Gurney Jennifer M, Stern Caryn A, Kotwal Russ S, Cunningham Cord W, Burelison Dallas R, Gross Kirby R, Montgomery Harold R, Whitt Edward H, Murray Clinton K, Stockinger Zsolt T, Butler Frank K, Shackelford Stacy A
Joint Trauma System, DoD Center of Excellence for Trauma, 3611 Chambers Dr, Joint Base San Antonio, Fort Sam Houston, San Antonio, TX 78234.
Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD 20814.
Mil Med. 2020 Jan 7;185(Suppl 1):500-507. doi: 10.1093/milmed/usz303.
Tactical Combat Casualty Care (TCCC) is the execution of prehospital trauma skills in the combat environment. TCCC was recognized by the 2018 Department of Defense Instruction on Medical Readiness Training as a critical wartime task. This study examines the training, understanding, and utilization of TCCC principles and guidelines among US Army medical providers and examines provider confidence of medics in performing TCCC skills.
A cross-sectional survey, developed by members of the Committee on TCCC, was distributed to all US Army Physicians and Physician Assistants via anonymous electronic communication.
A total of 613 completed surveys were included in the analyses. Logistic regression analyses were conducted on: TCCC test score of 80% or higher, confidence with medic utilization of TCCC, and medic utilization of ketamine in accordance with TCCC.
<60% of respondents expressed confidence in the ability of the medics to perform all TCCC skills. Supervising providers who that believed 80 to 100% of their medics had completed TCCC training had more confidence in their medic's TCCC abilities. With TCCC, a recognized lifesaver on the battlefield, continued training and utilization of TCCC concepts are paramount for deploying personnel.
战术战斗伤救治（TCCC）是在战斗环境中实施的院前创伤技能。TCCC被2018年国防部医疗准备训练指令认定为一项关键的战时任务。本研究调查了美国陆军医疗人员对TCCC原则和指南的培训、理解及应用情况，并考察了医护兵执行TCCC技能的信心。
由TCCC委员会成员制定的一项横断面调查，通过匿名电子通信方式分发给所有美国陆军医生和医师助理。
分析共纳入613份完成的调查问卷。对以下方面进行了逻辑回归分析：TCCC测试得分达到或高于80%、对医护兵应用TCCC的信心以及医护兵按照TCCC使用氯胺酮的情况。
不到60%的受访者对医护兵执行所有TCCC技能的能力表示有信心。认为其80%至100%的医护兵已完成TCCC培训的督导人员，对其医护兵的TCCC能力更有信心。鉴于TCCC是战场上公认的救命方法，对部署人员而言，持续培训和应用TCCC理念至关重要。
