Butler Frank K
Committee on Tactical Combat Casualty Care, Joint Trauma System, US Army Institute of Surgical Research, San Antonio, TX.
Wilderness Environ Med. 2017 Jun;28(2S):S12-S17. doi: 10.1016/j.wem.2016.12.004. Epub 2017 Mar 9.
Tactical Combat Casualty Care (TCCC) is a set of evidence-based, best-practice prehospital trauma care guidelines customized for use on the battlefield. The origins of TCCC were nontraditional. The TCCC program began as a Naval Special Warfare biomedical research effort launched after the realization that extremity hemorrhage, a leading cause of preventable death on the battlefield, was not being treated with a readily available and highly effective intervention: the tourniquet. This insight prompted a systematic reevaluation of all aspects of battlefield trauma care that was conducted from 1993 to 1996 as a joint effort by special operations medical personnel and the Uniformed Services University of the Health Sciences. The product of that 3-year research project was TCCC, the first-ever set of battlefield trauma care guidelines designed to combine good medicine with good small-unit tactics.
战术战斗伤亡护理（TCCC）是一套基于证据的最佳实践院前创伤护理指南，专为战场使用而定制。TCCC的起源非传统。TCCC项目始于海军特种作战生物医学研究工作，这是在意识到肢体出血（战场上可预防死亡的主要原因）未得到一种现成且高效的干预措施——止血带治疗后发起的。这一见解促使对战场创伤护理的各个方面进行系统重新评估，该评估于1993年至1996年由特种作战医疗人员和军事卫生科学大学联合开展。那个为期3年的研究项目的成果就是TCCC，这是有史以来第一套旨在将良好的医学与良好的小单位战术相结合的战场创伤护理指南。
