. What we wanted to do was build a place where operators, professionals, and gun-loving citizens could go to find good information on guns, gear, and training. Now, the focus is mostly on shooting skills. However, we do also cover survival, driving, breaching, and all the other great “Man-Skills” that every American should know… including Medical. As I started my life in Special Forces as an SF Medic, I have a warm spot in my heart for Trauma. That, and I like the taste of blood.
This week’s video is about Tactical Combat Casualty Care, or what we call “TCCC.” Remember First Aid Class in Cub Scouts or maybe CPR class in high school? Well, TCCC is the same thing but geared towards combat wounds.
Now, we didn’t have time to go into everything… Hell, that’s a solid 1 to 3 days of hands-on training. That said, we have and will continue to cover all the steps and skills that you need to know. See some of our other videos, like “How to put on a Tourniquet.” More videos to come for sure.
In this video, Stooks talks us through the different phases of TCCC.
Care Under Fire: Return fire & Tourniquets… Keep the red blood cells in the body. Think of it this way… if it takes you 2 minutes to fireman-carry your buddy back to the next Suburban… that’s 2 whole minutes he is bleeding out IF you don’t first apply a tourniquet. Remember, superior firepower is good preventive medicine in a gunfight.
Tactical Field Care: Plug all the Holes… OK, you have fireman-carried your buddy to a semi-safe location… now, save his life. There are different acronyms that different units use… ABCs, SCABS, MARCH, SMARCH. Pick whichever you want, just don’t miss an injury or treatment. It’s not about checking the blocks on a grade sheet; it’s about treating a patient. Here’s a couple examples:
ABCs
Airway
Breathing
Circulation
SCABS
Security (Shoot back)
Control Massive Bleeders (Tourniquets)
Airway
Breathing
Shock
CasEvac (or MedEvac): Handing your patient off for transport to a proper medical facility. Whether it is a 5-minute ambulance ride in St. Louis or a 2-hour Helicopter ride in Afghanistan, your patient better be stable.
So, this is only for Combat? Nope? The laws of physics are the same whether it was a terrorist’s bullet or a Cape Buffalo’s horn. You still need to prevent further harm (to you or your patient) and you need to keep those red blood cells inside the body.
Now, again, we didn’t have time to cover all the medical training you need here in this one video. If you really want to be prepared, it’s more than just buying a tourniquet and an Aid Kit. You need to invest some time and take a proper TCCC course, available at many great training centers.
So, before you skip this video and and move on to the “Call of Duty 6” trailer video, you need to ask yourself if you are ready for a real trauma situation. Say you are out Holiday Shopping at the mall with your family… To hell with a terror attack; let’s say a Piper Cub airplane crash lands in the food court. 25 people, just like you, just got the snot knocked out of them by a food processor with wings. What do you do? Half the sheep will run and the other half will be filming with their damn cell phones. A few will call 911. In the 15 minutes it is going to take for the Paramedics to arrive, many of these casualties are going to bleed out. How many tourniquets could you make and apply in 15 minutes?
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Tactical Rifleman will continue to bring you good training videos. Most will still be gun related, but we will still sneak in a few medical videos every now and then. Remember, knowledge is power, and medical knowledge can sometimes be the best tool for the job. Strength and Honor, TR.
For more go to www.tacticalrifleman.com/ and Follow me on Twitter-bit.ly/TACrman - บันเทิง
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.
You had it easy.
Until the patient or some form of regulatory body might sue
"Damn PJ's!" lol what we (101st Pathfinders) would say every time they beat us to a downed aircraft. Very well trained and very professional group of green feet. Keep up the good work brothers!
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.
Wow, this channel is fantastic. An actual PJ talking about combat medicine...
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.
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.
This algorithm is real deal and helps a lot in a real life scenario. It’s very easy to forget steps with injured patients. Thank you for what you do and getting the information out there.
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.
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.
Deadbit where you really tho?
Freggen MASSIVE respect to these guys. They´re the ones that will SAVE YOUR LIFE.
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?
The instructor narrating this video is "Stooks." He was a PJ in the US Air Force, and now serves as a senior medical instructor at Tier-1 Group, where he teaches America's finest operators how to conduct all levels of medical care, from TCCC, all the way up to Flight Paramedic. While 95% of his clients are US SOF operators, he can teach civilians. If you (or any other viewers) are interested in receiving any additional medical training from Stooks, just go to t1g.com and ask for more information. Thanks for watching. Strength & Honor, TR.
You guys kick ass. TY for your service.
