Canadian Forces Health Services and the Division of General Surgery, University of Toronto, Toronto, Ontario.
Can J Surg. 2011 Dec;54(6):S118-23. doi: 10.1503/cjs.025011.
Tactical Combat Casualty Care (TCCC) is intended to treat potentially preventable causes of death on the battlefield, but acknowledges that application of these treatments may place the provider and even the mission in jeopardy if performed at the wrong time. Therefore, TCCC classifies the tactical situation with respect to health care provision into 3 phases (care under fire, tactical field care and tactical evacuation) and only permits certain interventions to be performed in specific phases based on the danger to the provider and casualty. In the 6 years that the Canadian Forces (CF) have been involved in sustained combat operations in Kandahar, Afghanistan, more than 1000 CF members have been injured and more than 150 have been killed. As a result, the CF gained substantial experience delivering TCCC to wounded soldiers on the battlefield. The purpose of this paper is to review the principles of TCCC and some of the lessons learned about battlefield trauma care during this conflict.
战术性战斗伤员救治（TCCC）旨在治疗战场上可能预防的死亡原因，但也承认，如果在错误的时间进行这些治疗，可能会危及提供者甚至任务。因此，TCCC 将医疗服务提供的战术情况分为 3 个阶段（火力下救治、战术现场救治和战术后送），并仅根据提供者和伤员的危险程度允许在特定阶段进行某些干预。在加拿大军队（CF）在阿富汗坎大哈参与持续作战行动的 6 年中，有 1000 多名 CF 成员受伤，超过 150 人死亡。因此，CF 在战场上向受伤士兵提供 TCCC 方面获得了丰富的经验。本文的目的是回顾 TCCC 的原则，并总结在这场冲突中获得的一些关于战场创伤救治的经验教训。
