Combat Ready Clamp Addition to the Tactical Combat Casualty Care Guidelines
Abstract
Tactical Combat Casualty Care (TCCC) is a set of trauma care guidelines customized for use in the pre-hospital combat setting. TCCC is currently used in training for medics by all Services in the Department of Defense (DoD) and by many U.S. coalition partners. The Committee on Tactical Combat Casualty Care (CoTCCC), a work group of the Defense Health Board (DHB) Trauma and Injury Subcommittee, performs a quarterly review of current evidence demonstrating the successes and shortcomings of the TCCC Guidelines, and considers proposed updates and revisions.'' Junctional hemorrhage sustained in the course of combat operations is recognized as a leading cause of mortality in the current conflict in Afghanistan. Tourniquets may be difficult or impossible to apply at these sites and QuikClot Combat Gauze may not always be effective at controlling the hemorrhage. The Combat Ready Clamp(trademark) (CRoC(trademark)) (Combat Medical Systems, Fayetteville, NC) is a U.S. Food and Drug Administration (FDA)-approved medical device indicated for the control of hemorrhage in the inguinal area that is not amenable to the application of a tourniquet. The CoTCCC began reviewing the data supporting the use of the CRoC(trademark) in November 2010. On August 2, 2011, the CoTCCC approved the proposed addition of the CRoC(trademark) for hemorrhage control to the TCCC Guidelines. This recommendation was approved by the DHB Trauma and Injury Subcommittee on August 3, 2011 and subsequently approved by unanimous vote of the DHB, on August 8, 2011.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 23, 2011
- Accession Number
- AD1034112