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.
Thanks for watching, TR
PJ/medic loadout vid??
i knoww
Man, so glad I found this channel. Love it! Keep it up. Subscribed for sure.
Awesome synopsis. Knocked it out of the park. Thanks.
This was good. Very simple, no BS. I like it.
You guys are beyond AWESOME...
Thank You for keeping AMERICA FREE AND SAFE....
BIG RON...
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!
William Parslow ,acronym of alot of different procedures
tccc is a valuable asset to anny military. I was canadian tccc attached to 4th Id Afghanistan... It saves lives
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.
Scene safety has to be assessed the entire call. It ain't just something you say at the beginning of your scenario. The calls you have to watch out for are the ones where Dispatch tells you the scene is safe and something goes sideways quick.
Remember your fundamentals mate, you'll be the bulwark of your crew if you do what you're supposed to do.
(I write this while on shift as an EMT).
I have really good situational awareness, as I am (unfortunately) acclimated to violence. Chaotic scenarios are nothing new to me, so it's easy for me remain calm. Still, I appreciate the advice greatly. My plan is work my way up to paramedic.
I've seen a lifetime of despair before I was even an adult, so this career path feels like a calling to me. It won't be easy, but being able to make the worst day of someone's life a little less shitty is a powerful thing. Thank you for what you do and I hope to join you in it.
vak you
@@user-vr9jb5dd2b ?
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.
Appreciate the breakdown. I'm trying to wrap my head around as much as I can before getting into a TCCC course.
Always your videos will helpful. And remembering us how to actions on these situations. Thank you so much.
You guy's should have way more subscribers!
Love seeing my USAF boys represented! Hell yeah boys!
Love this channel
Excellent and informative video. It was helpful to see close up how the tourniquet was applied.
great stuff even for law enforcement. thanks for your service and sharing of skills.
Great information! Thanks for sharing!
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.
Excellent! Thank You
Very informative!
ABCs with a bit of fire superiority at the start. Respect and love for the PJs.
Agreed! Thanks for commenting, Strength and Honor, TR
Stooks looks ripped! Can you guys do a video on his and Jason's typical workout routines?
A Kevlar/cermanic drop side plating would be nice round vehicles
Now that was a good video. Bare bones to the points and hey, you don't have medivac moving wounded from further damage is heroic. Watched it twice because it was entertaining too...those guys should be extras in action movies....imho thanks for making the video.
Very informative video. I really wanna push for a range supporting my company's corpsman utilizing realistic training like this.
Need to get some classes in this. great inf
thanks for help💯
thanks for the video!
Great video, very good information, thank you for sharing your knowledge
Video over your battle belt setup?
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?
If I ever get hit I'm glad to know you guys are out there.
subscribed! outstanding video gents...
Thanks for subbing!
Great information
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
Hooah !!! 68w graduate this week
Fig Newton how has it been going these past 11 months?
Congrats!
Fig Newton infantry best friend all my close friends are 68W's
We don't care
@@SomeGuy-fl1gz you're cool, replying to a 3 year old comment.
thanks for the information
Thanks for the comment. We are trying to do straight forward videos about real world tactics with minimal Jackassery. Glad you like the info. Strength and Honor, TR
I learn a lot sir
I'm going to use this for my Combat Lifesaver Class
Thanks for watching, TR
Definition of angels
Nice video good Information
Love it. Air Force guy with his hands in his pockets. So stereotypical.
Actually PJs are great medics. Just behind 18D’s.
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.
For Chest Wounds... YEs, ALWAYS check for an treat Entry & Exit wounds. Don't forget to check in the armpits.
Great channel!
James Speights thanks, we put out a new video every week so stay tuned and help us spread the word.
Thanks good video
Thanks for watching, TR
Awesome
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.
it's you, not youtube. the censorship thing you're talking about has been completely misreported as rumors and assumptions. i bet you saw some others commenting similarly on videos and getting tons of likes so you did it here. sheep.
dream job
One video about a basic ifak!!
Great Idea... We'll have a video out about what Karl keeps in his IFAK in a few weeks. Thanks for watching. We put out a new video every Friday. So, be sure to subscribe, so you don't miss out. TR
Karl, care to comment on the old wives tale that Spec Ops uses crossbows?
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.
Brilliant and informative video guys! Extremely beneficial tips! Also what Carrier is that at 1:09...
Mythic That is a Carrier made by ATS out of Oak Grove, Kentucky.
i have nothing to do with the military but for some reason I love these vids
Thanks for watching, TR
Do you guys ever get people who get a bit queasy in the classroom and how do they then compare in the field?
