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Tactical Combat Casualty Care (TCCC or TC3), formerly known as Self Aid Buddy Care, [1] is a set of guidelines for trauma life support in prehospital combat medicine published by the United States Defense Health Agency. They are designed to reduce preventable deaths while maintaining operational success.
The type of wound (incision, laceration, puncture, etc.) has a major effect on the way a wound is managed, as does the area of the body affected and presence of any foreign objects in the wound. A serious wound or any complication may require a call to emergency medical services. Any wound requires being disinfected after it stops bleeding.
In fact, many components of the protocol have since been shown to impair or delay healing by inhibiting inflammation. [2] [3] [7] Early rehabilitation is now the recommendation to promote healing. [3] [8] Ice, compression, and elevation may have roles in decreasing swelling and pain, but have not shown to help with healing an injury. [2] [7] [9]
This list is not comprehensive and may be subject to change with future revisions in TCCC guidelines. Hemorrhage control interventions include the use of extremity tourniquets, junctional tourniquets, trauma dressings, wound packing with compressed gauze and hemostatic dressings, and direct pressure. [23]
Negative pressure wound therapy device. Negative-pressure wound therapy (NPWT), also known as a vacuum assisted closure (VAC), is a therapeutic technique using a suction pump, tubing, and a dressing to remove excess wound exudate and to promote healing in acute or chronic wounds and second- and third-degree burns.
Since the year 2000, the wound bed preparation concept has continued to improve. For example, the TIME acronym (Tissue management, Inflammation and infection control, Moisture balance, Epithelial (edge) advancement) has supported the transition of basic science to the bedside in order to exploit appropriate wound healing interventions [6] and has not deviated from the important tenets of ...
The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches , staples or sutures .
A gunshot wound (GSW) is a penetrating injury caused by a projectile (e.g. a bullet) shot from a gun (typically a firearm). [ 11 ] [ 12 ] Damage may include bleeding , bone fractures , organ damage, wound infection , and loss of the ability to move part of the body . [ 2 ]