A Civilian EMT Paramedic, even with College, Med School and National Registry certification, is to Me, a lower level Medical worker, and pales in comparison to the High-Speed Low-Drag Special Tactics Pararescue Jumper. Hooah, USAFSOC Special Tactics!!🇺🇸🇺🇸🇺🇸🇺🇸🇺🇸🦅🗽🗡️⚔️🔫💣💥🔥💀☠️
Go Air Force
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!
Real person, but with moulage. We couldn't get any volunteers to do it for real.
What a stud, my dude down there getting criched for science. That's pretty Cash Money, not gonna lie.
Awesome video. I'd love to come take your medical course
Tier-1 Group offers training to both government and civilians. 95% of what we teach the military we can also teach civilians, and the other 5% you really don't need. Go to t1g.com and drop them a line. They can help set you up with a custom course covering exactly what training you want.
Tactical Rifleman I'm a 68w in the guard and work for Crittenden ems. I just dont have the money for a cource right now. lol maybe in the future for sure!
Do y'all have CLS course that i can get my unit to pay for me to go to.
If you suddenly need help, I'll be glad to meet you and help you exchange experiences. George
Hooyah corpsman
No BSI ..haha ;-)
I have question. where the various clips of people performing medical procedures real? or was this a training exercise.
This was a training exercise.
This PJ's dialect sounds like he's from the Philly/South Jersey area.
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.
Go to T1G.com and fill out their info request... It'll get pushed to a Sales guy and then referred to me. I'll then reach back out to you and we can talk details. Best if you bring a bunch of friends, to save on cost.
Tactical Rifleman
Thanks for the response and WILCO. I'm currently in Italy leaving mid month. I will do this when I get settled. Thanks again!!!
great advice
Why didn't you check for an exit wound??
I have a question about body armor:
What's the difference between the armor that the 2 guys at 1:07 wear?
One looks to be a full body armour kit the other looks just to be a plate carrier. First has more space to hold gear but is less freedom of movement while there plate carrier has smaller space for stuff it's easier to move in
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 .
Amen
What handguns do PJ's typically prefer? Do you guys just go with M9's? You probably don't use them often.
PJs, like most people in the military, have to use the weapon systems organic to their units. Some units just have M9s. Other units also have access to Glocks. If there are multiple choices available, the operators get to use their personal preference.
Damn i was expecting pajamas
How does an average person get to train with you guys?
Go to t1g.com and then to "Contact Us." 95% of what T1G teaches the military, they can also teach civilians.
I'm ff paramedic also level 3 armed private security and want become certified in combat medicine plz advice
I’m a 22 year old California EMT trying to become a SWAT Medic & just now studying TCCC. Any other way I can help myself get ready for any TCCC Course?
Go in with an open mind and ask questions
Why the space blanket before putting him on a stretcher? Just curious.
Thermal comfort.
Loss of serious amounts of blood can cause hypothermia, that’s why.
hooah green feet
hi i was wondering do you have an one on one coaching program to teach me these type of skills. Thanks
Yes, 95% of what they teach the military they can also teach civilians, and the other 5% you don't need. Anyone interested in training where America's finest train, can reach out to them at t1g.com
Tactical Rifleman ok thanks im about to check it out
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 !!!!!
This aged well.
Did you actually put a trich in that guy or was it a prop?
cric* stands for cricothyroidotomy and no they didn't you can see that the tube is on the side of the neck and not inserted into the airway.
TaoistTiger Very likely a prop
This is the big guys job. The Air Force PJ should be able to drag at least 300 lbs of weight away from the firing line.
March is great but I like abcde my self
As an SF Medic, I was originally training to do the ABCs. However, on the modern battlefield, most trauma involves more massive blood loss than Airway obstructions. So, the military now teaches SMARCHED, with S being for "Shoot Back or Security." For teaching civilians, I prefer to use SCABS... Security/Circ (massive bleeding)/Airway/Breathing/Shock. Thanks for watching, TR.
@@TacticalRifleman I like it. That works well and it is effective I might see how that works for me it just how my mind works the abcs is easy for me to do after or during stress I will try it in a drill a few times though
and sory with my bed inglish ))
don't let the OPFOR steal your casualty
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.
nice brown leather belt lol
Should have stripped his cloths off to check for exit wounds and/or additional wounds. The only thing I spotted that could have been improved.
You forgot to check his pockets before the CAT :)